Percutaneous Transhepatic Cholangiography (PTC)

Percutaneous Transhepatic Cholangiography (PTC) is a diagnostic and therapeutic procedure used in the management of gallstones or other conditions affecting the bile ducts. It involves the insertion of a thin needle through the skin, into the liver, and into the bile ducts to obtain X-ray images and perform interventions.

During a PTC procedure for gallstones, the patient is positioned and prepared for the intervention. Local anaesthesia is administered to numb the skin and underlying tissues. Using imaging guidance, typically fluoroscopy or ultrasound, a needle is carefully inserted through the skin and advanced into the liver. The needle is then directed into the affected bile ducts, where contrast dye is injected to visualise the anatomy and identify any blockages or gallstones. Once the blockage or gallstones are identified, various therapeutic interventions can be performed during the same procedure. These interventions may include:

• Stone Removal: Special instruments, such as baskets or balloon catheters, can be inserted through the needle to grasp and remove gallstones from the bile ducts. This helps to relieve the blockage and restore normal bile flow.
• Biliary Stenting: In cases where the bile duct is narrowed or obstructed, a stent (a small tube) can be placed to keep the duct open. The stent allows the bile to flow freely and bypass any obstructions caused by gallstones.
• Biliary Drainage: If there is a buildup of bile in the liver due to a blocked bile duct, a catheter can be inserted through the needle to drain the bile and relieve the pressure.

Percutaneous Transhepatic Cholangiography is a valuable procedure for evaluating and managing gallstones and other bile duct disorders. It provides detailed images of the bile ducts and allows for targeted interventions to alleviate symptoms and improve bile flow. The procedure is generally safe and well-tolerated, with potential risks and complications discussed with the patient beforehand.

At MASSH, our skilled interventional radiologists perform Percutaneous Transhepatic Cholangiography with expertise and precision. We prioritise patient safety and personalised care, ensuring the best possible outcomes. If you have gallstones or suspected bile duct disorders, our experienced medical team will conduct a comprehensive evaluation, discuss the benefits and considerations of PTC, and recommend the most appropriate treatment plan tailored to your needs. Choose MASSH for your Percutaneous Transhepatic Cholangiography and experience advanced diagnostic and therapeutic interventions. Contact us today to schedule a consultation and take the first step toward effective management of gallstones with our expert team. Trust in the expertise of MASSH to provide you with exceptional care and redefine the standard of treatment for bile duct disorders.