Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Vascular complications in percutaneous biliary interventions
Fabrizio Acquafredda, Giuseppe Di Giovanni, Riccardo Inchingolo, Interventional Radiology Unit, Ecclesiastical Entity Regional General Hospital “F. Miulli”, Acquaviva delle Fonti 70021, Puglia, Italy
Antonio Vizzuso, Matteo Renzulli, Radiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, Forlì 47122, Forlì-Cesena, Italy
Stavros Grigoriadis, Stavros Spiliopoulos, The Second Department of Radiology, National and Kapodistrian University of Athens, School of Medicine, “ATTIKON” University General Hospital, Athens 12462, Greece
Matteo Renzulli, Emanuela Giampalma, Department of Experimental, University of Bologna, Bologna 40137, Italy
Ioannis Paraskevopoulos, Department of Diagnostic and Interventional Radiology, University Hospital of Ioannina, Ioannina 12461, Greece
Riccardo Inchingolo, Department of Medicine and Surgery, LUM University, Casamassima 70010, Italy
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Riccardo Inchingolo, MD, Assistant Professor, Chief, Unit of Interven
Received: January 26, 2026
Revised: April 13, 2026
Accepted: July 6, 2026
Published online: August 28, 2026
Processing time: 223 Days and 2.4 Hours
Revised: April 13, 2026
Accepted: July 6, 2026
Published online: August 28, 2026
Processing time: 223 Days and 2.4 Hours
Core Tip
Core Tip: Vascular complications after percutaneous biliary interventions, though rare, are potentially life-threatening and require prompt diagnosis and management. These may include pseudoaneurysms, vascular fistulas, and hematomas, which can present with hemobilia, pain, or hemodynamic instability. Computed tomography angiography is essential for diagnosis and treatment planning. Common treatments include covered stents, coils, and liquid embolics. This narrative minireview outlines the recognition and management of such complications during or after biliary drainage or stenting.