Percutaneous transhepatic cholangiogram (PTCA)

Table of Contents

Alternative Names

PTCA; Cholangiogram - PTCA


What the risks are

There is a slight chance of an allergic reaction to the contrast medium (iodine).

There is a slight chance of damage to nearby organs, excessive blood loss, blood poisoning (sepsis), and inflammation of the bile ducts.


Special considerations

This test has been mostly replaced by an endoscopic retrograde cholangiopancreatography (ERCP) test, which can also treat the blockage. This test may be done if an ERCP test cannot be performed or has failed.

A magnetic resonance cholangiopancreatography (MRCP) is a newer, noninvasive imaging method, based on MRI. It provides similar views of the bile ducts, but is not always possible to perform. It cannot be used to treat the blockage.



Review Date: 01/31/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jason Levy, MD, Northside Radiology Associates, Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)