Transhepatic Interventions for Obstructive Jaundice Flashcards
1
Q
What is the only absolute contraindication to PTC?
A
obstructive jaundice + significant coagulopathy that cannot be corrected
2
Q
What is the procedure of choice for a patient with ascites and jaundice?
A
ERCP as PTC results in constant drainage around tube site and possible bile peritonitis
3
Q
How frequently should external/internal biliary drainage catheters be changed?
A
every 2-3 months
4
Q
How is hepatic vein/portal vein hemobilia treated?
A
repositioning or upsizing biliary drainage catheter
5
Q
How is hepatic artery hemobilia treated?
A
hepatic ateriography - arterial embolization
