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Percutaneous creation of a biliary enteric neo-anastomosis in a pediatric liver transplant patient using a vascular re-entry device

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초록

Establishing access across a post-liver transplant anastomotic obstruction is paramount to allow future management with serial dilatation and to avoid surgical interventions. Several techniques have been reported to facilitate crossing complete anastomotic obstructions. Here, we report a case of successful off-label use of a vascular re-entry device to cross a complete anastomotic obstruction in a child after failed antegrade and retrograde attempts.

Abstract

Establishing access across a post-liver transplant anastomotic obstruction is paramount to allow future management with serial dilatation and to avoid surgical interventions. Several techniques have been reported to facilitate crossing complete anastomotic obstructions. Here, we report a case of successful off-label use of a vascular re-entry device to cross a complete anastomotic obstruction in a child after failed antegrade and retrograde attempts.

참고문헌 (6)

  1. Tashiro H, "Biliary complications after duct-to-duct biliary reconstruction in living-donor liver transplantation : causes and treatment", World J Surg, 31, pp.2222~2229 (2007)
  2. Boeva I, "Post-liver transplant biliary complications : current knowledge and therapeutic advances", World J Hepatol, 13(1), pp.66~79 (2021)
  3. Balderramo D, "Current management of biliary complications after liver transplantation : emphasis on endoscopic therapy", Gastroenterol Hepatol, 34, pp.107~115 (2011)
  4. Kord A, "Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant", Radiol Case Rep, 17, pp.1284~1287 (2022)
  5. Robins C, "Percutaneous biliary neo-anastomosis or neo-duct creation using radiofrequency wires", Cardiovasc Intervent Radiol, 45, pp.337~343 (2022)
  6. Parlak E, "Recanalization of complete anastomotic biliary obstruction after living donor related liver transplantation with a novel through-the-scope magnet", Liver Transpl, 21, pp.711~712 (2015)

관련 논문AI추천

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