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Title: Nonsurgical Fluoroscopically Guided Dacryocystoplasty of Common Canalicular Obstructions

Abstract

Purpose: To assess dacryocystoplasty in the treatment of epiphora due to obstructions of the common canaliculus.Methods: Twenty patients with severe epiphora due to partial (n = 16) or complete (n = 4) obstruction of the common canaliculus underwent fluoroscopically guided dacryocystoplasty. In all cases of incomplete obstruction balloon dilation was performed. Stent implantation was attempted in cases with complete obstruction. Dacryocystography and clinical follow-up was performed at intervals of 1 week, and 3, 6, 12, and 18 months after the procedure. The mean follow-up was 6 months (range 3-18 months).Results: Balloon dilation was technically successfully performed in all patients with incomplete obstructions (n = 16). In three of four patients with complete obstruction stent implantation was performed successfully. Subsequent to failure of stent implantation in one of these patients balloon dilation was performed instead. The long-term primary patency rate in patients with incomplete obstructions was 88% (n = 14/16). In three of four cases with complete obstruction long-term patency was achieved during follow-up. Severe complications, infections, or punctal splitting were not observed.Conclusion: Fluoroscopically guided balloon dacryocystoplasty is a feasible nonsurgical therapy in canalicular obstructions with good clinical results that may be used as an alternative to surgical procedures. In patientsmore » with complete obstructions stent placement is possible but further investigations are needed to assess the procedural and long-term results.« less

Authors:
; ;  [1];  [2]; ;  [1]
  1. Department of Radiology, University Hospital Bonn, Sigmund-Freud-Strasse 25, D-53127 Bonn (Germany)
  2. Department of Ophthalmology, University Hospital Bonn, Sigmund-Freud-Strasse 25, D-53127 Bonn (Germany)
Publication Date:
OSTI Identifier:
21083682
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 23; Journal Issue: 1; Other Information: DOI: 10.1007/s002709910001; Copyright (c) 2000 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; FAILURES; PATIENTS; SURGERY; THERAPY; VASCULAR DISEASES

Citation Formats

Wilhelm, Kai E, Hofer, Ulrich, Textor, Hans J, Boeker, Thorsten, Strunk, Holger, and Schild, Hans H. Nonsurgical Fluoroscopically Guided Dacryocystoplasty of Common Canalicular Obstructions. United States: N. p., 2000. Web. doi:10.1007/S002709910001.
Wilhelm, Kai E, Hofer, Ulrich, Textor, Hans J, Boeker, Thorsten, Strunk, Holger, & Schild, Hans H. Nonsurgical Fluoroscopically Guided Dacryocystoplasty of Common Canalicular Obstructions. United States. https://doi.org/10.1007/S002709910001
Wilhelm, Kai E, Hofer, Ulrich, Textor, Hans J, Boeker, Thorsten, Strunk, Holger, and Schild, Hans H. 2000. "Nonsurgical Fluoroscopically Guided Dacryocystoplasty of Common Canalicular Obstructions". United States. https://doi.org/10.1007/S002709910001.
@article{osti_21083682,
title = {Nonsurgical Fluoroscopically Guided Dacryocystoplasty of Common Canalicular Obstructions},
author = {Wilhelm, Kai E and Hofer, Ulrich and Textor, Hans J and Boeker, Thorsten and Strunk, Holger and Schild, Hans H},
abstractNote = {Purpose: To assess dacryocystoplasty in the treatment of epiphora due to obstructions of the common canaliculus.Methods: Twenty patients with severe epiphora due to partial (n = 16) or complete (n = 4) obstruction of the common canaliculus underwent fluoroscopically guided dacryocystoplasty. In all cases of incomplete obstruction balloon dilation was performed. Stent implantation was attempted in cases with complete obstruction. Dacryocystography and clinical follow-up was performed at intervals of 1 week, and 3, 6, 12, and 18 months after the procedure. The mean follow-up was 6 months (range 3-18 months).Results: Balloon dilation was technically successfully performed in all patients with incomplete obstructions (n = 16). In three of four patients with complete obstruction stent implantation was performed successfully. Subsequent to failure of stent implantation in one of these patients balloon dilation was performed instead. The long-term primary patency rate in patients with incomplete obstructions was 88% (n = 14/16). In three of four cases with complete obstruction long-term patency was achieved during follow-up. Severe complications, infections, or punctal splitting were not observed.Conclusion: Fluoroscopically guided balloon dacryocystoplasty is a feasible nonsurgical therapy in canalicular obstructions with good clinical results that may be used as an alternative to surgical procedures. In patients with complete obstructions stent placement is possible but further investigations are needed to assess the procedural and long-term results.},
doi = {10.1007/S002709910001},
url = {https://www.osti.gov/biblio/21083682}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 1,
volume = 23,
place = {United States},
year = {Sat Jan 15 00:00:00 EST 2000},
month = {Sat Jan 15 00:00:00 EST 2000}
}