Indications, sedation vs. anesthesia, and GI vs. IR approaches for biliary interventions
Techniques for accessing a dilated biliary system, focusing on right-sided percutaneous access
Steps for initial needle stick, injecting contrast, and identifying biliary ducts
Two-stick technique and triangulating for bile duct access in PTC procedures
Challenges and techniques for handling non-dilated biliary collecting systems in PTC procedures
Adjusting needle approach for bile duct access and handling post-operative leaks
Managing biliary obstructions, including decision-making based on malignancy, surgery, and patient condition
Approaches for wire placement, drainage, and biopsies in malignant CBD strictures
Handling tight bile duct strictures, drain upsizing methods, and adding side holes to drains
Clinical management of distal CBD stones and protocols for benign biliary strictures
Internal stents for terminal patients and patient comfort
Referral sources, patient workup, and preferred imaging techniques for hepatobiliary surgery
Collaboration between interventional radiologists and surgeons in treating biliary disease
Patient referrals and multidisciplinary approaches in interventional radiology and surgery
Thinking beyond the specialty for patient-centered solutions
Patient scenarios, decision-making, and local expertise in treating benign biliary diseases
Patient selection for surgery or alternative treatments in malignant liver conditions
Drainage types, and the importance of patient preferences
Advanced interventional techniques, patient risks, and decision-making in GI and IR
Palliative drainage, stenting approaches, and preferences in biliary obstruction management
Managing cholecystitis due to covered stents
Complications from pancreatic duct obstruction in pancreatic tumors
Consider goals, patient disposition, and symptomatology when determining the number of biliary drains
Resolving conflicts on patient care decisions between surgeons and interventionalists
Weighing the risk vs benefit of placing drains through tumors
Referral sources, emergency procedures, imaging, and labs for high-risk cholecystectomy cases
Approaches to tube placement in septic patients on anticoagulation
Pros and Cons of using CT versus ultrasound and fluoroscopy for gallbladder procedures
Tube insertion efficiency, pain management, and needle preferences
Techniques and preferences for tube placement, including selecting tube sizes
Pros and cons of using gravity bags versus JP bulbs for drainage
