Percutaneous Placement of Permanent Metallic Stents in the Cystic Duct to Treat Obstructive Cholecystitis.

Abstract

This report presents a series of five patients unsuitable for surgery who had nonretrievable self-expanding metallic stents deployed along the cystic duct as treatment for benign and malignant causes of gallbladder obstruction. Techniques are described for draining cholecystitis, removing gallstones, bypassing gallbladder obstructions, and inserting metallic stents across the cystic duct to restore permanent antegrade gallbladder drainage in acute and chronic cholecystitis. Symptoms resolved in all cases, and stents remained patent for as long as 22 months. This procedure may be an effective alternative to cholecystectomy or long-term gallbladder drainage for patients in inoperable condition.

• Authors: Nicholas I Brown, Ashu Jhamb, Duncan M Brooks, Andrew F Little
• Journal: Journal of vascular and interventional radiology : JVIR (J Vasc Interv Radiol) Vol. 26 Issue 12 Pg. 1860-5 (Dec 2015) ISSN: 1535-7732 [Electronic] United States
• PMID: 26596179 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 SIR. Published by Elsevier Inc. All rights reserved.

Chemical References

• Metals

Topics

• Aged
• Cholecystitis (complications, diagnosis, therapy)
• Cholestasis (diagnosis, etiology, therapy)
• Cystic Duct (surgery)
• Drainage (instrumentation, methods)
• Female
• Humans
• Male
• Metals
• Middle Aged
• Prosthesis Design
• Prosthesis Implantation (methods)
• Stents
• Treatment Outcome