Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction
Purpose To evaluate the factors that predict symptomatic dislodgement of a percutaneous transhepatic biliary drainage (PTBD) catheter in patients with malignant biliary obstruction. Materials and Methods This retrospective study included 572 patients with malignant biliary obstruction who underwe...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2023-11-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2023.0063 |
| _version_ | 1797449271976394752 |
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| author | Hee Jeong Yu Jung Gu Park Gyoo Sik Jung Kwang Il Seo Hyun Joon Park Jong Hyouk Yun |
| author_facet | Hee Jeong Yu Jung Gu Park Gyoo Sik Jung Kwang Il Seo Hyun Joon Park Jong Hyouk Yun |
| author_sort | Hee Jeong Yu |
| collection | DOAJ |
| description | Purpose To evaluate the factors that predict symptomatic dislodgement of a percutaneous transhepatic
biliary drainage (PTBD) catheter in patients with malignant biliary obstruction.
Materials and Methods This retrospective study included 572 patients with malignant biliary obstruction
who underwent 733 PTBD catheter insertions between January 2010 and February 2015.
The duration of catheter placement, approach site, location of the catheter tip, insertion angle, presence
of a closed-loop pigtail, and tube diameter were evaluated.
Results During the follow-up period, 224 PTBD catheter dislodgements (30.56%) were observed in
157 patients. Among them, 146 (19.92%) were symptomatic. The mean duration from catheter insertion
until dislodgement was 32 days (range: 1–233 days). Male (odds ratio [OR]: 1.636, 95% confidence
interval [CI]: 1.131–2.367, p = 0.009), right-sided approach (OR: 1.567, 95% CI: 1.080–2.274, p =
0.018), increased insertion angle (OR: 1.015, 95% CI: 1.005–1.026, p = 0.005), and incomplete closedloop
pigtail formation (OR: 1.672, 95% CI: 1.098–2.545, p = 0.016) were independent factors predictive
of symptomatic dislodgement of a PTBD catheter. Conclusion Factors predictive of symptomatic catheter dislodgement included male sex, a right-sided
approach, increased insertion angle, and incomplete closed-loop pigtail formation. |
| first_indexed | 2024-03-09T14:22:31Z |
| format | Article |
| id | doaj.art-3ca77d725e8e4d3f88d8bb52e1816b19 |
| institution | Directory Open Access Journal |
| issn | 2951-0805 |
| language | English |
| last_indexed | 2024-03-09T14:22:31Z |
| publishDate | 2023-11-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj.art-3ca77d725e8e4d3f88d8bb52e1816b192023-11-28T09:14:05ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052023-11-0184613501360https://doi.org/10.3348/jksr.2023.0063Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary ObstructionHee Jeong YuJung Gu ParkGyoo Sik JungKwang Il SeoHyun Joon ParkJong Hyouk YunPurpose To evaluate the factors that predict symptomatic dislodgement of a percutaneous transhepatic biliary drainage (PTBD) catheter in patients with malignant biliary obstruction. Materials and Methods This retrospective study included 572 patients with malignant biliary obstruction who underwent 733 PTBD catheter insertions between January 2010 and February 2015. The duration of catheter placement, approach site, location of the catheter tip, insertion angle, presence of a closed-loop pigtail, and tube diameter were evaluated. Results During the follow-up period, 224 PTBD catheter dislodgements (30.56%) were observed in 157 patients. Among them, 146 (19.92%) were symptomatic. The mean duration from catheter insertion until dislodgement was 32 days (range: 1–233 days). Male (odds ratio [OR]: 1.636, 95% confidence interval [CI]: 1.131–2.367, p = 0.009), right-sided approach (OR: 1.567, 95% CI: 1.080–2.274, p = 0.018), increased insertion angle (OR: 1.015, 95% CI: 1.005–1.026, p = 0.005), and incomplete closedloop pigtail formation (OR: 1.672, 95% CI: 1.098–2.545, p = 0.016) were independent factors predictive of symptomatic dislodgement of a PTBD catheter. Conclusion Factors predictive of symptomatic catheter dislodgement included male sex, a right-sided approach, increased insertion angle, and incomplete closed-loop pigtail formation.https://doi.org/10.3348/jksr.2023.0063biliary tract cancercatheterdrainagejaundiceobstructive |
| spellingShingle | Hee Jeong Yu Jung Gu Park Gyoo Sik Jung Kwang Il Seo Hyun Joon Park Jong Hyouk Yun Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction Journal of the Korean Society of Radiology biliary tract cancer catheter drainage jaundice obstructive |
| title | Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction |
| title_full | Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction |
| title_fullStr | Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction |
| title_full_unstemmed | Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction |
| title_short | Predictive Factors for Symptomatic Dislodgement of Percutaneous Transhepatic Biliary Drainage Catheter in Patients with Malignant Biliary Obstruction |
| title_sort | predictive factors for symptomatic dislodgement of percutaneous transhepatic biliary drainage catheter in patients with malignant biliary obstruction |
| topic | biliary tract cancer catheter drainage jaundice obstructive |
| url | https://doi.org/10.3348/jksr.2023.0063 |
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