Semin intervent Radiol 2017; 34(04): 361-368
DOI: 10.1055/s-0037-1608827
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Palliative Percutaneous Biliary Interventions in Malignant High Bile Duct Obstruction

Amy R. Deipolyi
Department of Radiology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical Center, New York, New York
,
Anne M. Covey
Department of Radiology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical Center, New York, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
14 December 2017 (online)

Abstract

The optimal palliative intervention for malignant biliary obstruction is internal drainage by placement of a metallic stent. For patients with hilar biliary obstruction or low bile duct obstruction in whom endoscopy is not feasible, a percutaneous transhepatic approach in interventional radiology is preferred. This article reviews the rationale for this approach, periprocedural management, and techniques to optimize stent patency.