international procedure Percutaneous transhepatic biliary drainage sivaprakash2611@gmail.com

1. sivaprakash2611@gmail.com 1

2. sivaprakash2611@gmail.com 2

3. sivaprakash2611@gmail.com 3

4. sivaprakash2611@gmail.com 4

5. sivaprakash2611@gmail.com 5

6. sivaprakash2611@gmail.com 6

7. sivaprakash2611@gmail.com 7

8. sivaprakash2611@gmail.com 8

9. sivaprakash2611@gmail.com 9

10. EQUIPMENTS NEEDED
Fluoroscopy unit
Sterile and draping materials
Local Anaesthesia
Chiba needle –
A plastic catheter
A guide wire
A drainage bag and stent
10sivaprakash2611@gmail.com

11. Why Chiba Needle...???
22/23 G,
15-20cm long
Short bevel
Stainless steel needle
What Type Of Catheter...??
 Pigtail shape for better retention.
 6,-18 french,
 30 – 60 cm
 Side holes 11sivaprakash2611@gmail.com

12. sivaprakash2611@gmail.com 12

13. sivaprakash2611@gmail.com 13

14. sivaprakash2611@gmail.com 14

15. sivaprakash2611@gmail.com 15

16. sivaprakash2611@gmail.com 16

17. sivaprakash2611@gmail.com 17

18. sivaprakash2611@gmail.com 18

19. sivaprakash2611@gmail.com 19

20. sivaprakash2611@gmail.com 20

21. sivaprakash2611@gmail.com 21

22. sivaprakash2611@gmail.com 22

23. sivaprakash2611@gmail.com 23

24. sivaprakash2611@gmail.com 24

25. sivaprakash2611@gmail.com 25

26. sivaprakash2611@gmail.com 26

27. sivaprakash2611@gmail.com 27

28. sivaprakash2611@gmail.com 28