{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:05:11Z","timestamp":1770750311885,"version":"3.50.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:00:00Z","timestamp":1703721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003The aim of this study was to report technical and clinical success of bedside ultrasound-guided percutaneous cholecystostomy (PC) tube placement in intensive care unit (ICU).<\/jats:p><jats:p>\n          Materials and Methods\u2003This is a retrospective study of 51 patients (36 males:15 females, mean age: 67 years) who underwent ultrasound-guided PC from May 2015 to January 2020. The indication for cholecystostomy tube placement, comorbidities, imaging finding, technical success, clinical success, timing of surgery post-cholecystostomy tube placement, indwelling catheter time, complications, and follow-up were recorded.<\/jats:p><jats:p>\n          Results\u2003Indications for cholecystostomy tube placement were acute calculous cholecystitis (n\u2009=\u200943; 84.3%), perforated cholecystitis (n\u2009=\u20095; 9.8%), and emphysematous cholecystitis (n\u2009=\u20093; 5.9%). Most of the patients had multiple comorbidities; these were diabetes mellitus, hypertension, cardiovascular disease, chronic renal disease, underlying malignancy, and multisystem disease with sepsis. All patients had undergone PC through transhepatic approach under ultrasound guidance in ICU. Technical success rate of the procedure was 100%. Clinical success rate was 92.1% (47\/51) and among these 44\/51 (86.2%) patients underwent definitive elective cholecystectomy, 3\/51 (5.9%) patients had elective tube removal. Three of fifty-one (5.9%) patients did not improve; among these two underwent emergency surgery, while there was 1\/51 (1.9%) mortality due to ongoing sepsis and multiorgan dysfunction. There were no procedure-related mortalities or procedure-related major complications. One patient had bile leak due to multiple attempts for cholecystostomy placement. Mean tube indwelling time was 13 days (range: 3\u201345 days).<\/jats:p><jats:p>\n          Conclusion\u2003Ultrasound-guided PC can be safely performed in ICU in critically ill patients unfit for surgery with high technical and clinical success rates. Early laparoscopic cholecystectomy should be preferred after stabilization of clinical condition following cholecystostomy.<\/jats:p>","DOI":"10.1055\/s-0043-1777744","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T23:49:22Z","timestamp":1703807362000},"page":"262-268","source":"Crossref","is-referenced-by-count":1,"title":["Bedside Ultrasound-Guided Percutaneous Cholecystostomy in Critically Ill Patients\u2014Outcomes in 51 Patients"],"prefix":"10.1055","volume":"34","author":[{"given":"Rozil","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Sushrut Hospital, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7794-8831","authenticated-orcid":false,"given":"Kunal","family":"Gala","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Tata Memorial Hospital, Homi Bhabha National University, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd","family":"Shariq","sequence":"additional","affiliation":[{"name":"Department of Clinical & Interventional Radiology, Queens Hospital, BHR University Hospitals Trust, Romford, United Kingdom (NHS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditi","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Shardaben Municipality Hospital, Ahmedabad, Gujrat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of GI Surgery, CIMS Hospital, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of GI Surgery, Jivraj Mehta Hospital, Ahmedabad, Gujarat, 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