Role of Interventional Radiology in the Management of Acute Cholangitis

Pouya Entezari, Jonathan A. Aguiar, Riad Salem, Ahsun Riaz*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Acute cholangitis presents with a wide severity spectrum and can rapidly deteriorate from local infection to multiorgan failure and fatal sepsis. The pathophysiology, diagnosis, and general management principles will be discussed in this review article. The focus of this article will be on the role of biliary drainage performed by interventional radiology to manage acute cholangitis. There are specific scenarios where percutaneous drainage should be preferred over endoscopic drainage. Percutaneous transhepatic and transjejunal biliary drainage are both options available to interventional radiology. Additionally, interventional radiology is now able to manage these patients beyond providing acute biliary drainage including cholangioplasty, stenting, and percutaneous cholangioscopy/biopsy.

Original languageEnglish (US)
Pages (from-to)321-329
Number of pages9
JournalSeminars in Interventional Radiology
Volume38
Issue number3
DOIs
StatePublished - Aug 1 2021

Keywords

  • acute cholangitis
  • biliary drainage
  • percutaneous transhepatic cholangiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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