TY - JOUR AU - Gulaya, Karan; Desai, Shamit S.; Sato, Kent TI - Percutaneous Cholecystostomy: Evidence-Based Current Clinical Practice SN - 0739-9529 SN - 1098-8963 PY - 2016 JO - Semin intervent Radiol JF - Seminars in Interventional Radiology LA - EN VL - 33 IS - 04 SP - 291 EP - 296 DA - 2016/10/31 KW - percutaneous cholecystostomy KW - gallbladder KW - gallstones KW - cholecystitis KW - interventional radiology AB - The role of percutaneous cholecystostomy (PC) in the management of acute cholecystitis and cholangitis is outlined in the revised 2013 Tokyo Guidelines. These two emergencies constitute the vast majority of PC performed today for therapeutic purposes, and research has repeatedly shown the utility of PC in these conditions. PC is typically employed in the management of critically ill patients who are not surgical candidates. Indications and contraindications to PC are reviewed. Additional innovative applications of PC have been developed since it was first described in 1980. These include biliary drainage, dilation of biliary strictures, and stenting of the biliary tree including the common bile duct. Special consideration must be given to the patient selection criteria when deciding who can benefit from PC. Patient comorbidities can also influence the PC technique employed. Both transhepatic and transperitoneal approaches have distinct advantages and disadvantages. The technical success rate for PC is 95 to 100% and the complication rate is extremely low. Most complications are minor. PB - Thieme Medical Publishers DO - 10.1055/s-0036-1592326 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0036-1592326 ER -