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CardioVascular and Interventional Radiology

, Volume 30, Issue 2, pp 339–341 | Cite as

Long-Term Placement of Subcutaneous Rüsch-Type Stents for Double Biliary Stenosis in a Living-Donor Liver Transplant Recipient

  • Gian Luigi AdaniEmail author
  • Umberto Baccarani
  • Dario Lorenzin
  • Andrea Risaliti
  • Giuseppe Como
  • Daniele Gasparini
  • Massimo Sponza
  • Vittorio Bresadola
  • Fabrizio Bresadola
CASE REPORT

Abstract

Biliary reconstruction continues to be a major source of morbidity following liver transplantation. The spectrum of biliary complications is evolving due to the increasing number of split-liver and living-donor liver transplantation, which are even associated with a higher incidence of biliary complications. Bile duct strictures are the most common cause of late biliary complications and account for up to 40% of all biliary complications. Optimal therapy for posttransplantation anastomotic biliary strictures remains uncertain and requires a multidisciplinary approach. We report the case of a 54-year-old Caucasian male affected by hepatocarcinoma and hepatitis C-related cirrhosis who underwent right-lobe living-donor liver transplantation from his son complicated by double anastomotic stenosis of the main right hepatic duct and of an accessory biliary duct draining segments 6 and 7 of the graft that was successfully treated by percutaneous transhepatic cholangiography with long-term subcutaneous placement of two internal Rüsch-type biliary stents.

Keywords

Biliary complications Living-donor liver transplantation Percutaneous transhepatic cholangiography Internal–internal biliary stent 

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Gian Luigi Adani
    • 1
    Email author
  • Umberto Baccarani
    • 1
  • Dario Lorenzin
    • 1
  • Andrea Risaliti
    • 1
  • Giuseppe Como
    • 2
  • Daniele Gasparini
    • 3
  • Massimo Sponza
    • 3
  • Vittorio Bresadola
    • 1
  • Fabrizio Bresadola
    • 1
  1. 1.Department of Surgery & TransplantationUdine University School of MedicineUdineItaly
  2. 2.Department of RadiologyUdine University School of MedicineUdineItaly
  3. 3.Department of Interventional RadiologyAOSMM-HospitalUdineItaly

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