The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage
- 26.01.2017
- Clinical Investigation
Erschienen in:
- Verfasst von
- Mitsuhiro Kinoshita
- Ryozo Shirono
- Katsuya Takechi
- Hironobu Yonekura
- Seiji Iwamoto
- Takayoshi Shinya
- Shoichiro Takao
- Masafumi Harada
- Erschienen in
- CardioVascular and Interventional Radiology | Ausgabe 6/2017
Abstract
Purpose
To retrospectively evaluate the usefulness of virtual fluoroscopic preprocedural planning (VFPP) in the percutaneous transhepatic biliary drainage (PTBD) procedure.
Materials and Methods
Twenty-two patients who were treated by PTBD were included in this study. Twelve patients were treated using PTBD intraoperative referencing coronal computed tomography (CT) images (i.e., coronal CT group), and ten patients were treated using PTBD intraoperative referencing VFPP images (i.e., VFPP group). To analyze the effect of the intraoperative referencing VFPP image, the VFPP group was retrospectively compared with the coronal CT group.
Results
The characteristics of both patient groups were not statistically significantly different. There were no significant differences in the targeted bile duct, diameter and depth of the target bile, breath-holding ability, number of targeted bile duct puncture attempts, change in the targeted bile duct, and exchange of the drainage catheter. However, the X-ray fluoroscopy time and the procedure time were significantly shorter in the VFPP group than in the coronal CT group (196 vs. 334 s, P < 0.05; and 16.0 vs. 27.2 min, P < 0.05).
Conclusion
Intraoperative referencing using the VFPP imaging in PTBD intuitively can be a useful tool for better localization of the guidewire in the bile duct and thereby shorten the X-ray fluoroscopy time and procedure time while minimizing radiation exposure and complications.
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- Titel
- The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage
- Verfasst von
-
Mitsuhiro Kinoshita
Ryozo Shirono
Katsuya Takechi
Hironobu Yonekura
Seiji Iwamoto
Takayoshi Shinya
Shoichiro Takao
Masafumi Harada
- Publikationsdatum
- 26.01.2017
- Verlag
- Springer US
- Erschienen in
-
CardioVascular and Interventional Radiology / Ausgabe 6/2017
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X - DOI
- https://doi.org/10.1007/s00270-017-1581-9
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