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CardioVascular and Interventional Radiology

Published in:

01-05-2016 | Technical Note

Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique

Authors: Felipe Nasser, Rafael Dahmer Rocha, Priscila Mina Falsarella, Joaquim Maurício da Motta-Leal-Filho, André Arantes Azevedo, Leonardo Guedes Moreira Valle, Rafael Noronha Cavalcante, Rodrigo Gobbo Garcia, Breno Boueri Affonso, Francisco Leonardo Galastri

Published in: CardioVascular and Interventional Radiology | Issue 5/2016

Abstract

Purpose

To report a novel modified occlusion balloon technique to treat biliary leaks.

Methods

A 22-year-old female patient underwent liver transplantation with biliary-enteric anastomosis. She developed thrombosis of the common hepatic artery and extensive ischemia in the left hepatic lobe. Resection of segments II and III was performed and a biliary-cutaneous leak originating at the resection plane was identified in the early postoperative period. Initial treatment with percutaneous transhepatic drainage was unsuccessful. Therefore, an angioplasty balloon was coaxially inserted within the biliary drain and positioned close to the leak.

Results

The fistula output abruptly decreased after the procedure and stopped on the 7th day. At the 3-week follow-up, cholangiography revealed complete resolution of the leakage.

Conclusion

This novel modified occlusion balloon technique was effective and safe. However, greater experience and more cases are necessary to validate the technique.

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Title: Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique
Authors: Felipe Nasser
Rafael Dahmer Rocha
Priscila Mina Falsarella
Joaquim Maurício da Motta-Leal-Filho
André Arantes Azevedo
Leonardo Guedes Moreira Valle
Rafael Noronha Cavalcante
Rodrigo Gobbo Garcia
Breno Boueri Affonso
Francisco Leonardo Galastri
Publication date: 01-05-2016
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 5/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-015-1234-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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