Authors: Jiaywei Tsauo Xiao Li Hongcui Li Bo Wei Xuefeng Luo Chunle Zhang Chengwei Tang Weiping Wang
Publish Date: 2012/08/03
Volume: 36, Issue: 2, Pages: 521-525
Abstract
Between April 2005 and May 2010 six patients with distal malignant obstructive jaundice associated with coagulopathy that was unable to be corrected underwent TIBS at our institution for the palliation of jaundice Patients’ medical record and imaging results were reviewed to obtain information about demographics procedure details complications and clinical outcomesThe intrahepatic biliary tract was successfully accessed in all six patients via transjugular approach The procedure was technically successfully in five of six patients with a baremetal stent implanted after traversing the biliary strictures One procedure failed because the guidewire could not traverse the biliary occlusion One week after TIBS the mean serum bilirubin in the five successful cases had decreased from 313 μmol/L range 2034–3693 to 1462 μmol/L range 958–2233 and had further decreased to 1036 μmol/L range 295–2409 at 1 month after the procedure No bleeding sepsis or other major complications were observed after the procedure The mean survival of these five patients was 45 months range 19–58 On imaging followup there was no evidence of stent stenosis or migration with 100 primary patency
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