Fluoroscopy-guided Hepaticoneojejunostomy in Recurrent Anastomotic Stricture after Repeated Surgical Hepaticojejunostomy
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Extraluminal Recanalization of Bile Duct Anastomosis Obstruction after Liver Transplantation
2018, Journal of Vascular and Interventional RadiologyCitation Excerpt :Among these methods, magnetic compression anastomosis, which creates a tract by causing ischemic necrosis, is comparable to extraluminal recanalization, but its success is limited by several factors regarding technical difficulties of delivering and properly positioning the magnet to the obstruction site, morphology of bile ducts, and length of stricture (16). In addition, transjejunal in combination with transhepatic access of bile duct with rendezvous technique has been reported (5). This study has several limitations.
Combined Surgical and Transhepatic Rendezvous Procedure for Relieving Anastomotic Biliary Obstruction in Children with Liver Transplants
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2015, Journal of Vascular and Interventional RadiologyCitation Excerpt :In this regard, although some authors reported that PTJBI techniques could be performed with fluoroscopy only (6,7,12), it is reasonable to expect that the use of additional imaging techniques, eg, US or cone-beam CT, could facilitate the identification of the loop and the whole procedure. Kloeckner et al (15) described a similar technique for HJ creation, but with the needle inserted through the transhepatic access. In the present technique, the stylet of the transjugular liver access set was positioned through the jejunal loop to allow room for manipulation and retrograde catheterization of the biliary tree.
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None of the authors have identified a conflict of interest.