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Utility of stent-grafts in treatment of porto-biliary fistula.

Abstract
A porto-biliary fistula causing hemobilia is a known complication of percutaneous transhepatic biliary drainage (PTBD). We present two patients with hemobilia secondary to porto-biliary fistula, treated successfully by percutaneous placement of stent-grafts. In one case, the stent-graft was placed in the bile duct, and in the other case, it was placed in the intrahepatic portal vein branch. Hemobilia stopped and there were no complications except a small area of hepatic infarction, distal to the stent-graft in the portal vein.
AuthorsBora Peynircioglu, Wojciech Cwikiel
JournalCardiovascular and interventional radiology (Cardiovasc Intervent Radiol) 2006 Nov-Dec Vol. 29 Issue 6 Pg. 1156-9 ISSN: 0174-1551 [Print] United States
PMID16897266 (Publication Type: Case Reports, Journal Article)
Topics
  • Arterial Occlusive Diseases (therapy)
  • Bile Duct Neoplasms (complications, therapy)
  • Bile Ducts, Intrahepatic (pathology, surgery)
  • Biliary Fistula (etiology, therapy)
  • Blood Vessel Prosthesis Implantation (instrumentation)
  • Catheterization (instrumentation)
  • Cholangiocarcinoma (complications, therapy)
  • Cholangiography
  • Cholestasis, Intrahepatic (etiology, therapy)
  • Drainage (adverse effects)
  • Hemobilia (therapy)
  • Hepatic Artery (pathology)
  • Humans
  • Liver Cirrhosis (therapy)
  • Male
  • Middle Aged
  • Portal Vein (pathology, surgery)
  • Stents

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