Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4241051 | Journal of Vascular and Interventional Radiology | 2010 | 5 Pages |
Abstract
Percutaneous biliary drains are classified into external and internal/external drains. Internal/external drains can drain bile externally and internally (ie, anatomically) into bowel. Internal drainage is usually desired because it is associated with less morbidity. Not infrequently, operators encounter a situation in which one of two transhepatic biliary access tracts has been successfully internalized, and a second access cannot be internalized. The present report describes a technique that internalizes a second percutaneous transhepatic biliary access-relying on an initially successful first internalization-by capturing a microwire from the externalized to the internalized tract and forcing it down into the bowel. The anatomic applications and results of this technique are described.
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Authors
Wael E.A. MBBCh,