FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979263034> ?p ?o ?g. }

• W2979263034 endingPage "S654" @default.
• W2979263034 startingPage "S653" @default.
• W2979263034 abstract "Figure: No Caption available.Purpose: A 74-year-old man underwent percutaneous trans-hepatic cholangiography (PTC) for a distal non-malignant common bile duct (CBD) stricture with internal and external drain placement in 2009. At a subsequent drain exchange, he developed significant bleeding from the drain, which necessitated coil embolization of the hepatic artery. He did well afterwards and drains were removed. Three years later, he developed jaundice and cholangitis. ERCP done at an outside facility revealed a foreign body, which was assumed to be jag wires from a prior ERCP. A plastic stent was placed for biliary drainage, and he was referred to us for further management. A CT scan noted hardware within the porta-hepatis that caused streak artifact, along with dilation of intra-hepatic bile ducts. Review of the case suggested endovascular coils in the bile duct. It was assumed that some of the embolic material from the hepatic artery had eroded into CBD. It was decided to remove this embolic material by ERCP. Due to concern of hepatic artery rupture during retrieval, a catheter was positioned in the hepatic artery by interventional radiology (IR) to facilitate rapid re-embolization, should uncontrolled bleeding occur. During ERCP balloon extraction of a vascular plug with sludge was performed, followed by removal of filamentous wires in distal CBD with rat-tooth forceps. The duct was then accessed with spyglass to extract the more proximal wires using spybite. A fluoroscopic video obtained at the end of the procedure demonstrated remaining coils in a different plane from the biliary system, most likely in the hepatic artery. There was a thin sliver of embolic material remaining in the CBD that will probably epithelialize. There was no GI bleeding during the procedure. The patient has been event-free for over seven months now. Post-cholecystectomy clips, suture material and displaced stents are commonly discussed foreign bodies in CBD. There are limited reports on migration of vascular embolic material into duodenum; however, erosion of vascular coils into CBD is an extremely rare situation. Our case demonstrates successful use of various endoscopic techniques to manage this otherwise high-risk and presumably surgical condition. Adopting a multi-modality approach with IR backup may prevent need for surgical exploration of CBD in such intricate cases. Our method of management may serve as a teaching tool for endoscopists who may encounter a similar situation." @default.
• W2979263034 created "2019-10-10" @default.
• W2979263034 creator A5002222748 @default.
• W2979263034 creator A5003543935 @default.
• W2979263034 creator A5014286479 @default.
• W2979263034 creator A5020934554 @default.
• W2979263034 creator A5090256129 @default.
• W2979263034 date "2013-10-01" @default.
• W2979263034 modified "2023-09-26" @default.
• W2979263034 title "Endoscopic Removal of Migrated Vascular Embolic Material from the Common Bile Duct: A Multimodality Approach" @default.
• W2979263034 doi "https://doi.org/10.14309/00000434-201310001-02154" @default.
• W2979263034 hasPublicationYear "2013" @default.
• W2979263034 type Work @default.
• W2979263034 sameAs 2979263034 @default.
• W2979263034 citedByCount "0" @default.
• W2979263034 crossrefType "journal-article" @default.
• W2979263034 hasAuthorship W2979263034A5002222748 @default.
• W2979263034 hasAuthorship W2979263034A5003543935 @default.
• W2979263034 hasAuthorship W2979263034A5014286479 @default.
• W2979263034 hasAuthorship W2979263034A5020934554 @default.
• W2979263034 hasAuthorship W2979263034A5090256129 @default.
• W2979263034 hasConcept C126838900 @default.
• W2979263034 hasConcept C141071460 @default.
• W2979263034 hasConcept C2776035437 @default.
• W2979263034 hasConcept C2776820930 @default.
• W2979263034 hasConcept C2776884468 @default.
• W2979263034 hasConcept C2776914593 @default.
• W2979263034 hasConcept C2777683338 @default.
• W2979263034 hasConcept C2778448856 @default.
• W2979263034 hasConcept C2778456037 @default.
• W2979263034 hasConcept C2778583881 @default.
• W2979263034 hasConcept C2779241435 @default.
• W2979263034 hasConcept C2779777945 @default.
• W2979263034 hasConcept C2780007028 @default.
• W2979263034 hasConcept C2780813298 @default.
• W2979263034 hasConcept C2781267111 @default.
• W2979263034 hasConcept C2910949778 @default.
• W2979263034 hasConcept C71924100 @default.
• W2979263034 hasConceptScore W2979263034C126838900 @default.
• W2979263034 hasConceptScore W2979263034C141071460 @default.
• W2979263034 hasConceptScore W2979263034C2776035437 @default.
• W2979263034 hasConceptScore W2979263034C2776820930 @default.
• W2979263034 hasConceptScore W2979263034C2776884468 @default.
• W2979263034 hasConceptScore W2979263034C2776914593 @default.
• W2979263034 hasConceptScore W2979263034C2777683338 @default.
• W2979263034 hasConceptScore W2979263034C2778448856 @default.
• W2979263034 hasConceptScore W2979263034C2778456037 @default.
• W2979263034 hasConceptScore W2979263034C2778583881 @default.
• W2979263034 hasConceptScore W2979263034C2779241435 @default.
• W2979263034 hasConceptScore W2979263034C2779777945 @default.
• W2979263034 hasConceptScore W2979263034C2780007028 @default.
• W2979263034 hasConceptScore W2979263034C2780813298 @default.
• W2979263034 hasConceptScore W2979263034C2781267111 @default.
• W2979263034 hasConceptScore W2979263034C2910949778 @default.
• W2979263034 hasConceptScore W2979263034C71924100 @default.
• W2979263034 hasLocation W29792630341 @default.
• W2979263034 hasOpenAccess W2979263034 @default.
• W2979263034 hasPrimaryLocation W29792630341 @default.
• W2979263034 hasRelatedWork W1973665670 @default.
• W2979263034 hasRelatedWork W2123122601 @default.
• W2979263034 hasRelatedWork W2355851442 @default.
• W2979263034 hasRelatedWork W2358320887 @default.
• W2979263034 hasRelatedWork W2360407111 @default.
• W2979263034 hasRelatedWork W2367072304 @default.
• W2979263034 hasRelatedWork W2384657326 @default.
• W2979263034 hasRelatedWork W2390958409 @default.
• W2979263034 hasRelatedWork W2431931592 @default.
• W2979263034 hasRelatedWork W2118304581 @default.
• W2979263034 hasVolume "108" @default.
• W2979263034 isParatext "false" @default.
• W2979263034 isRetracted "false" @default.
• W2979263034 magId "2979263034" @default.
• W2979263034 workType "article" @default.