Percutaneous removal of a fractured endostent remnant from the portal vein

Jean-Francois H Geschwind; Mandeep S Dagli; Jens Vogel-Claussen; Aravind A Arepally; Anthony C Venbrux

doi:10.1007/s00270-001-0094-7

Percutaneous removal of a fractured endostent remnant from the portal vein

Cardiovasc Intervent Radiol. 2002 Mar-Apr;25(2):152-4. doi: 10.1007/s00270-001-0094-7. Epub 2002 Feb 19.

Authors

Jean-Francois H Geschwind¹, Mandeep S Dagli, Jens Vogel-Claussen, Aravind A Arepally, Anthony C Venbrux

Affiliation

¹ Cardiovascular and Interventional Radiology, The Russell H. Morgan Department of Radiology, The Johns Hopkins Hospital, Baltimore, Maryland, USA.

PMID: 11901437
DOI: 10.1007/s00270-001-0094-7

Abstract

We report the case of a liver transplant patient who developed a biliary stricture 3 years postoperatively which was treated with an endostent. During endoscopic removal, the stent fractured and a portion of it lodged itself within the intrahepatic portion of a portal vein branch. The endostent fragment was retrieved percutaneously using interventional radiology techniques. Risk factors for endostent fracture and migration as well as various percutaneous retrieval methods are reviewed in this article.

Publication types

Case Reports

MeSH terms

Blood Vessel Prosthesis / adverse effects*
Cholestasis / diagnostic imaging
Cholestasis / etiology
Cholestasis / therapy*
Device Removal / methods
Equipment Failure
Follow-Up Studies
Foreign-Body Migration / diagnostic imaging
Foreign-Body Migration / therapy*
Humans
Liver Cirrhosis, Alcoholic / diagnosis
Liver Cirrhosis, Alcoholic / surgery
Liver Transplantation / adverse effects
Liver Transplantation / methods
Male
Middle Aged
Portal Vein / diagnostic imaging
Tomography, X-Ray Computed
Treatment Outcome