|
KMID : 0880420120130020189
|
|
Korean Journal of Radiology
2012 Volume.13 No. 2 p.189 ~ p.194
|
|
|
Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
|
|
Yoon Hee-Mang
Kim Jin-Hyoung
Ko Gi-Young
Song Ho-Young
Gwon Dong-Il
Sung Kyu-Bo
|
|
|
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 and Methods: 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.
|
|
|
KEYWORD
|
|
|
Living donor liver transplantation, Biliary complications, Endoscopy, Fluoroscopy
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
    
|