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  • Title: Interventional therapy for the treatment of severe hemobilia after percutaneous transhepatic cholangial drainage: a case series.
    Author: Cao H, Liu J, Li T, Cao G, Xu G, Zhai S, Xue J, Wang Z, Shi S, Bai W.
    Journal: Int Surg; 2013; 98(3):223-8. PubMed ID: 23971775.
    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.
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