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Updated: Aug 8, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Common bile duct necrosis after cardiac catheterization
1Department of Surgery, University Hospital, State University of New York at Stony Brook, USA.
Insights
Cardiac catheterization can cause ischemic injury, leading to necrosis of the entire extrahepatic biliary tract. This case highlights the vulnerability of the biliary system
Area of Science:
- Vascular Surgery
- Gastroenterology
- Interventional Cardiology
Background:
- Cardiac catheterization is a common medical procedure.
- The extrahepatic biliary tract is crucial for bile transport.
- Vascular complications following cardiac procedures are rare but serious.
Observation:
- A patient developed necrosis of the entire extrahepatic biliary tract.
- This complication occurred after undergoing cardiac catheterization.
Findings:
- The case demonstrates a rare instance of ischemic injury to the extrahepatic biliary tract.
- The axial blood supply of the biliary tract renders it susceptible to such ischemic events.
Implications:
- Awareness of this potential complication is important for clinicians performing cardiac catheterization.
- Further research may explore preventative strategies or early detection methods for biliary tract ischemia.
- This case underscores the importance of considering vascular compromise in post-procedural complications.
Abstract:
A case of necrosis of the entire extrahepatic biliary tract after cardiac catheterization is presented. The axial blood supply to these structures makes them susceptible to ischemic injury.
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