Meenakshi Radiology

Phone: +91 82485 90535
Address: Near New Bus stand, Tanjore

Procedure Hepatobiliary CBD Stenting For Periampullary Tumor

  • Meenakshi Radiology
  • Procedure
  • Procedure Hepatobiliary CBD Stenting For Periampullary Tumor

    • We welcome 

    Our first batch of DNB Radiology students in Meenakshi hospital, Tanjore

    Minimally Invasive | Day Care Procedure | Quick Recovery

    Indications

    • Symptomatic varicose veins (ache, pain, heaviness, throbbing)
    • Swelling, fatigue or cramps in the legs
    • Recurrent varicose veins after surgery
    • Skin changes due to venous disease (darkening, eczema)
    • Superficial venous reflux documented on Duplex Ultrasound
    • Patient preference for minimally invasive treatment

    The Procedure: Step By Step

    EVLA

    01. Local Anesthesia & Access

    1

    Tumescent local anesthesia is given around the vein. A small puncture is made and a thin catheter is inserted into the vein under ultrasound guidance.

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    02. Laser Fiber Insertion

    2

    The laser fiber is advanced through the catheter to the required position below the saphenofemoral/saphenopopliteal junction.

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    03. Tumescent Anesthesia

    3

    Tumescent solution is injected around the vein. This compresses the vein, provides anesthesia and protects surrounding tissues.

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    04. Laser Ablation

    4

    Laser energy is delivered while the fiber is gradually withdrawn. The vein wall collapses and the vein is sealed shut.

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    05. Catheter Removal

    5

    The fiber and catheter are removed and pressure is applied to the puncture site.

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    Contraindications

    • Pregnancy
    • Active deep vein thrombosis (DVT)
    • Severe peripheral arterial disease
    • Active infection in the leg
    • Known hypersensitivity to local anesthetics
    • Inability to walk or ambulate
    • Inability to walk or ambulate
    • Severe uncontrolled medical illness

    HEPATOBILIARY INTERVENTION: CBD STENTING FOR PERIAMPULLARY TUMOR

    Common bile duct stenting was performed for malignant biliary obstruction secondary to periampullary tumor. The procedure relieved obstructive jaundice, improved biliary drainage, reduced bilirubin levels, and alleviated symptoms such as pruritus and cholangitis. Metallic stenting provided durable palliation, improved nutritional status, and enabled further surgical or oncological treatment planning

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    Important Advice

    • Wear compression stockings as advised and follow up with your doctor for the best results.

    Note

    • This information is for educational purposes only. Consult your vascular specialist to know if EVLA is right for you.