Percutaneous Transhepatic Cholangiography / Bile Duct Drainage and Placement of Stent (Rendez-Vouz Technique)
The entire range of percutaneous procedures on the biliary duct is performed under ultrasonic guidance and fluoroscopy.
Procedures include cholangiography (PTC), biliary drainage (PTBD), stenting, management of benign strictures as well as postoperative complications of the biliary ducts, percutaneous lithotripsy of gall stones, rendez-vous technique and biopsies.
These procedures are performed under twilight anesthesia and require at least an overnight hospital stay.
Chemoembolization
Chemoembolization is the intra-arterial delivery of anticancer drugs directly to the tumor.
This method is indicated for various primary liver tumors and for some metastatic tumors.
An overnight hospital stay is usually required.
Liver Tumor Ablation (RF & Microwave Ablation)
For inoperable liver tumors, RF ablation or MW ablation provide minimally invasive local treatment since the tumor or tumors are destroyed with heat in just a few minutes.
Percutaneous Placement of Selective Intra-Arterial Chemotherapy Port
A port may be placed for the injection of intra-arterial chemotherapy for certain liver tumors.
Transjugular Liver Biopsy
ΣWhere conventional liver biopsy is not possible due to coagulation disorders or due to ascites, etc., transjugular biopsy under digital subtraction angiography and ultrasound-guided plugged biopsy are safely performed.
Percutaneous Cholecystostomy
Percutaneous cholecystostomy is used in the management of acute cholecystitis in patients whose general medical condition does not permit cholecystectomy, which is the usual treatment. It is painless and is performed in minutes. In the case of acalculous cholecystitis, the definitive treatment is cholecystectomy.
Portal Vein Procedures
Aided by modern imaging guidance, specialized procedures –such as portal vein stenting to treat stenosis or complete blockage of the portal vein usually by tumors or after grafting – are now performed in the portal vein.
Portal vein embolization as preoperative preparation for hepatectomy to allow the healthy part of the liver to grow.
Portal vein thrombolysis in case of acute thrombosis.
Transjugular intrahepatic portosystemic shunt in patients with cirrhosis and variceal bleeding or refractory ascites.