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PERCUTANEOUS MANIPULATIONS OF THE BILIARY TRACT

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PTC<br />

Major Complications<br />

Burke, et al<br />

Reported<br />

rate %<br />

Suggested<br />

threshhold<br />

Sepsis, cholangitis, bile leak,<br />

hemorrhage or pneumothorax<br />

2 4<br />

PTCB<br />

Indications<br />

PTCB<br />

Indications<br />

1. Not approachable with ERCP<br />

2. Decompress obstructed biliary tree<br />

3. Dilate biliary strictures<br />

4. Remove bile duct stones<br />

5. Divert bile from and stent biliary leaks<br />

Dana R. Burke, et al, Quality Improvement Guidelines for<br />

Percutaneous Transhepatic Cholangiography and Biliary Drainage<br />

JVIR 2003 14: 243S-246S.<br />

Hunter 2010

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