دورية أكاديمية
أعرض في EDS

Percutaneous transhepatic placement of plastic biliary stents: technical description and preliminary results.

التفاصيل البيبلوغرافية
العنوان: Percutaneous transhepatic placement of plastic biliary stents: technical description and preliminary results.
المؤلفون: Nunes TF; Hospital Universitário Maria Aparecida Pedrossian (HUMAP), Universidade Federal de Mato Grosso do Sul (UFMS), Av. Senador Filinto Müller, 355, Vila Ipiranga, 79080-190, Campo Grande, MS, Brazil. thiagofranchinunes@gmail.com., Santos RFT; Hospital Universitário Maria Aparecida Pedrossian (HUMAP), Universidade Federal de Mato Grosso do Sul (UFMS), Av. Senador Filinto Müller, 355, Vila Ipiranga, 79080-190, Campo Grande, MS, Brazil., Tibana TK; Hospital Universitário Maria Aparecida Pedrossian (HUMAP), Universidade Federal de Mato Grosso do Sul (UFMS), Av. Senador Filinto Müller, 355, Vila Ipiranga, 79080-190, Campo Grande, MS, Brazil., Domingos TA; Santa Casa Beneficente de Campo Grande, Rua Eduardo Santos Pereira, 88, Centro, 79002-251, Campo Grande, MS, Brazil., Marchiori E; Universidade Federal do Rio de Janeiro (UFRJ), Av. Pedro Calmon, 550, Cidade Universitária, 21941-901, Rio de Janeiro, RJ, Brazil., Fornazari VAV; Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), Rua Botucatu, 740, Vila Clementino, 04023-062, São Paulo, SP, Brazil., da Motta-Leal-Filho JM; Instituto do Câncer do Estado de São Paulo, School of Medicine, Universidade de São Paulo (USP), Av. Dr. Arnaldo, 251, Cerqueira César, 01246-000, São Paulo, SP, Brazil.; Instituto do Coração (InCor), School of Medicine, Universidade de São Paulo (USP), Av. Dr. Enéas de Carvalho Aguiar, 44, 05403-900, São Paulo, SP, Brazil., Szejnfeld D; Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), Rua Botucatu, 740, Vila Clementino, 04023-062, São Paulo, SP, Brazil.
المصدر: Abdominal radiology (New York) [Abdom Radiol (NY)] 2021 Jan; Vol. 46 (1), pp. 380-386. Date of Electronic Publication: 2020 Jun 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 101674571 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2366-0058 (Electronic) NLM ISO Abbreviation: Abdom Radiol (NY) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Springer, [2016]-
مواضيع طبية MeSH: Adenocarcinoma* , Bile Duct Neoplasms*/diagnostic imaging , Cholestasis* , Pancreatic Neoplasms*, Adult ; Aged ; Aged, 80 and over ; Bile Ducts, Intrahepatic ; Drainage ; Female ; Humans ; Male ; Middle Aged ; Pilot Projects ; Plastics ; Prospective Studies ; Stents ; Treatment Outcome
مستخلص: Purpose: 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.
Materials and Methods: 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.
Results: 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.
Conclusion: PTH placement of a PBS in patients with SOJ is feasible, safe, and effective.
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فهرسة مساهمة: Keywords: Biliary obstruction; Biliary stent; Interventional radiology; Obstructive jaundice; Percutaneous drainage; Radiology
المشرفين على المادة: 0 (Plastics)
تواريخ الأحداث: Date Created: 20200702 Date Completed: 20210617 Latest Revision: 20210617
رمز التحديث: 20231215
DOI: 10.1007/s00261-020-02626-z
PMID: 32607647
قاعدة البيانات: MEDLINE
الوصف
تدمد:2366-0058
DOI:10.1007/s00261-020-02626-z