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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 147-152
DOI: 10.1055/s-0042-1758049
Original Article

Technical Feasibility, Short-Term Patency, Safety, and Efficacy of Percutaneously Delivered Double Pig-Tail Stent for Palliation of Unresectable Biliary Malignancies

Ashish Verma   *
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Ishan Kumar    *
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Pramod Kumar Singh
2   Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Tarun Kumar
2   Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Durgatosh Pandey
3   Department of Surgical Oncology, Mahamana Pandit Madan Mohan Malviya Cancer Institute, Varanasi, Uttar Pradesh, India
› Author Affiliations Funding None.
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Abstract

Purpose The aim of this study was to evaluate the technical feasibility, complication rate, and efficacy of percutaneously delivered plastic biliary stent, compared with that of internal–external biliary drainage catheter.

Methods Patients with unresectable malignant biliary obstruction were included who underwent percutaneous transhepatic biliary drainage and double pigtail plastic stenting (DPT-PS) or internal–external biliary drainage catheter in 15 months' duration.

Results Seventy-seven patients were included in the study who underwent DPT-PS (n = 37) or internal external drainage catheter placement (n = 40). Overall, the technical success rate for percutaneous plastic stenting was 92.5% and technical success rate for primary stenting at the time of initial puncture was 62%. The incidence of fever and hemobilia was similar across the two groups, whereas bile leakage in the perihepatic space and through the skin at puncture site was higher in patients with internal–external drainage catheter. Both the techniques were effective in reducing the bilirubin levels of patients. Re-intervention was done in five patients in DPT-PS and six patients with ring biliary catheter.

Conclusion DPT-PS may be used as a viable cost-efficient alternative for unresectable biliary malignancies with low post-procedure life expectancy.

Keywords

plastic stent - malignant biliary obstruction - percutaneous transhepatic biliary drainage

Authors' Contributions

A.V., P.K.S., and I.K.: Performed the procedure and collected the radiological data. I.K.: Performed statistical analysis. T.K., D.P.: Performed clinical and surgical management and clinical data. All the authors read and approved the final manuscript.


Compliance with Ethical Standards

This is a research involving human participants (patients).


Data, Materials and/or Code Availability

Data are available with the corresponding author and can be shared on reasonable request.


Informed Consent

Written informed consent was taken from all patients to participate in the study and for publication.


* Ashish Verma and Ishan Kumar are frst co-authors as their contribution is equal.




Publication History

Article published online:
19 December 2022

© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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