Immediate transbiliary embolization of a biliary-hepatic artery fistula encountered during access for percutaneous biliary drainage.
The authors describe a case in which a biliary-hepatic artery fistula was created by a glidewire perforation during percutaneous transhepatic biliary drainage and was successfully treated by embolization via the transbiliary tract. Great caution should be exercised to avoid perforation when a Terumo hydrophilic glidewire is used during biliary intervention.
Nakagawa
N
N
Department of Radiology, University of Iowa College of Medicine, Iowa City 52242.
Nakajima
Y
Y
Bird
S M
SM
Wakabayashi
M
M
D000368:Aged; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004322:Drainage / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D008297:Male; D011677:Punctures; D015641:Radiography, Interventional; D014950:Wounds, Penetrating / Q000209:etiology / Q000628:therapy