CC-BY-NC-ND 4.0 · J Clin Interv Radiol ISVIR 2018; 02(01): 027-037
DOI: 10.1055/s-0038-1642105
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Percutaneous Transhepatic Biliary Interventions

Ankusha Yadav
1  Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Naveen Kumar Condati
1  Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Amar Mukund
1  Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
› Author Affiliations
Further Information

Publication History

Received: 19 September 2017

Accepted: 04 December 2017

Publication Date:
03 May 2018 (online)

Abstract

Biliary tract interventions remain indispensable procedures for treatment of a wide arena of biliary tract pathologies. The increased use of endoscopic retrograde cholangiopancreatography (ERCP) for biliary tract evaluation and intervention has resulted in fewer patients requiring percutaneous transhepatic biliary interventions. However, there remains a subset of patients in whom ERCP is not feasible. Interventional radiologists play an important role in the management of biliary pathologies in such patients who cannot be benefited by endoscopic means. These interventions may at times be challenging; hence, awareness of normal and variant biliary tract anatomy and the variety of biliary tract interventions make the job easy. This article reviews the role of percutaneous transhepatic interventions in the management of a variety of biliary tract diseases, both benign and malignant, general indications and contraindications, preprocedural evaluation, and technical considerations specific to indications.