A Newly Designed Y-shaped Covered Stent in the Palliative Treatment of Hepatic Hilar Malignant Obstruction: Case Report.
- Author:
Byung Chul KANG
1
;
So Yon LEE
;
Hwan Hoon CHUNG
Author Information
- Publication Type:Case Reports
- Keywords: Cholangiocarcinoma; Biliary stent; Covered stent; Percutaneous transhepatic biliary drainage; Bismuth type
- MeSH: Aged; Bile Duct Neoplasms/pathology/radiography/*therapy; *Bile Ducts, Intrahepatic; Bilirubin/blood; Cholangiocarcinoma/pathology/radiography/*therapy; Cholangiography; Drainage/instrumentation; Female; Humans; *Palliative Care; Prosthesis Design; *Stents; Tomography, X-Ray Computed
- From:Korean Journal of Radiology 2013;14(1):97-101
- CountryRepublic of Korea
- Language:English
- Abstract: We report a case in an inoperable patient with the hilar malignant biliary obstruction treated palliatively by the use of a newly designed Y-shaped covered stent without interfering contra-lateral bile duct. We percutaneously inserted a newly designed Y-shaped covered stent into a biliary tree in an inoperable patient with Bismuth Type II cholangiocarcinoma. We checked tubograms, enhanced CT studies, and blood bilirubin levels before, one week after, and at every three month after the stenting, by observing closely the signs of clinical infection as well. The follow-up period was about 12 months. The placement of the Y-shaped covered stent was successful and resulted in adequate biliary drainage in the immediate post-procedural tubogram and in the follow-up abdominal CT. The serum bilirubin levels did not show elevation after the insertion of the Y-shaped covered stent.
