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Title: Long-Term Placement of Subcutaneous Ruesch-Type Stents for Double Biliary Stenosis in a Living-Donor Liver Transplant Recipient

Abstract

Biliary reconstruction continues to be a major source of morbidity following liver transplantation. The spectrum of biliary complications is evolving due to the increasing number of split-liver and living-donor liver transplantation, which are even associated with a higher incidence of biliary complications. Bile duct strictures are the most common cause of late biliary complications and account for up to 40% of all biliary complications. Optimal therapy for posttransplantation anastomotic biliary strictures remains uncertain and requires a multidisciplinary approach. We report the case of a 54-year-old Caucasian male affected by hepatocarcinoma and hepatitis C-related cirrhosis who underwent right-lobe living-donor liver transplantation from his son complicated by double anastomotic stenosis of the main right hepatic duct and of an accessory biliary duct draining segments 6 and 7 of the graft that was successfully treated by percutaneous transhepatic cholangiography with long-term subcutaneous placement of two internal Ruesch-type biliary stents.

Authors:
; ; ;  [1];  [2]; ;  [3]; ;  [1]
  1. Udine University School of Medicine, Department of Surgery and Transplantation (Italy)
  2. Udine University School of Medicine, Department of Radiology (Italy)
  3. AOSMM-Hospital, Department of Interventional Radiology (Italy)
Publication Date:
OSTI Identifier:
21091033
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 30; Journal Issue: 2; Other Information: DOI: 10.1007/s00270-005-0356-x; Copyright (c) 2007 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BILIARY TRACT; DISEASE INCIDENCE; DUCTS; GRAFTS; HEPATITIS; LIVER; THERAPY

Citation Formats

Adani, Gian Luigi, E-mail: adanigl@hotmail.com, Baccarani, Umberto, Lorenzin, Dario, Risaliti, Andrea, Como, Giuseppe, Gasparini, Daniele, Sponza, Massimo, Bresadola, Vittorio, and Bresadola, Fabrizio. Long-Term Placement of Subcutaneous Ruesch-Type Stents for Double Biliary Stenosis in a Living-Donor Liver Transplant Recipient. United States: N. p., 2007. Web. doi:10.1007/S00270-005-0356-X.
Adani, Gian Luigi, E-mail: adanigl@hotmail.com, Baccarani, Umberto, Lorenzin, Dario, Risaliti, Andrea, Como, Giuseppe, Gasparini, Daniele, Sponza, Massimo, Bresadola, Vittorio, & Bresadola, Fabrizio. Long-Term Placement of Subcutaneous Ruesch-Type Stents for Double Biliary Stenosis in a Living-Donor Liver Transplant Recipient. United States. doi:10.1007/S00270-005-0356-X.
Adani, Gian Luigi, E-mail: adanigl@hotmail.com, Baccarani, Umberto, Lorenzin, Dario, Risaliti, Andrea, Como, Giuseppe, Gasparini, Daniele, Sponza, Massimo, Bresadola, Vittorio, and Bresadola, Fabrizio. Sun . "Long-Term Placement of Subcutaneous Ruesch-Type Stents for Double Biliary Stenosis in a Living-Donor Liver Transplant Recipient". United States. doi:10.1007/S00270-005-0356-X.
@article{osti_21091033,
title = {Long-Term Placement of Subcutaneous Ruesch-Type Stents for Double Biliary Stenosis in a Living-Donor Liver Transplant Recipient},
author = {Adani, Gian Luigi, E-mail: adanigl@hotmail.com and Baccarani, Umberto and Lorenzin, Dario and Risaliti, Andrea and Como, Giuseppe and Gasparini, Daniele and Sponza, Massimo and Bresadola, Vittorio and Bresadola, Fabrizio},
abstractNote = {Biliary reconstruction continues to be a major source of morbidity following liver transplantation. The spectrum of biliary complications is evolving due to the increasing number of split-liver and living-donor liver transplantation, which are even associated with a higher incidence of biliary complications. Bile duct strictures are the most common cause of late biliary complications and account for up to 40% of all biliary complications. Optimal therapy for posttransplantation anastomotic biliary strictures remains uncertain and requires a multidisciplinary approach. We report the case of a 54-year-old Caucasian male affected by hepatocarcinoma and hepatitis C-related cirrhosis who underwent right-lobe living-donor liver transplantation from his son complicated by double anastomotic stenosis of the main right hepatic duct and of an accessory biliary duct draining segments 6 and 7 of the graft that was successfully treated by percutaneous transhepatic cholangiography with long-term subcutaneous placement of two internal Ruesch-type biliary stents.},
doi = {10.1007/S00270-005-0356-X},
journal = {Cardiovascular and Interventional Radiology},
number = 2,
volume = 30,
place = {United States},
year = {Sun Apr 15 00:00:00 EDT 2007},
month = {Sun Apr 15 00:00:00 EDT 2007}
}