Percutaneous Management of Biliary Leaks: Biliary Embosclerosis and Ablation

Wael E.A. Saad, Michael D. Darcy

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Biliary leaks after hepatobiliary surgery are not uncommon. In certain situations minimal invasive percutaneous techniques may result in avoidance or reduction of the extent of surgery. Minimal invasive percutaneous techniques include (1) percutaneous bile collection (biloma) drainage, (2) percutaneous transhepatic biliary drainage, (3) biliary leak site embolization/sclerosis, and (4) leaking biliary segment ablation. There are two clinical applications for biliary ablation. The first is actual bile leak site ablation or embosclerosis to reduce an aperture or ablate a fistula (block a hole). The second is ablating an entire biliary segment to cease bile production and induce hepatic segmental atrophy (cease bile production). This article discusses the techniques used for biliary leak site embosclerosis/ablation (including biliary-cutaneous tract ablation) and biliary segmental ablation.

Original languageEnglish
Pages (from-to)111-119
Number of pages9
JournalTechniques in vascular and interventional radiology
Volume11
Issue number2
DOIs
StatePublished - Jun 2008

Keywords

  • ablation
  • biliary
  • embolization
  • leak
  • sclerosis

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