Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique

Felipe Nasser; Rafael Dahmer Rocha; Priscila Mina Falsarella; Joaquim Maurício da Motta-Leal-Filho; André Arantes Azevedo; Leonardo Guedes Moreira Valle; Rafael Noronha Cavalcante; Rodrigo Gobbo Garcia; Breno Boueri Affonso; Francisco Leonardo Galastri

doi:10.1007/s00270-015-1234-9

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Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique

Journal article

Peer reviewed

Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique

Felipe Nasser, Rafael Dahmer Rocha, Priscila Mina Falsarella, Joaquim Maurício da Motta-Leal-Filho, André Arantes Azevedo, Leonardo Guedes Moreira Valle, Rafael Noronha Cavalcante, Rodrigo Gobbo Garcia, Breno Boueri Affonso and Francisco Leonardo Galastri

Cardiovascular and interventional radiology, Vol.39(5), pp.773-777

05/01/2016

DOI: 10.1007/s00270-015-1234-9

PMID: 26542028

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Abstract

To report a novel modified occlusion balloon technique to treat biliary leaks. A 22-year-old female patient underwent liver transplantation with biliary-enteric anastomosis. She developed thrombosis of the common hepatic artery and extensive ischemia in the left hepatic lobe. Resection of segments II and III was performed and a biliary-cutaneous leak originating at the resection plane was identified in the early postoperative period. Initial treatment with percutaneous transhepatic drainage was unsuccessful. Therefore, an angioplasty balloon was coaxially inserted within the biliary drain and positioned close to the leak. The fistula output abruptly decreased after the procedure and stopped on the 7th day. At the 3-week follow-up, cholangiography revealed complete resolution of the leakage. This novel modified occlusion balloon technique was effective and safe. However, greater experience and more cases are necessary to validate the technique.

Anastomotic Leak - etiology

Anastomotic Leak - therapy

Balloon Occlusion

Bile

Biliary Fistula - etiology

Biliary Fistula - therapy

Biliary Tract Surgical Procedures - instrumentation

Biliary Tract Surgical Procedures - methods

Cutaneous Fistula - etiology

Cutaneous Fistula - therapy

Female

Humans

Liver Transplantation - adverse effects

Young Adult

Details

Title: Subtitle: Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique
Creators: Felipe Nasser - Hospital Israelita Albert Einstein
Rafael Dahmer Rocha - Hospital Israelita Albert Einstein
Priscila Mina Falsarella - Hospital Israelita Albert Einstein
Joaquim Maurício da Motta-Leal-Filho - Hospital Israelita Albert Einstein
André Arantes Azevedo - Hospital Israelita Albert Einstein
Leonardo Guedes Moreira Valle - Hospital Israelita Albert Einstein
Rafael Noronha Cavalcante - Hospital Israelita Albert Einstein
Rodrigo Gobbo Garcia - Hospital Israelita Albert Einstein
Breno Boueri Affonso - Hospital Israelita Albert Einstein
Francisco Leonardo Galastri - Hospital Israelita Albert Einstein
Resource Type: Journal article
Publication Details: Cardiovascular and interventional radiology, Vol.39(5), pp.773-777
DOI: 10.1007/s00270-015-1234-9
PMID: 26542028
NLM abbreviation: Cardiovasc Intervent Radiol
ISSN: 0174-1551
eISSN: 1432-086X
Language: English
Date published: 05/01/2016
Academic Unit: Radiology
Record Identifier: 9985180932302771

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