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RadioGraphics, Vol 9, 39-49, Copyright © 1989 by Radiological Society of North America

ARTICLES

Interventional radiology in the gallbladder

E vanSonnenberg, G Casola, RR Varney, S Zakko, GR Wittich, J Cox and AF Hofmann
Department of Radiology, University of California Medical Center, San Diego 92115.

This article is a pictorial review of the current status of interventional radiology of the gallbladder. The indications and technical aspects of various procedures are presented. Specifically discussed are: (1) needle puncture for percutaneous biopsy, withdrawal of bile for culture, or imaging of the biliary tract; (2) catheter insertion for decompression or abscess drainage; and (3) gallstone management via contact dissolution, fragmentation and basketing, or contact lithotripsy. The management of vagal hypotension and bile leak, the major complication of these procedures is also discussed.




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