Combined Surgical and Transhepatic Rendezvous Procedure for Relieving Anastomotic Biliary Obstruction in Children with Liver Transplants

J Vasc Interv Radiol. 2017 Aug;28(8):1189-1193. doi: 10.1016/j.jvir.2016.06.021.

Abstract

Four children (3 boys and 1 girl, age 1.4-9.4 y) presented 2-70 months after liver transplantation (mean 26 months) with high-grade narrowing at the surgical anastomosis that could not be crossed at percutaneous transhepatic cholangiography. Each patient was treated with a combined surgical and interventional radiology "rendezvous" procedure. Biliary drainage catheters were left in place for an average of 6 months after the procedure. At a mean 7.5 months after biliary drainage catheter removal, all children were catheter-free without clinical or biochemical evidence of biliary stricture recurrence.

Publication types

  • Observational Study

MeSH terms

  • Anastomosis, Surgical
  • Biliary Tract Surgical Procedures / methods*
  • Catheterization / methods*
  • Child
  • Child, Preschool
  • Cholestasis / therapy*
  • Combined Modality Therapy
  • Drainage / methods*
  • Female
  • Humans
  • Infant
  • Liver Transplantation*
  • Male
  • Postoperative Complications / therapy*
  • Retrospective Studies