Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography
We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2019-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
| Subjects: | |
| Online Access: | https://doi.org/10.18528/ijgii180037 |
| _version_ | 1818456925572956160 |
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| author | Nathan Wnuk Ana Maria Pabon-Martinez Armeen Mahvash Gouthami Chintalapani Thomas A. Aloia Bruno C. Odisio |
| author_facet | Nathan Wnuk Ana Maria Pabon-Martinez Armeen Mahvash Gouthami Chintalapani Thomas A. Aloia Bruno C. Odisio |
| author_sort | Nathan Wnuk |
| collection | DOAJ |
| description | We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis. |
| first_indexed | 2024-12-14T22:34:25Z |
| format | Article |
| id | doaj.art-0095bb428e2241838076d378be6ae2a1 |
| institution | Directory Open Access Journal |
| issn | 2636-0012 |
| language | English |
| last_indexed | 2024-12-14T22:34:25Z |
| publishDate | 2019-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj.art-0095bb428e2241838076d378be6ae2a12022-12-21T22:45:11ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00122019-01-0181414410.18528/ijgii18003710.18528/ijgii180037Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomographyNathan Wnuk0Ana Maria Pabon-Martinez1Armeen Mahvash2Gouthami Chintalapani3Thomas A. Aloia4Bruno C. Odisio5MD Anderson Cancer Center, Houston, TX, USAMD Anderson Cancer Center, Houston, TX, USADepartment of Vascular and Interventional Radiology, MD Anderson Cancer Center, Houston, TX, USASiemens Medical Solutions USA Inc., Hoffman Estates, IL, USADepartment of Surgical Oncology, Division of Surgery, MD Anderson Cancer Center, Houston, TX, USADepartment of Vascular and Interventional Radiology, MD Anderson Cancer Center, Houston, TX, USAWe describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.https://doi.org/10.18528/ijgii180037Biliary interventionBilioenteric neoanastomosisCone-beam computed tomographyFusion imagingPercutaneous intervention |
| spellingShingle | Nathan Wnuk Ana Maria Pabon-Martinez Armeen Mahvash Gouthami Chintalapani Thomas A. Aloia Bruno C. Odisio Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography International Journal of Gastrointestinal Intervention Biliary intervention Bilioenteric neoanastomosis Cone-beam computed tomography Fusion imaging Percutaneous intervention |
| title | Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography |
| title_full | Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography |
| title_fullStr | Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography |
| title_full_unstemmed | Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography |
| title_short | Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography |
| title_sort | percutaneous transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone beam computed tomography |
| topic | Biliary intervention Bilioenteric neoanastomosis Cone-beam computed tomography Fusion imaging Percutaneous intervention |
| url | https://doi.org/10.18528/ijgii180037 |
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