| Peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures: long-term results. | |
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MedLine Citation:
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PMID: 17354194 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report the long-term follow-up results of peripheral cutting balloon incision and dilatation (PCBID) after failed high-pressure balloon dilatation in patients with benign ureteral and biliary strictures. MATERIALS AND METHODS: The study included 9 patients (5 males and 4 females) who underwent successful PCBID procedures. Of these, 4 patients had biliary strictures; 2 of them had choledocho-choledochal anastomosis after liver transplantation, one at the choledocho-jejunal anastomosis, and the other at the papilla of Vater after failed endoscopic papillotomy. Of the 5 patients with ureteral strictures, 2 occurred following kidney transplantation, one after local radiation, and 2 had pelvic metastases compressing the urinary tract. The duration of follow-up, both clinical and radiological, was 24 months. RESULTS: The 9 patients who underwent successful PCBID procedures represented 82% of the original group treated by PCBID, which we reported in a previous publication. There were no periprocedural complications. The rate of primary patency, which was confirmed clinically and ultrasonographically at the end of follow- up, was 55% (5/9), and the secondary patency rate was 78% (7/9). Choledocho-choledochal restenosis occurred in 2 patients, 5 and 9 months after liver transplantation, who were treated percutaneously; one by balloon angioplasty (secondary patency for 19 months) and the other by PCBID (patency for 15 months). The remaining 2 patients (both with pelvic metastases) had restenosis 5 and 6 months postprocedure and were successfully treated by the insertion of double-J ureteral stents. CONCLUSION: PCBID is a simple and safe option for the treatment of ureteral and biliary strictures after failed high-pressure balloon dilatation, which demonstrated a two-year primary patency rate of 55% and a secondary patency rate of 78%. |
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Authors:
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Eli Atar; Gil N Bachar; Mor Eitan; Franklyn Graif; Haim Neyman; Alexander Belenky |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Diagnostic and interventional radiology (Ankara, Turkey) Volume: 13 ISSN: 1305-3825 ISO Abbreviation: - Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-03-13 Completed Date: 2007-04-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101241152 Medline TA: Diagn Interv Radiol Country: Turkey |
Other Details:
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Languages: eng Pagination: 39-41 Citation Subset: IM |
Affiliation:
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Department of Radiology, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israel. atareli@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Anastomosis, Surgical / adverse effects Balloon Dilatation / instrumentation, methods* Biliary Tract Diseases / etiology, pathology, therapy* Constriction, Pathologic / etiology, pathology, therapy Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications Sphincterotomy, Endoscopic / adverse effects Treatment Outcome Ureteral Obstruction / etiology, pathology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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