北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 期刊论文
学科主题: 临床医学
题名:
Newly Designed Y-configured Single-Catheter Stenting for the Treatment of Hilar-Type Nonanastomotic Biliary Strictures After Orthotopic Liver Transplantation
作者: Wang, Chang Ming1; Li, Xuan1; Song, Shibing2; Lv, Xianjun1; Luan, Jingyuan1; Dong, Guoxiang1
关键词: Interventional radiography ; Liver transplantation ; Extrahepatic cholestasis ; Intrahepatic cholestasis ; Nonanastomotic stricture
刊名: CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
发表日期: 2012-02-01
DOI: 10.1007/s00270-011-0214-y
卷: 35, 期:1, 页:184-189
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems ; Radiology, Nuclear Medicine & Medical Imaging
研究领域[WOS]: Cardiovascular System & Cardiology ; Radiology, Nuclear Medicine & Medical Imaging
关键词[WOS]: TRACT COMPLICATIONS ; RISK-FACTORS ; MANAGEMENT ; THERAPY
英文摘要:

Purpose This study was designed to introduce our novel technique of percutaneous single catheter placement into the hilar bile ducts strictures while fulfilling the purpose of bilateral biliary drainage and stenting. We investigated the efficacy and safety of the technique for the treatment of hilar nonanastomotic biliary strictures.

Methods Ten patients who were post-orthotopic liver transplantation between July 2000 and July 2010 were enrolled in this study. Percutaneous Y-configured single-catheter stenting for bilateral bile ducts combined with balloon dilation was designed as the main treatment approach. Technical success rate, clinical indicators, complications, and recurrent rate were analyzed.

Results Technical success rate was 100%. Nine of the ten patients had biochemical normalization, cholangiographic improvement, and clinical symptoms relief. None of them experienced recurrence in a median follow-up of 26 months after completion of therapy and removal of all catheters. Complications were minor and limited to two patients. The one treatment failure underwent a second liver transplantation but died of multiple system organ failure.

Conclusions Percutaneous transhepatic Y-configured single-catheter stenting into the hilar bile ducts is technically feasible. The preliminary trial of this technique combined with traditional PTCD or choledochoscopy for the treatment of hilar biliary strictures after orthotopic liver transplantation appeared to be effective and safe. Yet, further investigation is needed.

语种: 英语
WOS记录号: WOS:000304161900023
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59648
Appears in Collections:北京大学第三临床医学院_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Peking Univ, Third Hosp, Dept Intervent Radiol & Vasc Surg, Beijing 100191, Peoples R China
2.Peking Univ, Third Hosp, Dept Gen Surg, Beijing 100191, Peoples R China

Recommended Citation:
Wang, Chang Ming,Li, Xuan,Song, Shibing,et al. Newly Designed Y-configured Single-Catheter Stenting for the Treatment of Hilar-Type Nonanastomotic Biliary Strictures After Orthotopic Liver Transplantation[J]. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY,2012,35(1):184-189.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Wang, Chang Ming]'s Articles
[Li, Xuan]'s Articles
[Song, Shibing]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Wang, Chang Ming]‘s Articles
[Li, Xuan]‘s Articles
[Song, Shibing]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace