Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
Korean Journal of Radiology
;
: 189-194, 2012.
Article
in English
| WPRIM
| ID: wpr-112470
ABSTRACT
OBJECTIVE:
To assess the clinical efficacy of alternative techniques for biliary stricture cannulation in patients undergoing living donor liver transplantation (LDLT), after cannulation failure with a conventional (0.035-inch guidewire) technique. SUBJECTS ANDMETHODS:
Of 293 patients with biliary strictures after LDLT, 19 (6%) patients, 11 men and 8 women of mean age 48.5 years, had the failed cannulation of the stricture by conventional techniques. Recannulation was attempted by using two alternative methods, namely a micro-catheter set via percutaneous access and a snare (rendezvous) technique using percutaneous and endoscopic approaches.RESULTS:
Strictures were successfully cannulated in 16 (84%) of the 19 patients. A microcatheter set was used in 12 and a snare technique in four patients. Stricture cannulation failed in the remaining three patients, who finally underwent surgical revision.CONCLUSION:
Most technical failures using a conventional technique for biliary stricture cannulation after LDLT can be overcome by using a microcatheter set or a snare (rendezvous) technique.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reoperation
/
Bile Ducts
/
Catheterization
/
Fluoroscopy
/
Liver Transplantation
/
Treatment Outcome
/
Constriction, Pathologic
/
Living Donors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Radiology
Year:
2012
Type:
Article
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