Bilateral Internal Biliary Drainage of Hilar Cholangiocarcinoma with Modified Gianturco Z Stents Inserted via a Single Percutaneous Tract
Modified Gianturco Z stents were used in five patients with hilar cholangiocarcinoma to permit bilobar hepatic drainage via a single percutaneous tract. After successful negotiation of strictures from the ipsilateral hepatic duct to the contralateral hepatic duct and the common bile duct, a modified...
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| Veröffentlicht in: | Journal of vascular and interventional radiology 1993-09, Vol.4 (5), p.605-610 |
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| container_title | Journal of vascular and interventional radiology |
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| creator | Kubota, Yoshitsugu Nakatani, Sei Nakahashi, Yoshitsugu Takaoka, Makoto Kin, Hideyuki Inoue, Kyoichi |
| description | Modified Gianturco Z stents were used in five patients with hilar cholangiocarcinoma to permit bilobar hepatic drainage via a single percutaneous tract.
After successful negotiation of strictures from the ipsilateral hepatic duct to the contralateral hepatic duct and the common bile duct, a modified endoprosthesis—made by connecting two double-body Z stents with two stainless steel wires in order to leave a space in between—was implanted in one stricture and a ‘space’ was located at the hepatic confluence. A second endoprosthesis, a two- to six-body Z stent, was introduced into the second stricture through the ‘space’ of the initial endoprosthesis and was implanted so that a part of the endoprosthesis should overlap the initial endoprosthesis.
Optimal positioning of the two endoprostheses was successful in all patients.
The technique seems simple, safe, and reliable in reconstructing the bilateral hepatic ductal systems via a single percutaneous approach in patients with hilar cholangiocarcinoma. |
| doi_str_mv | 10.1016/S1051-0443(93)71931-4 |
| format | Article |
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After successful negotiation of strictures from the ipsilateral hepatic duct to the contralateral hepatic duct and the common bile duct, a modified endoprosthesis—made by connecting two double-body Z stents with two stainless steel wires in order to leave a space in between—was implanted in one stricture and a ‘space’ was located at the hepatic confluence. A second endoprosthesis, a two- to six-body Z stent, was introduced into the second stricture through the ‘space’ of the initial endoprosthesis and was implanted so that a part of the endoprosthesis should overlap the initial endoprosthesis.
Optimal positioning of the two endoprostheses was successful in all patients.
The technique seems simple, safe, and reliable in reconstructing the bilateral hepatic ductal systems via a single percutaneous approach in patients with hilar cholangiocarcinoma.</description><identifier>ISSN: 1051-0443</identifier><identifier>EISSN: 1535-7732</identifier><identifier>DOI: 10.1016/S1051-0443(93)71931-4</identifier><identifier>PMID: 8219552</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bile Duct Neoplasms - complications ; Bile ducts, endoscopic drainage, 76.1263 ; Bile Ducts, Intrahepatic - diagnostic imaging ; Bile ducts, neoplasms, 76.32 ; Bile ducts, prostheses, 76.1229 ; Bile ducts, stenosis or obstruction, 76.289 ; Cholangiocarcinoma - complications ; Cholangiopancreatography, Endoscopic Retrograde ; Cholestasis - diagnostic imaging ; Cholestasis - etiology ; Cholestasis - therapy ; Drainage - methods ; Humans ; Methods ; Radiography, Interventional ; Stents ; Stents and prostheses</subject><ispartof>Journal of vascular and interventional radiology, 1993-09, Vol.4 (5), p.605-610</ispartof><rights>1993 Society of Interventional Radiology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c275t-9317073db81971657107113dabd5485ef8b08f3504c036933779240f94b2ce363</citedby><cites>FETCH-LOGICAL-c275t-9317073db81971657107113dabd5485ef8b08f3504c036933779240f94b2ce363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1051044393719314$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8219552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kubota, Yoshitsugu</creatorcontrib><creatorcontrib>Nakatani, Sei</creatorcontrib><creatorcontrib>Nakahashi, Yoshitsugu</creatorcontrib><creatorcontrib>Takaoka, Makoto</creatorcontrib><creatorcontrib>Kin, Hideyuki</creatorcontrib><creatorcontrib>Inoue, Kyoichi</creatorcontrib><title>Bilateral Internal Biliary Drainage of Hilar Cholangiocarcinoma with Modified Gianturco Z Stents Inserted via a Single Percutaneous Tract</title><title>Journal of vascular and interventional radiology</title><addtitle>J Vasc Interv Radiol</addtitle><description>Modified Gianturco Z stents were used in five patients with hilar cholangiocarcinoma to permit bilobar hepatic drainage via a single percutaneous tract.
After successful negotiation of strictures from the ipsilateral hepatic duct to the contralateral hepatic duct and the common bile duct, a modified endoprosthesis—made by connecting two double-body Z stents with two stainless steel wires in order to leave a space in between—was implanted in one stricture and a ‘space’ was located at the hepatic confluence. A second endoprosthesis, a two- to six-body Z stent, was introduced into the second stricture through the ‘space’ of the initial endoprosthesis and was implanted so that a part of the endoprosthesis should overlap the initial endoprosthesis.
Optimal positioning of the two endoprostheses was successful in all patients.
The technique seems simple, safe, and reliable in reconstructing the bilateral hepatic ductal systems via a single percutaneous approach in patients with hilar cholangiocarcinoma.</description><subject>Bile Duct Neoplasms - complications</subject><subject>Bile ducts, endoscopic drainage, 76.1263</subject><subject>Bile Ducts, Intrahepatic - diagnostic imaging</subject><subject>Bile ducts, neoplasms, 76.32</subject><subject>Bile ducts, prostheses, 76.1229</subject><subject>Bile ducts, stenosis or obstruction, 76.289</subject><subject>Cholangiocarcinoma - complications</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholestasis - diagnostic imaging</subject><subject>Cholestasis - etiology</subject><subject>Cholestasis - therapy</subject><subject>Drainage - methods</subject><subject>Humans</subject><subject>Methods</subject><subject>Radiography, Interventional</subject><subject>Stents</subject><subject>Stents and prostheses</subject><issn>1051-0443</issn><issn>1535-7732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUcFu1DAQtRBVKYVPqOQTgkOoHdtxfEKwQFupCKQtFy6W40y2g7J2sZ0iPoG_rttduFY-zGjemxnPe4SccPaWM96drjlTvGFSitdGvNHcCN7IJ-SIK6EarUX7tOb_KM_I85x_Msb6-g7JYd9yo1R7RP5-wNkVSG6mF6HGUJNaQpf-0I_JYXAboHGi55WW6Oo6zi5sMHqXPIa4dfQ3lmv6JY44IYz0DF0oS_KR_qDrAqHkOjZDKhW7RUcdXWPYzEC_QfJLcQHikulVcr68IAeTmzO83Mdj8v3zp6vVeXP59exi9f6y8a1WpalnaqbFOPTcaN4pzZnmXIxuGJXsFUz9wPpJKCY9E50RQmvTSjYZObQeRCeOyavd3JsUfy2Qi91i9jDPu89Y3TFhmOwrUe2IPsWcE0z2JuG2CmM5s_cW2AcL7L2-1gj7YIGVte9kv2AZtjD-79prXvF3OxzqlbcIyWaPEDyMmMAXO0Z8ZMMdbhqV-Q</recordid><startdate>199309</startdate><enddate>199309</enddate><creator>Kubota, Yoshitsugu</creator><creator>Nakatani, Sei</creator><creator>Nakahashi, Yoshitsugu</creator><creator>Takaoka, Makoto</creator><creator>Kin, Hideyuki</creator><creator>Inoue, Kyoichi</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199309</creationdate><title>Bilateral Internal Biliary Drainage of Hilar Cholangiocarcinoma with Modified Gianturco Z Stents Inserted via a Single Percutaneous Tract</title><author>Kubota, Yoshitsugu ; Nakatani, Sei ; Nakahashi, Yoshitsugu ; Takaoka, Makoto ; Kin, Hideyuki ; Inoue, Kyoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c275t-9317073db81971657107113dabd5485ef8b08f3504c036933779240f94b2ce363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Bile Duct Neoplasms - complications</topic><topic>Bile ducts, endoscopic drainage, 76.1263</topic><topic>Bile Ducts, Intrahepatic - diagnostic imaging</topic><topic>Bile ducts, neoplasms, 76.32</topic><topic>Bile ducts, prostheses, 76.1229</topic><topic>Bile ducts, stenosis or obstruction, 76.289</topic><topic>Cholangiocarcinoma - complications</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholestasis - diagnostic imaging</topic><topic>Cholestasis - etiology</topic><topic>Cholestasis - therapy</topic><topic>Drainage - methods</topic><topic>Humans</topic><topic>Methods</topic><topic>Radiography, Interventional</topic><topic>Stents</topic><topic>Stents and prostheses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kubota, Yoshitsugu</creatorcontrib><creatorcontrib>Nakatani, Sei</creatorcontrib><creatorcontrib>Nakahashi, Yoshitsugu</creatorcontrib><creatorcontrib>Takaoka, Makoto</creatorcontrib><creatorcontrib>Kin, Hideyuki</creatorcontrib><creatorcontrib>Inoue, Kyoichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kubota, Yoshitsugu</au><au>Nakatani, Sei</au><au>Nakahashi, Yoshitsugu</au><au>Takaoka, Makoto</au><au>Kin, Hideyuki</au><au>Inoue, Kyoichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral Internal Biliary Drainage of Hilar Cholangiocarcinoma with Modified Gianturco Z Stents Inserted via a Single Percutaneous Tract</atitle><jtitle>Journal of vascular and interventional radiology</jtitle><addtitle>J Vasc Interv Radiol</addtitle><date>1993-09</date><risdate>1993</risdate><volume>4</volume><issue>5</issue><spage>605</spage><epage>610</epage><pages>605-610</pages><issn>1051-0443</issn><eissn>1535-7732</eissn><abstract>Modified Gianturco Z stents were used in five patients with hilar cholangiocarcinoma to permit bilobar hepatic drainage via a single percutaneous tract.
After successful negotiation of strictures from the ipsilateral hepatic duct to the contralateral hepatic duct and the common bile duct, a modified endoprosthesis—made by connecting two double-body Z stents with two stainless steel wires in order to leave a space in between—was implanted in one stricture and a ‘space’ was located at the hepatic confluence. A second endoprosthesis, a two- to six-body Z stent, was introduced into the second stricture through the ‘space’ of the initial endoprosthesis and was implanted so that a part of the endoprosthesis should overlap the initial endoprosthesis.
Optimal positioning of the two endoprostheses was successful in all patients.
The technique seems simple, safe, and reliable in reconstructing the bilateral hepatic ductal systems via a single percutaneous approach in patients with hilar cholangiocarcinoma.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>8219552</pmid><doi>10.1016/S1051-0443(93)71931-4</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of vascular and interventional radiology, 1993-09, Vol.4 (5), p.605-610 |
| issn | 1051-0443 1535-7732 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Bile Duct Neoplasms - complications Bile ducts, endoscopic drainage, 76.1263 Bile Ducts, Intrahepatic - diagnostic imaging Bile ducts, neoplasms, 76.32 Bile ducts, prostheses, 76.1229 Bile ducts, stenosis or obstruction, 76.289 Cholangiocarcinoma - complications Cholangiopancreatography, Endoscopic Retrograde Cholestasis - diagnostic imaging Cholestasis - etiology Cholestasis - therapy Drainage - methods Humans Methods Radiography, Interventional Stents Stents and prostheses |
| title | Bilateral Internal Biliary Drainage of Hilar Cholangiocarcinoma with Modified Gianturco Z Stents Inserted via a Single Percutaneous Tract |
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