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Efficacy of Radiologic Percutaneous Interventional Treatments for Biliary Complications after Liver Complications after Liver Transplantation: Shiraz Experience

AUTHORS

Alireza Rasekhi 1 , Zeinab Gholami 1 , *

AUTHORS INFORMATION

1 Shiraz University of Medical Sciences, Shiraz, IR Iran

ARTICLE INFORMATION

Iranian Journal of Radiology: 11 (30th Iranian Congress of Radiology); e21437
Published Online: February 28, 2014
Article Type: Research Article
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Abstract

Background: Biliary complications are significant causes of morbidity and mortality in patients undergoing liver transplantation (LT). Post transplantation biliary strictures (BS) are a serious problem with high risk of graft failure. However, management of these BSs remains controversial and great variability has been reported in results of percutaneous trans hepatic radiologic intervention (PTRI) as a result of broad differences in technical procedures.

Objectives: The aim of this study was to evaluate the efficacy of percutaneous treatments in the management of post-LT BSs in Shiraz center.

Patients and Methods: PTRI, including ballooning and internal or internal-external stenting, was done in 34 transplanted patients with BS referring to interventional radiology unit of Shiraz Namazi hospital. Technical success rate, patency rates, and complications were evaluated.

Results: Thirty-one strictures were successfully treated which was irrespective of anastomotic and non-anastomotic type of stricture (success rate: 91.2%). Six- and 12-mo patency rates were 93.5% and 90.1%, respectively. The minor complication rate (mild cholangitis) was 5.9%, and no major complication occurred.

Conclusions: Based on the results of our experience, PTRI is an effective method for treating anastomotic and non-anastomotic strictures with high success rate and little complications.

Keywords

© 2014, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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