USE OF COVERED SELF-EXPANDABLE NITINOL STENT FOR ANASTOMOTIC BILIARY STRUCTURE MANAGEMENT AFTER LIVER TRANSPLANTATION: THE FIRST EXPERIENCE
https://doi.org/10.15825/1995-1191-2013-2-50-55
Abstract
Aim. The aim of this study focuses on the first experience with self-expandable stents, analysis of its efficacy and safety in the treatment of anastomotic strictures after liver transplantation. Materials and methods. There’re 136 liver transplantations performed from 2004 till 2012. To correct anastomotic strictures we’ve used only the self-expandable coated nitinol stent. We performed stenting in 7 recipient. Result. In 131 liver transplant recipients incidence of biliary strictures has been 5.3%. All of 5 patients have been managed by retrograde or antegrade way. Conclusion. Our first experience demonstrate efficacy and safety of the used tecniques up to 24 months. The analysis of more long-term results is required.
About the Authors
M. N. KornilovV. V. Gvozdik
A. N. Lotov
Y. G. Moysyuk
References
1. Олисов О.Д. Билиарные осложнения после ортотопи- ческой трансплантации печени // Трансплантология. 2009; 2: 44–50.
2. Olisov O.D. Biliary complications after orthotopic liver transplantation // Transplantologija. 2009; 2: 44–50
3. Гранов А.М., Гранов Д.А., Жеребцов Ф.К., Гера- симова О.А., Боровик В.В., Осовских В.В., Майс- тренко Д.Н., Руткин И.О., Цурупа С.П., Тиле- убергенов И.И., Шаповал С.В., Михайличенко Т.Г. Трансплантация печени в РНЦРХТ. Опыт 100 опера- ций // Вестник трансплантологии и искусственных органов. 2012; 4: 11–16.
4. Granov A.M., Granov D.A., Zherebtsov F.K., Gerasimo- va O.A., Borovik V.V., Osovskikh V.V., Maystrenko D.N., Rutkin I.O., Tsurupa S.P., Tileubergenov I.I., Shapo- val S.V., Mikhaylichenko T.G. Liver transplantation. A single center experience of 100 cases // Vestnik trans- plantologii i iskusstvennyh organov. 2012; 4: 11–16.
5. Hu B., Gao D.J., Yu F.H., Wang T.T., Pan Y.M., Yang X.M. Endoscopic stenting for posttransplant biliary stricture: usefulness of a novel removable covered metal stent // J. Hepatobiliary Pancreat Sci. 2011 Sep; 18 (5): 640– 645.
6. Buck D.G., Zajko A.B. Biliary complications after ortho- topic liver transplantation // Tech. Vasc. Interv. Radial. 2008; 11: 51.
7. Tarantino I., Traina M. Fully covered stents in biliary stenosis after orthotopic liver transplantation // Endosco- py. 2012; 44 (3): 246–250.
8. Alazmi W.M., Fogel E.L., Watkins J.L. Recurrence of anastomotic biliary stricture in patients who have had previous successful endoscopic therapy for anastomotic narrowing after orthotopic liver transplant // Endoscopy. 2006; 38: 571.
9. Mahajan A., Ho H., Saber B. Temporary placement of fully covered self-expandable metal stents in benign bi- liary strictures: midterm evaluation // Gastrointest En- dosc. 2009; 70: 303.
10. Traina M., Tarantino I., Barresi L. Efficacy and safety of fully covered self-expandable metallic stents in biliary complications after liver transplantation: a preliminary study // Liver Transpl. 2009; 15: 1493.
11. Wang A.Y., Ellen K., Berg C.L. Fully covered self- expan- dable metallic stents in the management of complex bili- ary leaks: preliminary data – a case series // Endoscopy. 2009; 41: 781.
12. Bentabak K. Adult-to-adult living related liver transplan- tation: preliminary results of the Hepatic Transplantation Group in Algiers // Transplant. Proc. 2005; 37: 2873– 2874.
13. Thulavath P.J., Atassi T., Lee J. An endoscopic approach to biliary complications following orthotopic liver trans- plantation // Liver Int. 2003; 23: 156–162.
14. Kahaleh M., Behm B., Clarke B.W., Brock A., Shami V.M., De La Rue S.A. Temporary placement of covered self-ex- pandable metal stents in benign biliary strictures: a new paradigm? // Gastrointest Endosc. 2008; 67: 446–454.
15. Holt A.P., Thorbun D., Mirza D., Gunson B., Wong T., Haydon J. A prospective study of standardized nonsur- gical therapy in the management of biliary anastomotic strictures complicating liver transplantation // Transplan- tation. 2007; 84: 857–863.
16. Dumonceau J.M., Devie`re J., Delhaye M., Baize M., Cremer M. Plastic and metal stents for postoperative be- nign bile duct strictures: the best and the worst. Gastro- intest Endosc. 1998; 47: 8–1736.
17. Isayama H., Komatsu Y., Tsujino T., Sasahira N., Hira- no K., Toda N. A prospective randomised study of “co- vered” versus “uncovered” diamond stents for the ma- nagement of distal malignant biliary obstruction. Gut. 2004; 53: 729–734.
18. Shim C.S., Lee Y.H., Cho Y.D., Bong H.K., Kim J.O., Cho J.Y. Preliminary results of a new covered biliary me- tal stent for malignant biliary obstruction // Endoscopy. 1998; 30: 345–350.
19. Thurnher S.A., Lammer J., Thurnher M.M., Winkelbau- er F., Graf O., Wildling R. Covered self-expanding trans- hepatic biliary stents: clinical pilot study. Cardiovasc. Intervent. Radiol. 1996; 19: 10–14.
20. Trentino P., Falasco G., d’Orta C., Coda S. Endoscopic removal of a metallic biliary stent: case report. Gastroin- test Endosc. 2004; 59: 321–323.
21. Kuo M.D., Lopresti D.C., Gover D.D., Hall L.D., Fer- rara S.L. Intentional retrieval of Viabil stent-grafts from the biliary system // J. Vasc. Interv. Radiol. 2006; 17: 389–397.
Review
For citations:
Kornilov M.N., Gvozdik V.V., Lotov A.N., Moysyuk Y.G. USE OF COVERED SELF-EXPANDABLE NITINOL STENT FOR ANASTOMOTIC BILIARY STRUCTURE MANAGEMENT AFTER LIVER TRANSPLANTATION: THE FIRST EXPERIENCE. Russian Journal of Transplantology and Artificial Organs. 2013;15(2):50-55. (In Russ.) https://doi.org/10.15825/1995-1191-2013-2-50-55