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Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation

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...

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Autores principales: Yoon, Hee Mang, Kim, Jin Hyoung, Ko, Gi-Young, Song, Ho-Young, Gwon, Dong Il, Sung, Kyu-Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303902/
https://www.ncbi.nlm.nih.gov/pubmed/22438686
http://dx.doi.org/10.3348/kjr.2012.13.2.189
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author Yoon, Hee Mang
Kim, Jin Hyoung
Ko, Gi-Young
Song, Ho-Young
Gwon, Dong Il
Sung, Kyu-Bo
author_facet Yoon, Hee Mang
Kim, Jin Hyoung
Ko, Gi-Young
Song, Ho-Young
Gwon, Dong Il
Sung, Kyu-Bo
author_sort Yoon, Hee Mang
collection PubMed
description 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.
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spelling pubmed-33039022012-03-21 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 Korean J Radiol Original Article 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. The Korean Society of Radiology 2012 2012-03-07 /pmc/articles/PMC3303902/ /pubmed/22438686 http://dx.doi.org/10.3348/kjr.2012.13.2.189 Text en Copyright © 2012 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoon, Hee Mang
Kim, Jin Hyoung
Ko, Gi-Young
Song, Ho-Young
Gwon, Dong Il
Sung, Kyu-Bo
Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
title Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
title_full Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
title_fullStr Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
title_full_unstemmed Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
title_short Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035" System Following Living Donor Liver Transplantation
title_sort alternative techniques for cannulation of biliary strictures resistant to the 0.035" system following living donor liver transplantation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303902/
https://www.ncbi.nlm.nih.gov/pubmed/22438686
http://dx.doi.org/10.3348/kjr.2012.13.2.189
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