Percutaneous Extra-Anatomic Lymphovenous Bypass Creation: Toward Treatment of Central Conducting Lymphatic Obstructions

Bundy, Jacob J.; Shin, David S.; Monsky, Wayne L.; Jones, Scott; List, Jeb; Hage, Anthony N.; Vaidya, Sandeep

doi:10.1007/s00270-020-02457-x

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…In this technique for creating a connection between two luminal structures, fluoroscopy is rotated to identify a cross section in which the two snares overlap, and both snares are penetrated. This method has also been reported for revascularization of an occluded popliteal artery [4] and percutaneous left internal jugular vein-to-thoracic duct bypass to resolve a blocked lymphatic duct [5].…”

Section: Discussionmentioning

confidence: 92%

A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters

Iwasawa

Tamura

Okamura

et al. 2021

Interventional Radiology

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Biliary stricture is a serious postoperative complication of liver transplantation. We report the case of a 2year-old boy with severe biliary anastomotic stricture after left lobe living donor liver transplantation. As cannulation from the occluded B3 into the jejunum was impossible using the conventional technique, a gunsight approach was utilized. By puncturing balloons dilated at the occluded site of B3 and the proximal end of the non-occlusive B2, a tract between B3 and B2 was created, and the catheter was finally successfully inserted from B3 into the jejunum through the dilated tract and B2. The gunsight approach is an option for severe biliary strictures when the conventional approach proves impossible.

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Section: Discussionmentioning

confidence: 92%