title: Drainage of a malignant common hepatic duct obstruction by a biliary endoprosthesis placed through a T-tube tract: technical note.
abstract: For patients with high biliary obstruction drained by a T-tube, achieving internal drainage requires special techniques. Modification of a method described by Sammon for common bile duct obstruction permits placement of a biliary endoprosthesis astride the T-tube tract. The key step is traction exerted downward on the endoprosthesis by a suture passing through a second catheter temporarily inserted into the common bile duct. A case is described in which the technique has been applied successfully.
authors.affiliation: Department of Radiology, Harvard Medical School, Boston, Massachusetts.
authors.forename: P F
authors.initials: PF
authors.lastname: Hahn
authors.forename: M J
authors.initials: MJ
authors.lastname: Girard
authors.forename: S G
authors.initials: SG
authors.lastname: Silverman
authors.forename: B
authors.initials: B
authors.lastname: Forman
authors.forename: G
authors.initials: G
authors.lastname: Tung
authors.forename: P R
authors.initials: PR
authors.lastname: Mueller
mesh_terms: D000230:Adenocarcinoma / Q000150:complications; D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000150:complications; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D019736:Prostheses and Implants