In a patient suffering from malignant obstructive jaundice and thrombocytopenia, magnetic
resonance imaging (MRI) was used to guide percutaneous transhepatic biliary drainage,
to avoid blind puncture of the bile ducts using fluoroscopy. The first puncture approach
was successful, and an MRI-visible guide wire and drainage catheter were inserted
successfully within 35 min. The course after the intervention was uneventful, and
the patient's fever and itching improved. MRI guidance facilitated optimal procedure
planning and high puncture accuracy.
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S. Faiss, M.D.
Dept. of Gastroenterology · Benjamin Franklin Hospital · Free University of Berlin
·
Hindenburgdamm 30 · 12200 Berlin · Germany
Fax: + 49-30-8441-1308
eMail: faiss@ukbf.fu-berlin.de