Endoscopy for the Interventional Radiologist: An Introduction

Srinivasa, Ravi N.

doi:10.1053/j.tvir.2019.04.001

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…Surgical risk is determined based on the American Society of Anesthesiologists. 1 Comorbid conditions that increase morbidity and mortality include cardiac, pulmonary, hepatic, renal dysfunction, and age > 75 with multiple organ dysfunction. 7 Contraindications include acute cholangitis, sepsis, uncorrectable coagulopathy, intractable ascites, or short life expectancy.…”

Section: Patient Selectionmentioning

confidence: 99%

Percutaneous Hepatobiliary Endoscopy in the Interventional Radiology Suite

Anderson

Plotnik

Srinivasa

2020

Digestive Disease Interventions

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Percutaneous transhepatic choledochoscopy and cholecystoscopy have a growing place in the interventional radiology suite. Patients with indwelling tubes who may have once been left with limited options for stone extraction, targeted biopsy, and/or chronic biliary stricture can now have comprehensive care of their disease process by an interventional radiologist. There are a variety of low-profile and large-profile devices available in the hospital that can be repurposed for use in the biliary system and gallbladder. In many situations, these tools can be used to render patients with limited transoral endoscopic options and chronic indwelling tubes, tube free. This article provides an introduction to biliary endoscopy and cholecystoscopy and their role for the interventional radiologist.

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Section: Patient Selectionmentioning

confidence: 99%

Percutaneous Hepatobiliary Endoscopy in the Interventional Radiology Suite

Anderson

Plotnik

Srinivasa

2020

Digestive Disease Interventions

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“…These developments are pivotal in making these advanced interventional endoscopic procedures more accessible and in improving patient outcomes in the management of complex biliary conditions. 11 The primary objective of this review article is to serve as a comprehensive synthesis of PBE, consolidating and standardizing the existing wealth of knowledge about this evolving procedure. By examining its historical development, technological advancements, and expanding clinical applications, we aim to provide a clear and concise overview of PBE's multifaceted role in minimally invasive endoscopic interventions.…”

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confidence: 99%

Percutaneous Biliary Endoscopy: History, Indications, Techniques, and Outcomes

Naganatanahalli,

Desai,

Levitin

et al. 2024

Digestive Disease Interventions

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Percutaneous biliary endoscopy (PBE), also known as cholangioscopy, represents a significant advancement in the field of interventional radiology. This technique offers a minimally invasive alternative to traditional surgery or peroral approaches for a range of biliary diseases, including stone clearance, biliary stricture/mass evaluation, and biopsies, making it particularly valuable in the management of complex biliary pathologies. It is especially significant for patients with anatomical variations or high surgical risk, where traditional approaches like endoscopic retrograde cholangiopancreatography, or surgical options, are not feasible. This article delves into the evolution, indications, technical nuances, and clinical outcomes of PBE, integrating comprehensive data from extensive research.

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“…More recently, however, a resurgence of interest has been ignited in the interventional radiology community. [2][3][4][5][6] Interventional radiologists are uniquely equipped to integrate endoscopy into many of their commonly performed image-guided procedures, particularly in biliary, gastrointestinal, and genitourinary interventions. This can be attributed to the high degree of manual dexterity that is often required to execute interventional procedures.…”

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confidence: 99%

Percutaneous Biliary Endoscopy

Khayat

Cline

et al. 2021

Semin intervent Radiol

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Biliary endoscopy is underutilized by interventional radiologists and has the potential to become an effective adjunctive tool to help both diagnose and treat a variety of biliary pathology. This is particularly true in cases where endoscopic retrograde cholangiopancreatography fails or is not feasible due to surgically altered anatomy. Both preoperative clinical and technical procedural factors must be taken into consideration prior to intervention. In this article, clinical evaluation, perioperative management, and procedural techniques for percutaneous biliary endoscopy are reviewed.

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Endoscopy for the Interventional Radiologist: An Introduction

Cited by 4 publications

References 18 publications

Percutaneous Hepatobiliary Endoscopy in the Interventional Radiology Suite

Percutaneous Hepatobiliary Endoscopy in the Interventional Radiology Suite

Percutaneous Biliary Endoscopy: History, Indications, Techniques, and Outcomes

Percutaneous Biliary Endoscopy

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