+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

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



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



Diagnostic and Interventional Radiology 13(1): 39-41



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

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 049893932

Download citation: RISBibTeXText

PMID: 17354194


Related references

Use of peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures. Journal of Vascular and Interventional Radiology 16(2 Pt 1): 241-245, 2005

Long-term results of percutaneous biliary balloon dilation treatment for benign hepaticojejunostomy strictures: are repeated balloon dilations necessary?. Journal of Vascular and Interventional Radiology 23(10): 1347-55; Quiz 1357, 2013

Long term results of the use of permanent ureteral Wallstents for the treatment of benign ureteral strictures. Journal of Endourology 12(SUPPL 1): S144, Sept, 1998

Long-term results of endoureterotomy for benign ureteral and ureteroenteric strictures. Journal Of Urology. 158(3 Part 1): 759-764, 1997

Thirty years' experience with balloon dilation of benign postoperative biliary strictures: long-term outcomes. Radiology 249(3): 1050-1057, 2008

Percutaneous balloon dilatation and long-term drainage as treatment of anastomotic and nonanastomotic benign biliary strictures. Cardiovascular and Interventional Radiology 37(6): 1559-1567, 2015

Long term efficacy of balloon dilatation for management of postoperative ureteral strictures. Journal of Urology 135(4 PART 2): 207A, 1986

Long-term results of permanent indwelling wallstents for benign mid-ureteral strictures. Journal of Endourology 14(7): 577-581, 2000

Antegrade transluminal dilatation of benign ureteral strictures: long-term results. Ajr. American Journal of Roentgenology 150(1): 131-134, 1988

Percutaneous management of resistant biliary-enteric anastomotic strictures with the use of a combined cutting and conventional balloon cholangioplasty protocol: a single-center experience. Journal of Vascular and Interventional Radiology 26(4): 560-565, 2015

Postcholecystectomy benign biliary strictures - long-term results. Digestive Surgery 23(5-6): 304-312, 2006

Long-term results of balloon dilation of benign bile duct strictures. Acta Radiologica 44(2): 147-150, 2003

Long-term results of metallic stents for benign biliary strictures. Archives of Surgery 136(6): 664-669, 2001

Percutaneous balloon catheter dilatation of benign ureteral strictures: effect of multiple dilatation procedures on long-term patency. Ajr. American Journal of Roentgenology 165(1): 97-100, 1995

Balloon dilatation of intrahepatic duct and biliary-enteric anastomosis strictures. Long term results. International Surgery 79(2): 103-105, 1994