Transhepatic Interventions for Obstructive Jaundice

Question 1

What is the only absolute contraindication to PTC?

Answer 1

obstructive jaundice + significant coagulopathy that cannot be corrected

Question 2

What is the procedure of choice for a patient with ascites and jaundice?

Answer 2

ERCP as PTC results in constant drainage around tube site and possible bile peritonitis

Question 3

How frequently should external/internal biliary drainage catheters be changed?

Answer 3

every 2-3 months

Question 4

How is hepatic vein/portal vein hemobilia treated?

Answer 4

repositioning or upsizing biliary drainage catheter

Question 5

How is hepatic artery hemobilia treated?

Answer 5

hepatic ateriography - arterial embolization