Oguzkurt Levent, Ozkan Ugur, Gumus Burcak
Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey.
Cardiovasc Intervent Radiol. 2009 Sep;32(5):1117-9. doi: 10.1007/s00270-008-9487-1. Epub 2008 Dec 18.
We report the case of a 66-year-old female who presented with jaundice secondary to recurrent adenocarcinoma of the gallbladder and several common bile duct stones. Percutaneous papillary dilatation was planned to remove the common bile duct stones. Papilla was dilated through the percutaneous approach with an 8-mm peripheral cutting balloon instead of a standard balloon. All the stones were pushed successfully into the duodenum with a saline flush. No complications were encountered. Use of a peripheral cutting balloon for dilatation of the papilla seems to be safe and effective because it has the advantage of controlled incision and dilatation of the target at low pressures.
我们报告了一例66岁女性患者，该患者因复发性胆囊腺癌及数枚胆总管结石继发黄疸。计划行经皮乳头扩张术以取出胆总管结石。采用8毫米外周切割球囊而非标准球囊经皮途径扩张乳头。通过生理盐水冲洗，所有结石均成功推送至十二指肠。未出现并发症。使用外周切割球囊扩张乳头似乎安全有效，因为它具有在低压下对目标进行可控切割和扩张的优势。
