title: Interventional therapy for the treatment of severe hemobilia after percutaneous transhepatic cholangial drainage: a case series.
abstract: From May 2003 to May 2010, a total of 9 patients with severe hemobilia after percutaneous transhepatic cholangial drainage (PTCD) were diagnosed using superselective angiography and cholangiography, and then were treated with interventional procedures. Two patients with hepatic arterio-biliary fistula underwent proximal and distal arterial embolization of the responsible vessel. Six patients with pseudoaneurysm had pseudoaneurysm occlusion with proximal and distal embolization. Another patient with biliary-portal vein fistula received a biliary fully covered stent placement. The effects in these patients were evaluated using superselective angiography immediately after the intervention and at 3- and 6-month follow-up. In all patients, hemobilia was stopped right after the treatment and no sign of recurrence was noted at 3- and 6-month follow-up after the interventional therapy. Our findings demonstrate that interventional therapy is a simple, minimally invasive, and safe approach for treating severe hemobilia in patients receiving PTCD.
authors: Department of Interventional Radiology, Henan Provincial People's Hospital, Zhengzhou, Henan Province, People's Republic of China.
authors: Huicun
authors: H
authors: Cao
authors: Jian
authors: J
authors: Liu
authors: Tianxiao
authors: T
authors: Li
authors: Guangshao
authors: G
authors: Cao
authors: Gangqin
authors: G
authors: Xu
authors: Shuiting
authors: S
authors: Zhai
authors: Jiangyu
authors: J
authors: Xue
authors: Ziliang
authors: Z
authors: Wang
authors: Shuaitao
authors: S
authors: Shi
authors: Weixing
authors: W
authors: Bai
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006431:Hemobilia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome
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