Biliary Duct Ablation with N-Butyl Cyanoacrylate

Vũ, Đoàn; Strub, William M.; Nguyen, Pho M.

doi:10.1097/01.rvi.0000195399.68445.dd

Cited by 44 publications

(36 citation statements)

References 14 publications

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“…Vu et al (2) described the successful treatment of a BCF with two sessions of NBCA instillation in two patients whose fistula had connections to the remainder of the biliary tree.…”

Section: Discussionmentioning

confidence: 99%

Use of Amplatzer Vascular Plug to Treat a Biliary Cutaneous Fistula

et al. 2013

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Several substances have been used in an attempt to sclerose biliary ducts associated with persistent biliary-cutaneous fistula (BCF). The AMPLATZER Vascular Plug (AVP; AGA Medical, USA) system is a recently developed endovascular occlusion device, introduced as an alternative to permanent embolic materials (metallic coils or acrylic glue), in the occlusion of large and medium-calibre arteries and veins. We report a successful use of the AVP to embolize BCF, developed after the removal of an internal-external biliary drainage.

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“…Vu et al (2) described the successful treatment of a BCF with two sessions of NBCA instillation in two patients whose fistula had connections to the remainder of the biliary tree.…”

Section: Discussionmentioning

confidence: 99%

Use of Amplatzer Vascular Plug to Treat a Biliary Cutaneous Fistula

et al. 2013

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“…Editor: Pneumothorax and pleural effusion are common complications after radiofrequency (RF) ablation of lung tumors (1). Massive hemorrhage and hemoptysis are rare but potentially fatal complications (2)(3)(4). We report a case of bleeding into a pulmonary cyst caused by pulmonary RF ablation.…”

Section: Editormentioning

confidence: 95%

“…Persistent bile leaks have been treated with embolization with fibrin glue, n-butyl cyanoacrylate (NBCA), or microcoils, or with hepatic resection (1)(2)(3). Herein, we describe a case of persistent bile leak that was refractory to prolonged diversion and multiple liquid embolizations.…”

Section: Editormentioning

confidence: 97%

“…In our experience, this is especially true when NBCA is applied to an epithelial as opposed to an endothelial surface. Vu et al (3) reported the use of NBCA to close bile leaks in a series of six patients. Two of their patients required multiple interventions to successfully close their leaks, and those two patients were unique in that their fistulas communicated directly with the main biliary tree-as was the case in our patient.…”

Section: Editormentioning

confidence: 98%

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Durable Plug and Onyx Occlusion of a Refractory Bile Leak

Wilson

Haskal

2013

Journal of Vascular and Interventional Radiology

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“…Embolization of biliary tracts using different materials including gel foam, fibrin glue, n-butyl cyanoacrylate and endocoils are routinely used in clinical practice at the time when biliary catheters are removed, in order to reduce the risk of bile leakage or bleeding. A recent randomized trial showed that transhepatic biliary tract embolization with n-butyl cyanoacrylate decreased both pain perception as assessed by a visual analog score and the need for analgesia, when compared to the non-embolization group [12] . Endocoil placement is a well-established intervention radiology technique where coils placed in blood vessels (endovascular coils) obliterate flow and induce coagulation, thrombosis and the formation of neo-intimal proliferation [13] .…”

Section: Discussionmentioning

confidence: 99%

Endocoil placement after endoscopic ultrasound-guided biliary drainage may prevent a bile leak

Merwe

Omoshoro-Jones²,

Sanyika³

2013

WJGE

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AIM:To further reduce the risk of bleeding or bile leakage. METHODS:We performed endoscopic ultrasound guided biliary drainage in 6 patients in whom endoscopic retrograde cholangiopancreatography (ERCP) had failed. Biliary access of a dilated segment 2 or 3 duct was achieved from the stomach using a 19G needle. After radiologically confirming access a guide wire was placed, a transhepatic tract created using a 6 Fr cystotome followed by balloon dilation of the stricture and antegrade metallic stent placement across the malignant obstruction. This was followed by placement of an endocoil in the transhepatic tract. RESULTS:Dilated segmental ducts were observed in all patients with the linear endoscopic ultrasound scope from the proximal stomach. Transgastric biliary access was obtained using a 19G needle in all patients. Biliary drainage was achieved in all patients. Placement of an endocoil was possible in 5/6 patients. All patients responded to biliary drainage and no complications occurred. CONCLUSION:We show that placing endocoils at the time of endoscopic ultrasound guided biliary stenting is feasible and may reduce the risk of bleeding or bile leakage.

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Biliary Duct Ablation with N-Butyl Cyanoacrylate

Cited by 44 publications

References 14 publications

Use of Amplatzer Vascular Plug to Treat a Biliary Cutaneous Fistula

Use of Amplatzer Vascular Plug to Treat a Biliary Cutaneous Fistula

Durable Plug and Onyx Occlusion of a Refractory Bile Leak

Endocoil placement after endoscopic ultrasound-guided biliary drainage may prevent a bile leak

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