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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1806939
Case Report

Percutaneous Intraductal Ultrasonography Guided Biliary Reconstruction: Single-Stage Management of Indeterminate Biliary Obstruction and Intrastent Stenosis

Jeffrey Qiu
1   Division of Interventional Radiology, Department of Radiology, Harbor – UCLA Medical Center, Torrance, California, United States
,
John J. Park 
1   Division of Interventional Radiology, Department of Radiology, Harbor – UCLA Medical Center, Torrance, California, United States
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Abstract

Percutaneous transhepatic cholangiography is a useful imaging technique during biliary evaluation and interventions. However, contrast cholangiography alone provides limited information on the nature, quality, or severity of potentially treatable biliary conditions. In this case report, transhepatic intravascular ultrasound is utilized to perform intraductal ultrasonography during complex biliary reconstruction for the evaluation of indeterminate biliary obstruction and management of intrastent stenosis.

Keywords

intravascular ultrasound - intraductal ultrasound - biliary reconstruction


Publication History

Article published online:
28 March 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Rösch T, Meining A, Frühmorgen S. et al. A prospective comparison of the diagnostic accuracy of ERCP, MRCP, CT, and EUS in biliary strictures. Gastrointest Endosc 2002; 55 (07) 870-876
    CrossrefPubMedSearch in Google Scholar
  • 2 Heinzow HS, Kammerer S, Rammes C, Wessling J, Domagk D, Meister T. Comparative analysis of ERCP, IDUS, EUS and CT in predicting malignant bile duct strictures. World J Gastroenterol 2014; 20 (30) 10495-10503
    CrossrefPubMedSearch in Google Scholar
  • 3 Saluja SS, Sharma R, Pal S, Sahni P, Chattopadhyay TK. Differentiation between benign and malignant hilar obstructions using laboratory and radiological investigations: a prospective study. HPB (Oxford) 2007; 9 (05) 373-382
    CrossrefPubMedSearch in Google Scholar
  • 4 Meister T, Heinzow HS, Woestmeyer C. et al. Intraductal ultrasound substantiates diagnostics of bile duct strictures of uncertain etiology. World J Gastroenterol 2013; 19 (06) 874-881
    CrossrefPubMedSearch in Google Scholar
  • 5 Tischendorf JJ, Meier PN, Schneider A, Manns MP, Krüger M. Transpapillary intraductal ultrasound in the evaluation of dominant bile duct stenoses in patients with primary sclerosing cholangitis. Scand J Gastroenterol 2007; 42 (08) 1011-1017
    CrossrefPubMedSearch in Google Scholar
  • 6 Menzel J, Poremba C, Dietl KH, Domschke W. Preoperative diagnosis of bile duct strictures–comparison of intraductal ultrasonography with conventional endosonography. Scand J Gastroenterol 2000; 35 (01) 77-82
    CrossrefPubMedSearch in Google Scholar
  • 7 Rösch T. Endoscopic ultrasonography: imaging and beyond. Gut 2003; 52 (08) 1220-1226
    CrossrefPubMedSearch in Google Scholar
  • 8 Fujita N, Noda Y, Kobayashi G. et al. Intraductal ultrasonography (IDUS) for the diagnosis of biliopancreatic diseases. Best Pract Res Clin Gastroenterol 2009; 23 (05) 729-742
    CrossrefPubMedSearch in Google Scholar
  • 9 Chick JFB, Roush BB, Khaja MS. et al. Transbiliary intravascular ultrasound-guided diagnostic biopsy of an inaccessible pancreatic head mass. Radiol Case Rep 2017; 12 (02) 323-326
    CrossrefPubMedSearch in Google Scholar