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. Deipolyi1, Anne M. Covey1
  • 1Department of Radiology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical Center, New York, New York
Further Information

Publication History

Publication Date:
14 December 2017 (online)


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.