Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography
| Autor: | Armeen Mahvash, Thomas A. Aloia, Ana Maria Pabon-Martinez, Gouthami Chintalapani, Bruno C. Odisio, Nathan Wnuk |
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| Rok vydání: | 2019 |
| Předmět: |
lcsh:Internal medicine
Cone beam computed tomography Percutaneous lcsh:Specialties of internal medicine lcsh:Medicine lcsh:RC254-282 Percutaneous intervention stomatognathic system lcsh:RC581-951 Medicine Radiology Nuclear Medicine and imaging lcsh:RC31-1245 Hepatology business.industry Bile duct lcsh:R Cone-beam computed tomography Gastroenterology Bilioenteric neoanastomosis Fusion imaging lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.anatomical_structure Oncology Biliary intervention business Nuclear medicine |
| Zdroj: | International Journal of Gastrointestinal Intervention, Vol 8, Iss 1, Pp 41-44 (2019) |
| ISSN: | 2636-0012 2636-0004 |
| DOI: | 10.18528/ijgii180037 |
| Popis: | We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis. |
| Databáze: | OpenAIRE |
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