Percutaneous Transhepatic Cholangiography (PTC) +/- Tube Placement

PREOP EVALUATION

• Clinic Visit if outpatient
• Needs to review recent (<1 month) ultrasound, CT, or MRI – should already be done, but need to find out if in ECH or PAMF PACS or if outside study.

TIMING / BED REST AFTER PROCEDURE

• Overnight observation

ANTICOAGULATION/ANTIPLATELETS

• Anti-platelet medications:  Do not stop
• Anti-coagulants:  Stop 5 days prior to procedure

LOCATION OF THE PROCEDURE

• Cath lab

PREOPERATIVE ORDERS

• IV with NS (Normal Saline) 75ml/hr
• Labs:  CBC, Chem complete, PT/INR and PTT
• CHECK WITH IR regarding need for anesthesia support – only if PTC.

FOLLOW UP

• Call 1-2 days after patient discharged.
•  Need 1-2 week Clinic follow up with labs (Chem Complete)
• Schedule for tube change in 3 months
• If tube falls out or dislodges after 1 month, schedule for replacement 24-48 hours (usually next day)