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Percutaneous transhepatic placement of plastic biliary stents: technical description and preliminary results.
Nunes, Thiago F; Santos, Rômulo F T; Tibana, Tiago K; Domingos, Thiago A; Marchiori, Edson; Fornazari, Vinicius A V; da Motta-Leal-Filho, Joaquim Maurício; Szejnfeld, Denis.
Afiliação
  • 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.
  • Szejnfeld D; 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.
Abdom Radiol (NY) ; 46(1): 380-386, 2021 01.
Article em En | MEDLINE | ID: mdl-32607647
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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas / Neoplasias dos Ductos Biliares / Adenocarcinoma / Colestase Tipo de estudo: Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Abdom Radiol (NY) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas / Neoplasias dos Ductos Biliares / Adenocarcinoma / Colestase Tipo de estudo: Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Abdom Radiol (NY) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos