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Bleeding after Percutaneous Transhepatic Biliary Drainage: Incidence, Causes and Treatments

1
Division of Interventional Radiology, University of Utah Department of Radiology, Salt Lake City, UT 84108, USA
2
Department of Radiology, University of California-San Diego, San Diego, CA 92093, USA
3
University of Tennessee-West Cancer Center, Memphis, TN 38139, USA
4
Department of Vascular and Interventional Radiology, Minimally Invasive Therapeutics Laboratory, Mayo Clinic, Phoenix, AZ 85054, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(5), 94; https://doi.org/10.3390/jcm7050094
Received: 30 March 2018 / Revised: 19 April 2018 / Accepted: 23 April 2018 / Published: 1 May 2018
(This article belongs to the Special Issue Image Guided Interventions and Emerging Technologies)
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Abstract

Of all procedures in interventional radiology, percutaneous transhepatic biliary drainage (PTBD) is amongst the most technically challenging. Successful placement requires a high level of assorted skills. While this procedure can be life-saving, it can also lead to significant iatrogenic harm, often manifesting as bleeding. Readers of this article will come to understand the pathophysiology and anatomy underlying post-PTBD bleeding, its incidence, its varied clinical manifestations and its initial management. Additionally, a structured approach to its treatment emphasizing endovascular and percutaneous methods is given. View Full-Text
Keywords: percutaneous transhepatic biliary drainage; iatrogenic hemobilia; pull-back cholangiogram; arterial-biliary fistula percutaneous transhepatic biliary drainage; iatrogenic hemobilia; pull-back cholangiogram; arterial-biliary fistula
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MDPI and ACS Style

Quencer, K.B.; Tadros, A.S.; Marashi, K.B.; Cizman, Z.; Reiner, E.; O’Hara, R.; Oklu, R. Bleeding after Percutaneous Transhepatic Biliary Drainage: Incidence, Causes and Treatments. J. Clin. Med. 2018, 7, 94.

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