Today’s case 9 – IVC filter removal : how to remove filter without snaring hook

IVC filter removal : how to remove filter without snaring hook A patient who had an IVC filter inserted three weeks ago came to the procedure room for filter removal. Having no prior personal experience with filter removal, I reviewed several cases before entering the procedure room. The sheath insertion proceeded without complications. We used … Read more

Percutaneous transhepatic biliary drainage (PTBD) for nondilated bile duct patient (patient without cholangitis): Nondilated bile duct PTBD

PTBD

PTBD is useful minimal invasive technique for bile drainage but when the patient’s bile duct is not dilated, the procedure gets really difficult Since nondilated bileduct is not well visualized on ultrasound, multiple puncture through the liver is needed than usual which makes the patient feel severe pain (even with enough local anesthesia) and makes … Read more