Palliative Percutaneous Biliary Interventions in Malignant High Bile Duct Obstruction

Amy R. Deipolyi; Anne M. Covey

doi:10.1055/s-0037-1608827

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2017; 34(04): 361-368
DOI: 10.1055/s-0037-1608827

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Palliative Percutaneous Biliary Interventions in Malignant High Bile Duct Obstruction

Amy R. Deipolyi

¹Department of Radiology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical Center, New York, New York

,

Anne M. Covey

¹Department of Radiology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical Center, New York, New York

› Author Affiliations

Abstract

The optimal palliative intervention for malignant biliary obstruction is internal drainage by placement of a metallic stent. For patients with hilar biliary obstruction or low bile duct obstruction in whom endoscopy is not feasible, a percutaneous transhepatic approach in interventional radiology is preferred. This article reviews the rationale for this approach, periprocedural management, and techniques to optimize stent patency.

Keywords

interventional radiology - biliary obstruction - bile duct obstruction - stent - biliary drainage

Full Text

References

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