alexa Abstract | A Novel Approach: Trans-Cholecyctic PTC and Malignant Biliary Stenting
ISSN: 2329-6925

Journal of Vascular Medicine & Surgery
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report Open Access

Abstract

Background: Percutaneous Biliary Cholangiography (PC) is the first step in a commonly employed technique utilized by interventional radiologist to relieve biliary obstruction via biliary stenting and drainage. A narrow gauge 22 gauge Chiba needle is utilized to gain access into the biliary tree via the right or left hepatic duct, followed by biliary imaging and intervention. Occasionally, access is limited into the biliary tree utilizing traditional methods due to decompression, variant anatomy, or other complications. Materials and methods: Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and Flouroscopic images detail a case of a novel trans-cholecystic approach of biliary stenting and drainage in a patient with poor access to traditional methods and poor surgical candidate. Additionally, a full work up of the patient is presented to explain the presenting symptoms. Detailed history, relevant laboratory results, and hospital course are reviewed. Results: We present a Novel approach of biliary drainage utilizing the cystic duct as the entry point into the central biliary system. To our knowledge, this has not been previously described in literature and confers a tool for interventionists to gain biliary access on patients who are otherwise poor surgical candidates. Conclusion: We describe a case report of a novel approach for biliary access for cholangiography and subsequent interventions utilizing a trans-cholecystic approach. Familiarity with this approach can improve clinical outcomes and morbidity for those that are otherwise poor surgical candidates and present a challenge to interventionists via traditional access methods.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Iqbal M, Gronlie T, Gonda S, Joshi A and Iqbal S

Keywords

Percutaneous intervention, Gall bladder intervention, Malignant biliary stricture, Interventional radiology, Bilirubinemia, PTC, Abdominal Aortic Aneurysm, Arteries, Arteriosclerosis, Blood Clot Symptoms, Brain Aneurysm Symptoms, Carotid Artery, Femoral Artery, Heart Disease, Hypotension, Ischemic Heart Disease, Peripheral Vascular Disease, Stent, Vascular, Vascular Dementia, Percutaneous intervention, Gall bladder intervention, Malignant biliary stricture, Interventional radiology, Bilirubinemia, PTC

Share This Page

Additional Info

Loading
Loading Please wait..
 
 
 
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords