Department of Transplantation and Surgery, Semmelweis University, Baross 23-25, Budapest 1082, Hungary.
Cardiovasc Intervent Radiol. 2010 Apr;33(2):425-9. doi: 10.1007/s00270-009-9558-y. Epub 2009 Mar 31.
The role of covered stent in the management of biliary complications is not yet defined in liver transplant recipients. This Case Report presents a patient with anastomotic stricture and leakage with biloma treated with a covered stent 32 months following liver transplantation. Signs of in-stent restenosis developed 52 months following covered stent placement, which was resolved by balloon dilation. There were no complications during the interventions. The latest follow-up, at 69 months following primary and 19 months following secondary percutaneous intervention, shows a patent covered stent without any clinical or morphological sign of further restenosis. The clinical success with long-term follow-up data suggests that covered stent implantation can be a rational, minimally invasive option for simultaneous treatment of bile duct stenosis and bile leak following liver transplantation in selected cases.
覆膜支架在肝移植受者胆道并发症管理中的作用尚未确定。本病例报告介绍了 1 例肝移植后 32 个月发生吻合口狭窄和胆漏伴胆囊肿的患者，采用覆膜支架治疗。覆膜支架置入后 52 个月出现支架内再狭窄迹象，经球囊扩张后得到解决。介入过程中无并发症发生。初次经皮介入治疗后 69 个月和二次经皮介入治疗后 19 个月的最新随访显示，覆膜支架通畅，无进一步再狭窄的临床或形态学迹象。长期随访数据显示临床成功，提示在某些情况下，覆膜支架植入术可作为一种合理的微创选择，用于同时治疗肝移植后胆管狭窄和胆漏。
