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Epatobiliary Intervention: PTBD And Biliary Stenting: Klatskin Tumor

Meenakshi Radiology

Procedure

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

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

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

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03. Tumescent Anesthesia

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

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04. Laser Ablation

Laser energy is delivered while the fiber is gradually withdrawn.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

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: PTBD AND BILIARY STENTING: KLATSKIN TUMOR

Percutaneous transhepatic biliary drainage (PTBD) followed by biliary stenting was performed to relieve obstructive jaundice caused by Klatskin tumor. The intervention restored biliary drainage, improved liver function, reduced bilirubin levels, and provided symptomatic relief from pruritus and cholangitis. Internal-external drainage and metallic stenting helped improve quality of life and facilitated further oncological management.