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Percutaneous transhepatic placement of plastic biliary stents: technical description and preliminary results
- Source :
- Abdominal radiology (New York). 46(1)
- Publication Year :
- 2020
-
Abstract
- To describe a novel technique of percutaneous transhepatic (PTH) placement of a plastic biliary stent (PBS), report the feasibility and safety of the technique, and present the preliminary results of a pilot study that included 32 patients with symptomatic obstructive jaundice (SOJ) treated with the technique. This was a prospective, single-arm, single-center, pilot study of a cohort of patients with the diagnosis of benign or malignant obstructive jaundice that underwent PTH placement of a PBS to relieve the obstruction. Thirty-two patients were included, 16 men and 16 women (age range, 35–88 years). There were 26 malignant and six benign lesions. Cholangiocarcinoma was the most common tumor (n=13, 40.6%), followed by pancreatic adenocarcinoma (n=6, 18.75%) and metastasis (n=5, 15.6%). A total of 35 PBSs were placed in 32 procedures. The bile duct was accessed and drained to the right side in 18 cases, to the left side in 14 cases, and bilaterally in three cases. Technical success was achieved in 100% and clinical success in 93.7% of cases. Using a modified Bismuth-Cortelle classification system, type I was observed in nine patients, type II in nine patients, type III in six patients, and type IV in eight patients. The mean follow-up was 426.1 days for the total sample, and 349.4 days for patients with malignancy. Two complications were observed: transient hemobilia and cholangitis. PTH placement of a PBS in patients with SOJ is feasible, safe, and effective.
- Subjects :
- Adult
Male
medicine.medical_specialty
Percutaneous
Urology
Pilot Projects
Adenocarcinoma
Malignancy
030218 nuclear medicine & medical imaging
Metastasis
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
Prospective Studies
Aged
Aged, 80 and over
Cholestasis
Radiological and Ultrasound Technology
medicine.diagnostic_test
Bile duct
business.industry
Gastroenterology
Interventional radiology
Hepatology
Middle Aged
medicine.disease
Surgery
Pancreatic Neoplasms
medicine.anatomical_structure
Bile Ducts, Intrahepatic
Treatment Outcome
Bile Duct Neoplasms
030220 oncology & carcinogenesis
Cohort
Drainage
Female
Stents
business
Plastics
Subjects
Details
- ISSN :
- 23660058
- Volume :
- 46
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Abdominal radiology (New York)
- Accession number :
- edsair.doi.dedup.....67cfe87551206e8c85cc2a64528cf46c