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Semin intervent Radiol 2024; 41(05): 460-465
DOI: 10.1055/s-0044-1791724
Review Article

Percutaneous Cholecystostomy: Procedural Guidance and Future Directions for Clinical Management

Pouria Koushesh
1   Department of Radiology, TTUHSC El Paso PLFSOM, El Paso, Texas
,
Talha Ayaz
2   Department of Radiology, University of Texas Medical Branch, Galveston, Texas
,
Thomas Tullius
3   Department of Radiology, University Medical Center El Paso, TTUHSC El Paso PLFSOM, El Paso, Texas
› Author Affiliations Funding The authors have reported that they have received no funding in relation to this paper.
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Abstract

Percutaneous cholecystostomy (PC) is a recognized treatment option for the management of acute cholecystitis and is an integral component of the treatment algorithm in the 2018 Tokyo Guidelines. The utilization of PC has significantly increased over the past 30 years, particularly in the setting of critically ill patients and those with extensive comorbidities who are poor surgical candidates. The indications, complications, patient selection considerations, and technical complexities of the procedure will be discussed. Postprocedural drain management and the potential for shortened indwelling time are reviewed.

Keywords

percutaneous cholecystostomy - acute cholecystitis - gallstones - interventional radiology

Disclosures

No disclosures from all involved parties.




Publication History

Article published online:
10 December 2024

© 2024. Thieme. All rights reserved.

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