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Occlusion of a Long-Term Transpleural Biliary Drainage Tract Using a Gelatin Pledget (Hep-Plug™)

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Abstract

This case describes a technique used to close a long-term 14F transpleural biliary drainage catheter tract to prevent biliopleural fistula and further complications. We deployed a compressed gelatin foam pledget provided in a pre-loaded delivery device (Hep-Plug™) along the intrahepatic tissue tract for sealing it against the pleural cavity. The device used is easy to handle and gives the Interventional Radiologist the possibility to safely manage and prevent complications after percutaneous transhepatic interventions.

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Authors and Affiliations

  1. Department of Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    Nikolas Kortes, Daniel Gnutzmann, Philip Konietzke, Philipp Mayer, Migle Sumkauskaite, Hans-Ulrich Kauczor & Boris A. Radeleff

Authors
  1. Nikolas Kortes
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  2. Daniel Gnutzmann
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  3. Philip Konietzke
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  4. Philipp Mayer
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  5. Migle Sumkauskaite
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  6. Hans-Ulrich Kauczor
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  7. Boris A. Radeleff
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Corresponding author

Correspondence to Nikolas Kortes.

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Conflict of interest

Dr. Kortes has nothing to disclose. Dr. Gnutzmann reports grants and other from Celonova Biosciences Inc., grants and other from BTG, outside the submitted work. Mr. Konietzke has nothing to disclose. Dr. Mayer has nothing to disclose. Dr. Sumkauskaite has nothing to disclose. Prof. Dr. Kauczor reports grants, personal fees and non-financial support from Siemens, personal fees from Boehringer Ingelheim, personal fees and non-financial support from Bayer, personal fees from GSK, personal fees from Novartis, personal fees from Astra Zeneca, personal fees from Philips, personal fees from Bracco, outside the submitted work. Prof. Dr. Radeleff has nothing to disclose.

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Kortes, N., Gnutzmann, D., Konietzke, P. et al. Occlusion of a Long-Term Transpleural Biliary Drainage Tract Using a Gelatin Pledget (Hep-Plug™). Cardiovasc Intervent Radiol 40, 1800–1803 (2017). https://doi.org/10.1007/s00270-017-1695-0

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  • DOI: https://doi.org/10.1007/s00270-017-1695-0

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