E-ISSN: 1305-3612
    Peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures: long-term results
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    Interventional Radiology - Original Article
    VOLUME: 13 ISSUE: 1
    P: 39-41
    February 2007

    Peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures: long-term results

    Diagn Interv Radiol 2007;13(1):39-41
    Eli Atar 1
    Gil N. Bachar 2
    Mor Eitan 3
    Franklyn Graif 4
    Haim Neyman 5
    Alexander Belenky 6
    1. Departments of Radiology, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israel
    2. From the Departments of Radiology, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israel
    3. From the Departments of Organ Transplantation, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israe
    4. From the Departments of Surgery, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israel
    5. From the Departments of Radiology, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israe
    6. Departments of Radiology, Rabin Medical Center Affiliated to the Sacker Faculty of Medicine, Tel Aviv University, Petah Tiqwa, Israe
    No information available.
    No information available
    Received Date: 08.10.2006
    Accepted Date: 06.12.2006
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    ABSTRACT

    PURPOSE

    To report the long-term follow-up results of peripheral cutting balloon incision and dilatation (PCBID) after failed high-pressure balloon dilatation in patients with benign ureteral and biliary strictures.

    MATERIALS AND METHODS

    The study included 9 patients (5 males and 4 females) who underwent successful PCBID procedures. Of these, 4 patients had biliary strictures; 2 of them had choledocho-choledochal anastomosis after liver transplantation, one at the choledocho-jejunal anastomosis, and the other at the papilla of Vater after failed endoscopic papillotomy. Of the 5 patients with ureteral strictures, 2 occurred following kidney transplantation, one after local radiation, and 2 had pelvic metastases compressing the urinary tract. The duration of follow-up, both clinical and radiological, was 24 months.

    RESULTS

    The 9 patients who underwent successful PCBID procedures represented 82% of the original group treated by PCBID, which we reported in a previous publication. There were no periprocedural complications. The rate of primary patency, which was confirmed clinically and ultrasonographically at the end of follow- up, was 55% (5/9), and the secondary patency rate was 78% (7/9). Choledocho-choledochal restenosis occurred in 2 patients, 5 and 9 months after liver transplantation, who were treated percutaneously; one by balloon angioplasty (secondary patency for 19 months) and the other by PCBID (patency for 15 months). The remaining 2 patients (both with pelvic metastases) had restenosis 5 and 6 months postprocedure and were successfully treated by the insertion of double-J ureteral stents.

    CONCLUSION

    PCBID is a simple and safe option for the treatment of ureteral and biliary strictures after failed high-pressure balloon dilatation, which demonstrated a twoyear primary patency rate of 55% and a secondary patency rate of 78%. Files

    Keywords: common bile duct • ureter • balloon dilatation

    References

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