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Colangiografía transhepática percutánea - Risks

Nombres alternativos

Colangiograma transhepático percutáneo; PTCA; CTHP; Colangiografía

Riesgos:

Hay una ligera posibilidad de que se produzca una reacción alérgica al medio de contraste (yodo) y que se presente daño a órganos cercanos, pérdida de sangre excesiva, intoxicación de la sangre (sepsis) e inflamación de las vías biliares.

Consideraciones:

Este examen ha sido reemplazado en su mayor parte por la colangiopancreatografía retrógrada endoscópica (CPRE), el cual también puede tratar el bloqueo. Este examen se puede hacer si una CPRE no se puede llevar a cabo o ha fallado.

Una colangiopancreatografía por resonancia magnética (CPRM) es un método imagenológico más nuevo y no invasivo, basado en resonancia magnética, que suministra vistas similares de las vías biliares, pero no siempre es posible llevarlo a cabo. No se puede usar para tratar el bloqueo.

  • Reviewed last on: 1/31/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jason Levy, MD, Northside Radiology Associates, Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Lidofsky S. Jaundice. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 20.

Wael E.A. Saad, Michael J. Wallace, Joan C. Wojak, Sanjoy Kundu. Quality Improvement Guidelines for Percutaneous Transhepatic Cholangiography, Biliary Drainage, and Percutaneous Cholecystostomy. Journal of Vascular and Interventional Radiology Vol. 21, Issue 6, Pages June 2010. 789-795.

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