T-Configured Dual Stent Placement in Malignant Biliary Hilar Duct Obstructions with a Newly Designed Stent

• Published in: Journal of vascular and interventional radiology Vol. 15; no. 7; pp. 713 - 717
• Main Authors: Kim, Chang Won, Park, Auh Whan, Won, Jae Whan, Kim, Suk, Lee, Jun Woo, Lee, Suk Hong
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2004
• Subjects: Aged; Aged, 80 and over; Bile Duct Neoplasms - complications; Bile Ducts, Intrahepatic; Cholestasis, Intrahepatic - etiology; Cholestasis, Intrahepatic - therapy; Female; Humans; Male; Middle Aged; Palliative Care; Proportional Hazards Models; Prosthesis Design; Stents; Treatment Outcome; CBD; PTBD
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1097/01.RVI.0000133508.79090.A2

To evaluate the technical success and clinical efficacy of T-configured dual stent placement in the management of malignant biliary hilar duct obstructions with a newly designed stent. Between January 2001 and July 2002, 57 patients with malignant biliary hilar duct obstruction were treated with percutaneous transhepatic placement of two self-expandable metallic endoprostheses in a T configuration with use of a newly designed stent. The patients ranged in age from 46 to 85 years and included 37 men and 20 women. Stent placement with two endoprostheses was successful in all patients. The mean survival and stent patency times were 193.6 days (range, 7–442 days) and 170.3 days (range, 7–305 days), respectively. There were no statistical differences in age, sex, or Bismuth type. T-configured dual stent placement with a newly designed stent is simple, safe, and reliable in achieving bilateral internal bile drainage in patients with malignant biliary hilar obstructions.