Liver and biliary interventional procedures
There is a wide range of liver and biliary interventional procedures, both diagnostic and therapeutic, most commonly using CT-guidance or ultrasound-guidance.
Vascular Interventions:- transjugular intrahepatic portosystemic shunt(TIPS) for alleviating portal Hypertension
- transjugular liver biopsy(TJLB)
- BRTO/BATO
- liver biopsy(US and CT-guided)
- collections/abscess drainage
- ultrasound guided
- CT guided
- Transhepatic biliary interventions
- percutaneous transhepatic cholangiography(PTC)
- percutaneous transhepatic biliary drainage (PTBD)
- percutaneous cholecystostomy(PC)
Percutaneous Transhepatic Biliary Drainage (PTBD)
What is it?
Procedure in which the bile duct punctured through skin and liver by a needle under ultrasound guidance. Wire is placed followed by catheter. This procedure is done under local anesthesia or mild sedation.
Biliary externalization:In cases where wire can’t go beyond obstruction or patients with active infection
Biliary internalization:Bile is to be drained within only; no external bag. For malignancy metallic stent is placed.
Why (Indications)?To relieve the jaundice or itching.