Bilateral stenting at the iliocaval confluence
نویسندگان
چکیده
منابع مشابه
Level of Bifurcation of Aorta and Iliocaval Confluence and Its Clinical Relevance
Purpose: The best approach to the body of the lumbar vertebrae is from the anterior aspect. The lower lumbar vertebrae are more prone to mechanical and degenerative changes. The disadvantage is that the front of the lower lumbar vertebrae are related intimately to important neurovascular structures like the abdominal aorta, inferior venacava, sympathetic chain etc. There is a need for the preop...
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Endoscopic palliative biliary drainage is considered as a gold standard treatment in advanced or inoperable hilar cholangiocarcinoma. Also, metal stents are preferred over plastic stents in patients with >3 months life expectancy. However, the endoscopic intervention of advanced hilar obstruction is often more challenging and complex than that of distal malignant biliary obstructions. In this l...
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OBJECTIVE There is no consensus regarding the most appropriate methods (i.e., the side-by-side versus the stent-in-stent technique) for placing bilateral stents for malignant hilar biliary obstructions. We aimed to perform a quantitative review of the published data regarding the clinical efficacy of the side-by-side and stent-in-stent bilateral drainage techniques for hilar biliary obstruction...
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BACKGROUND It is generally difficult to place an iliac vein stent precisely at the iliocaval junction with venographic control or even with intravascular ultrasound guidance. Furthermore, mechanical properties of the Wallstent (Boston Scientific, Marlborough, Mass) can predispose precisely placed stents to distal displacement or stent collapse. Our center has thus advocated extending Wallstents...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2010
ISSN: 0741-5214
DOI: 10.1016/j.jvs.2010.01.056