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1000 Titel
  • Percutaneous transhepatic biliary drainage (PTBD) in patients with dilated vs. nondilated bile ducts: technical considerations and complications
1000 Autor/in
  1. Pedersoli, Federico |
  2. Schröder, Anja |
  3. Zimmermann, Markus |
  4. Schulze-Hagen, Maximilian |
  5. Keil, Sebastian |
  6. Ulmer, Tom Florian |
  7. Neumann, Ulf Peter |
  8. Kuhl, Christiane K. |
  9. Bruners, Philipp |
  10. Isfort, Peter |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-10-13
1000 Erschienen in
1000 Quellenangabe
  • 31(5):3035-3041
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00330-020-07368-6 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043937/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Objectives!#!The aim of this study was to compare success, technical complexity, and complication rates of percutaneous transhepatic biliary drainage (PTBD) in patients with dilated vs. nondilated bile ducts.!##!Methods!#!In a retrospective analysis, we evaluated all consecutive PTBD performed in our department over a period of 5 years. Technical success, technical data (side, fluoroscopy time, radiation dose, amount of contrast media, use of disposable equipment), procedure-related complications and peri-interventional mortality were compared for patients with dilated vs. non-dilated bile ducts. Independent t test and χ!##!Results!#!A total of 253 procedures were performed on 187 patients, of whom 101/253 had dilated bile ducts and 152/253 not. In total, 243/253 procedures were successful. PTBD was significantly more often successful in patients with dilated vs. nondilated bile ducts (150/153 vs. 93/101; p 0.02). Overall complication rate (13%) did not differ significantly between patients with dilated vs. nondilated bile ducts. Procedures in patients with normal, nondilated bile ducts were associated with a significantly higher rate of post-interventional bleeding (5/101 vs. 0/152). Mean fluoroscopy time (42:36 ± 35:39 h vs. 30:28 ± 25:10 h; p 0.002) and amount of contrast media (66 ± 40 ml vs. 52 ± 24 ml; p 0.07) or use of disposables were significantly higher in patients with nondilated ducts. A significantly lower fluoroscopy time and amount of contrast medium were used in left hepatic PTBD.!##!Conclusion!#!Despite the higher technical complexity, PTBD with nondilated bile ducts was associated with similar overall complication rates but higher bleeding complications compared with PTBD with dilated bile ducts.!##!Key points!#!• PTBD was associated with similar overall complication rates in patients with dilated vs. nondilated bile ducts. • Although overall complication rates were low, PTBD in patients with nondilated bile ducts was associated with a higher incidence of post-interventional bleeding. • PTBD in patients with nondilated bile ducts is technically more complex.
1000 Sacherschließung
lokal Percutaneous transhepatic biliary drainage
lokal Dilatation, Pathologic [MeSH]
lokal Fluoroscopy [MeSH]
lokal Humans [MeSH]
lokal Bile Ducts/diagnostic imaging [MeSH]
lokal Cholestasis
lokal Drainage [MeSH]
lokal Retrospective Studies [MeSH]
lokal Bile ducts
lokal Cholangiography
lokal Biliary tract neoplasms
lokal Interventional
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-7064-3453|https://frl.publisso.de/adhoc/uri/U2NocsO2ZGVyLCBBbmph|https://frl.publisso.de/adhoc/uri/WmltbWVybWFubiwgTWFya3Vz|https://frl.publisso.de/adhoc/uri/U2NodWx6ZS1IYWdlbiwgTWF4aW1pbGlhbg==|https://frl.publisso.de/adhoc/uri/S2VpbCwgU2ViYXN0aWFu|https://frl.publisso.de/adhoc/uri/VWxtZXIsIFRvbSBGbG9yaWFu|https://frl.publisso.de/adhoc/uri/TmV1bWFubiwgVWxmIFBldGVy|https://frl.publisso.de/adhoc/uri/S3VobCwgQ2hyaXN0aWFuZSBLLg==|https://frl.publisso.de/adhoc/uri/QnJ1bmVycywgUGhpbGlwcA==|https://frl.publisso.de/adhoc/uri/SXNmb3J0LCBQZXRlcg==
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1000 Erstellt am 2023-11-17T21:54:48.551+0100
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