PTBDにおけるVirtual Fluoroscopic Preprocedural Planningの有用性の検討
木下, 光博 徳島大学大学院医科学教育部（医学専攻）
Shirono, Ryozo Tokushima Red Cross Hospital
Takechi, Katsuya Tokushima Red Cross Hospital
Yonekura, Hironobu Tokushima Red Cross Hospital
Virtual fluoroscopic preprocedural planning
Percutaneous transhepatic biliary drainage
Ray Summation image
X-ray fluoroscopy time
Purpose: To retrospectively evaluate the usefulness of virtual fluoroscopic preprocedural planning (VFPP) in the percutaneous transhepatic biliary drainage (PTBD) procedure.
Materials and Methods: Twenty-two patients who were treated by PTBD were included in this study. Twelve patients were treated using PTBD intraoperative referencing coronal computed tomography (CT) images (i.e., coronal CT group), and 10 patients were treated using PTBD intraoperative referencing VFPP images (i.e., VFPP group). To analyze the effect of the intraoperative referencing VFPP image, the VFPP group was retrospectively compared with the coronal CT group.
Results: The characteristics of both patient groups were not statistically significantly different. There were no significant differences in the targeted bile duct, diameter and depth of the target bile, breath-holding ability, number of targeted bile duct puncture attempts, change in the targeted bile duct, and exchange of the drainage catheter. However, the X-ray fluoroscopy time and the procedure time were significantly shorter in the VFPP group than in the coronal CT group (196 vs. 334 seconds, P < 0.05; and 16.0 vs. 27.2 minutes, P < 0.05).
Conclusion: Intraoperative referencing using the VFPP imaging in PTBD intuitively can be a useful tool for better localization of the guidewire in the bile duct, and therebyshorten the X-ray fluoroscopy time and procedure 1 time while minimizing radiation exposure and complications.
CardioVascular and Interventional Radiology
The final publication is available at link.springer.com.
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