The Experts below are selected from a list of 303 Experts worldwide ranked by ideXlab platform
Wael E A Saad - One of the best experts on this subject based on the ideXlab platform.
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incidence of cholangitis and sepsis associated with percutaneous transhepatic Biliary Drain cholangiography and exchange a comparison between liver transplant and native liver patients
American Journal of Roentgenology, 2011Co-Authors: Daniel Thomas Ginat, Wael E A Saad, Mark G Davies, Nael Saad, David L Waldman, Takashi KitanosonoAbstract:OBJECTIVE. The purpose of our study was to determine the rate of sepsis and cholangitis associated with percutaneous Biliary Drain cholangiography and subsequent Drain exchanges and to compare the incidence of these complications between patients with liver transplants and those with native livers.MATERIALS AND METHODS. A retrospective review of 154 consecutive patients (100 with liver transplants and 54 with native livers) who underwent a total of 910 percutaneous Biliary Drain cholangiography examinations and exchanges (January 2005 to July 2008) was performed. Cholangitis was defined as fever (> 38.5°C) within 24 hours after the intervention, and sepsis included cholangitis in addition to hemodynamic instability.RESULTS. The overall incidence of cholangitis and sepsis after percutaneous Biliary Drain exchanges was 2.1% (n = 19/910 exchanges) and 0.4% (n = 4/910 exchanges), respectively. There was no statistically significant difference in complications between liver transplant patients versus nontransp...
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management of bleeding after percutaneous transhepatic cholangiography or transhepatic Biliary Drain placement
Techniques in Vascular and Interventional Radiology, 2008Co-Authors: Wael E A Saad, Mark G Davies, Michael D DarcyAbstract:Bleeding complications occur in 2 to 3% of percutaneous transhepatic Biliary Drains. These complications include: hemothorax, hemoperitoneum, subcapsular hepatic bleeding, hemobilia, melena, and bleeding from the percutaneous Biliary Drain. The bleeding sites can be classified into (1) perihepatic bleed sites (hemothorax, hemoperitoneum, subcapsular hepatic hematoma), (2) gastrointestinal bleeding (hemobilia and/or melena), and (3) bleeding from the percutaenous Biliary Drain itself, which is the most common clinical presentation. There are several bleeding sources. These include skin-bleeds, intercostal artery, portal vein, hepatic vein, and the hepatic artery. There are a variety of maneuvers that can be utilized in the management of bleeding percutaneous Biliary Drains. These include tractography, angiography, tract embolization, arterial embolization, and tract site changes. This article proposes a protocol for approaching bleeding complications after percutaneous Biliary Drain placement and details the diagnostic and therapeutic procedures in the management of these bleeding complications.
Michael D Darcy - One of the best experts on this subject based on the ideXlab platform.
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management of bleeding after percutaneous transhepatic cholangiography or transhepatic Biliary Drain placement
Techniques in Vascular and Interventional Radiology, 2008Co-Authors: Wael E A Saad, Mark G Davies, Michael D DarcyAbstract:Bleeding complications occur in 2 to 3% of percutaneous transhepatic Biliary Drains. These complications include: hemothorax, hemoperitoneum, subcapsular hepatic bleeding, hemobilia, melena, and bleeding from the percutaneous Biliary Drain. The bleeding sites can be classified into (1) perihepatic bleed sites (hemothorax, hemoperitoneum, subcapsular hepatic hematoma), (2) gastrointestinal bleeding (hemobilia and/or melena), and (3) bleeding from the percutaenous Biliary Drain itself, which is the most common clinical presentation. There are several bleeding sources. These include skin-bleeds, intercostal artery, portal vein, hepatic vein, and the hepatic artery. There are a variety of maneuvers that can be utilized in the management of bleeding percutaneous Biliary Drains. These include tractography, angiography, tract embolization, arterial embolization, and tract site changes. This article proposes a protocol for approaching bleeding complications after percutaneous Biliary Drain placement and details the diagnostic and therapeutic procedures in the management of these bleeding complications.
Mark G Davies - One of the best experts on this subject based on the ideXlab platform.
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incidence of cholangitis and sepsis associated with percutaneous transhepatic Biliary Drain cholangiography and exchange a comparison between liver transplant and native liver patients
American Journal of Roentgenology, 2011Co-Authors: Daniel Thomas Ginat, Wael E A Saad, Mark G Davies, Nael Saad, David L Waldman, Takashi KitanosonoAbstract:OBJECTIVE. The purpose of our study was to determine the rate of sepsis and cholangitis associated with percutaneous Biliary Drain cholangiography and subsequent Drain exchanges and to compare the incidence of these complications between patients with liver transplants and those with native livers.MATERIALS AND METHODS. A retrospective review of 154 consecutive patients (100 with liver transplants and 54 with native livers) who underwent a total of 910 percutaneous Biliary Drain cholangiography examinations and exchanges (January 2005 to July 2008) was performed. Cholangitis was defined as fever (> 38.5°C) within 24 hours after the intervention, and sepsis included cholangitis in addition to hemodynamic instability.RESULTS. The overall incidence of cholangitis and sepsis after percutaneous Biliary Drain exchanges was 2.1% (n = 19/910 exchanges) and 0.4% (n = 4/910 exchanges), respectively. There was no statistically significant difference in complications between liver transplant patients versus nontransp...
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management of bleeding after percutaneous transhepatic cholangiography or transhepatic Biliary Drain placement
Techniques in Vascular and Interventional Radiology, 2008Co-Authors: Wael E A Saad, Mark G Davies, Michael D DarcyAbstract:Bleeding complications occur in 2 to 3% of percutaneous transhepatic Biliary Drains. These complications include: hemothorax, hemoperitoneum, subcapsular hepatic bleeding, hemobilia, melena, and bleeding from the percutaneous Biliary Drain. The bleeding sites can be classified into (1) perihepatic bleed sites (hemothorax, hemoperitoneum, subcapsular hepatic hematoma), (2) gastrointestinal bleeding (hemobilia and/or melena), and (3) bleeding from the percutaenous Biliary Drain itself, which is the most common clinical presentation. There are several bleeding sources. These include skin-bleeds, intercostal artery, portal vein, hepatic vein, and the hepatic artery. There are a variety of maneuvers that can be utilized in the management of bleeding percutaneous Biliary Drains. These include tractography, angiography, tract embolization, arterial embolization, and tract site changes. This article proposes a protocol for approaching bleeding complications after percutaneous Biliary Drain placement and details the diagnostic and therapeutic procedures in the management of these bleeding complications.
Lorenzo Bonomo - One of the best experts on this subject based on the ideXlab platform.
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Preliminary Experience Using N-butyl Cyanoacrylate for Management of Bleeding after Percutaneous Transhepatic Biliary Drain Placement: A Technical Note
Cardiovascular and interventional radiology, 2010Co-Authors: Roberto Iezzi, Alessandro Pedicelli, Federica Pirro, Roberta Dattesi, Salvatore Agnes, Gennaro Nuzzo, Lorenzo BonomoAbstract:No Abstract - Part of Introduction: Here we describe two cases of bleeding after percutaneous\ud transhepatic Biliary Drain placement that was successfully\ud treated with N-butyl cyanoacrylate without\ud significant procedural complications
Lerut Jan - One of the best experts on this subject based on the ideXlab platform.
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Technical Aspects of Orthotopic Liver Transplantation-a Survey-Based Study Within the Eurotransplant, Swisstransplant, Scandiatransplant, and British Transplantation Society Networks
Springer, 2019Co-Authors: Czigany Zoltan, Scherer, Marcus N, Pratschke Johann, Guba Markus, Nadalin Silvio, Mehrabi Arianeb, Berlakovich Gabriela, Rogiers Xavier, Pirenne Jacques, Lerut JanAbstract:Background Orthotopic liver transplantation (OLT) has emerged as the mainstay of treatment for end-stage liver disease. However, technical aspects of OLT are still subject of ongoing debate and are widely based on personal experience and local institutional protocols. Methods An international online survey was sent out to all liver transplant centers (n = 52) within the Eurotransplant, Swisstransplant, Scandiatransplant, and British Transplant Society networks. The survey sought information on center-specific OLT caseload, vascular and Biliary reconstruction, graft reperfusion, intraoperative control of hemodynamics, and Drain policies. Results Forty-two centers gave a valid response (81%). Out of these, 50% reported piggy-back and 40.5% total caval replacement as their standard technique. While 48% of all centers generally do not apply veno-venous bypass (vvBP) or temporary portocaval shunt (PCS) during OLT, vvBP/PCS are routinely used in six centers (14%). Portal vein first reperfusion is used in 64%, followed by simultaneous (17%), and retrograde reperfusion (12%). End-to-end duct-to-duct anastomosis without Biliary Drain (67%) is the most frequently performed method of Biliary reconstruction. No significant associations were found between the center caseload and the surgical approach used. The predominant part of the centers (88%) stated that techniques of OLT are not evidence-based and 98% would participate in multicenter clinical trials on these topics. Conclusion Technical aspects of OLT vary widely among European centers. The extent to which center-specific variation of techniques affect transplant outcomes in Europe should be elucidated further in prospective multicenter trials
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Technical Aspects of Orthotopic Liver Transplantation-a Survey-Based Study Within the Eurotransplant, Swisstransplant, Scandiatransplant, and British Transplantation Society Networks.
Springer, 2019Co-Authors: Czigany Zoltan, Scherer, Marcus N, Pratschke Johann, Guba Markus, Nadalin Silvio, Mehrabi Arianeb, Berlakovich Gabriela, Rogiers Xavier, Pirenne Jacques, Lerut JanAbstract:Orthotopic liver transplantation (OLT) has emerged as the mainstay of treatment for end-stage liver disease. However, technical aspects of OLT are still subject of ongoing debate and are widely based on personal experience and local institutional protocols. An international online survey was sent out to all liver transplant centers (n = 52) within the Eurotransplant, Swisstransplant, Scandiatransplant, and British Transplant Society networks. The survey sought information on center-specific OLT caseload, vascular and Biliary reconstruction, graft reperfusion, intraoperative control of hemodynamics, and Drain policies. Forty-two centers gave a valid response (81%). Out of these, 50% reported piggy-back and 40.5% total caval replacement as their standard technique. While 48% of all centers generally do not apply veno-venous bypass (vvBP) or temporary portocaval shunt (PCS) during OLT, vvBP/PCS are routinely used in six centers (14%). Portal vein first reperfusion is used in 64%, followed by simultaneous (17%), and retrograde reperfusion (12%). End-to-end duct-to-duct anastomosis without Biliary Drain (67%) is the most frequently performed method of Biliary reconstruction. No significant associations were found between the center caseload and the surgical approach used. The predominant part of the centers (88%) stated that techniques of OLT are not evidence-based and 98% would participate in multicenter clinical trials on these topics. Technical aspects of OLT vary widely among European centers. The extent to which center-specific variation of techniques affect transplant outcomes in Europe should be elucidated further in prospective multicenter trials
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Technical aspects of orthotopic liver transplantation - a survey based study within the Eurotransplant, Swisstransplant, Scandiatransplant and British transplantation society networks
'Springer Science and Business Media LLC', 2018Co-Authors: Czigany Zoltan, Pratschke Johann, Guba Markus, Nadalin Silvio, Mehrabi Arianeb, Berlakovich Gabriela, Rogiers Xavier, Pirenne Jacques, Scherer Marcus, Lerut JanAbstract:BACKGROUND: Orthotopic liver transplantation (OLT) has emerged as the mainstay of treatment for end-stage liver disease. However, technical aspects of OLT are still subject of ongoing debate and are widely based on personal experience and local institutional protocols. METHODS: An international online survey was sent out to all liver transplant centers (n = 52) within the Eurotransplant, Swisstransplant, Scandiatransplant, and British Transplant Society networks. The survey sought information on center-specific OLT caseload, vascular and Biliary reconstruction, graft reperfusion, intraoperative control of hemodynamics, and Drain policies. RESULTS: Forty-two centers gave a valid response (81%). Out of these, 50% reported piggy-back and 40.5% total caval replacement as their standard technique. While 48% of all centers generally do not apply veno-venous bypass (vvBP) or temporary portocaval shunt (PCS) during OLT, vvBP/PCS are routinely used in six centers (14%). Portal vein first reperfusion is used in 64%, followed by simultaneous (17%), and retrograde reperfusion (12%). End-to-end duct-to-duct anastomosis without Biliary Drain (67%) is the most frequently performed method of Biliary reconstruction. No significant associations were found between the center caseload and the surgical approach used. The predominant part of the centers (88%) stated that techniques of OLT are not evidence-based and 98% would participate in multicenter clinical trials on these topics. CONCLUSION: Technical aspects of OLT vary widely among European centers. The extent to which center-specific variation of techniques affect transplant outcomes in Europe should be elucidated further in prospective multicenter trials.status: publishe