自 Jri V. Kaude 在1969年首次开始引入经皮经肝胆道引流以来,PTCD 经历了40多个年头,仍然充满着各种不确定性...
Radiology. 2019 Mar;290(3):722-729. doi: 10.1148/radiol.2018180279. Epub 2019 Jan 1. Causes and Rates of 30-day Readmissions after Percutaneous Transhepatic Biliary Drainage Procedure. Sarwar A 1 , Hostage CA Jr 1 , Weinstein JL 1 , Kim G...
Trans biliary proximal and distal coil embolization of an arteriobiliary fistula: report of a case and review of literature. Galambo F, Maybody M. CVIR Endovasc . 2019;2(1):1. doi: 10.1186/s42155-018-0046-9. Epub 2019 Jan 4. PMID: 30652167...
J Surg Oncol. 2019 Jul;120(1):45-56. doi: 10.1002/jso.25471. Epub 2019 Apr 12. Percutaneous management of malignant biliary disease. Riaz A 1 , Pinkard JP 1 , Salem R 1, 2, 3 , Lewandowski RJ 1, 3 . Author information Abstract Percutaneous...
胆瘘 bile leak 有三种情况 1. 经皮引流管皮肤周围侧漏 2. 胆道皮肤瘘(bilio-cutaneous fistula) Indian J Radiol Imaging. 2019 Jul-Sep;29(3):310-312. doi: 10.4103/ijri.IJRI_16_19. Epub 2019 Oct 30. Bilio-cutaneous fistula obliteration with NBCA...
The outcomes of biliary drainage by percutaneous transhepatic cholangiography for the palliation of malignant biliary obstruction in England between 2001 and 2014: a retrospective cohort study. Rees J, Mytton J, Evison F, Mangat KS, Patel...
PTCD造影显示肝静脉 示意图...
The complication rate for only percutaneous cholangiography is very low, with major complications being under 2%. There are four major complications described, and medical practitioners should be aware of potential complications that may a...
PTCD 应在具有介入能力的放射科进行,操作者应有相关的经验或培训,学习曲线之下的操作者需要在有经验的医生监视下实施PTCD。需要PTCD的患者通常由于胆道梗阻而有扩张的胆管。 这种扩张使在超声,CT,MRCP上识别胆管变得更容易。 有各种途径进入胆道树,包括...
1. 门诊病人准备 2. 住院病人准备 Antibiotic prophylaxis 1g Ceftriaxone IV or 1.5-3g ampicillin/sulbactam IV 1g Cefotetan 4plus 4g Mezlocillin IV 2g Ampicillin 4plus 1.5 mg/kg Gentamicin IV 3. 术前夜准备 4. 手术晨起准备 禁食水 5. 导管室准备...
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