Percutaneous endobiliary radiofrequency ablation combined with biliary stenting for the treatment of malignant obstructive jaundice:report of two cases
10.3969/j.issn.1008-794X.2014.07.010
- VernacularTitle:经皮肝穿刺胆道腔内射频消融联合支架植入治疗恶性梗阻性黄疸(附2例报告)
- Author:
Dong LU
;
Weifu Lü
;
Jingkun XIAO
;
Chunze ZHOU
- Publication Type:Journal Article
- Keywords:
malignant obstructive jaundice;
radiofrequency ablation;
stent;
interventional radiology
- From:
Journal of Interventional Radiology
2014;(7):593-596
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of percutaneous endobiliary radiofrequency ablation combined with biliary stenting in treating malignant obstructive jaundice. Methods Percutaneous endobiliary radiofrequency ablation combined with biliary stenting was carried out in 2 patients with malignant obstructive jaundice after they received percutaneous transhepatic biliary drainage. The curative effect, complications and stent patency at 50 days after the treatment were recorded. The results were analyzed. Results Successful endobiliary radiofrequency ablation and intraluminal stent implantation was accomplished in both patients, with a technical success rate of 100%. Segmental radiofrequency ablation procedure was employed. After the treatment the serum total bilirubin level was significantly decreased. No bile duct bleeding, perforation of bile duct, bile leakage or other serious complications occurred. The stent remained unobstructed during the follow - up period of 50 days. Conclusion As a new treatment for malignant obstructive jaundice, percutaneous endobiliary radiofrequency ablation combined with biliary stenting is clinically safe and effective, although its long - term efficacy needs to be further proved with randomized controlled trials.