Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma
Abstract Portal vein (PV) tear is an uncommon yet potentially fatal complication associated with balloon angioplasty, particularly when treating PV stenosis caused by tumor invasion and compression. This paper presents the case of a 66-year-old male with advanced perihilar cholangiocarcinoma who exp...
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| Format: | Article |
| Language: | English |
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BMC
2025-07-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03553-0 |
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| author | Tan-Yang Zhou Hong-Liang Wang Guo-Fang Tao Bin Xiong |
| author_facet | Tan-Yang Zhou Hong-Liang Wang Guo-Fang Tao Bin Xiong |
| author_sort | Tan-Yang Zhou |
| collection | DOAJ |
| description | Abstract Portal vein (PV) tear is an uncommon yet potentially fatal complication associated with balloon angioplasty, particularly when treating PV stenosis caused by tumor invasion and compression. This paper presents the case of a 66-year-old male with advanced perihilar cholangiocarcinoma who experienced a PV tear during a bare-metal stent implantation and balloon angioplasty for PV stenosis induced by tumor invasion. Emergency covered stent implantation effectively manages life-threatening intra-abdominal hemorrhage, leading to successful recovery. This case highlights the importance of recognizing PV tears as complications in patients undergoing balloon angioplasty and underscores the efficacy of emergency covered stent implantation in managing such cases. Additionally, this study contributes to the literature by discussing the management strategies and outcomes associated with PV tears during balloon angioplasty. |
| format | Article |
| id | doaj-art-e18fb3b31a3d4b6bb5698f311868f07d |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-e18fb3b31a3d4b6bb5698f311868f07d2025-08-20T04:03:02ZengBMCJournal of Cardiothoracic Surgery1749-80902025-07-012011710.1186/s13019-025-03553-0Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinomaTan-Yang Zhou0Hong-Liang Wang1Guo-Fang Tao2Bin Xiong3Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Nursing, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineAbstract Portal vein (PV) tear is an uncommon yet potentially fatal complication associated with balloon angioplasty, particularly when treating PV stenosis caused by tumor invasion and compression. This paper presents the case of a 66-year-old male with advanced perihilar cholangiocarcinoma who experienced a PV tear during a bare-metal stent implantation and balloon angioplasty for PV stenosis induced by tumor invasion. Emergency covered stent implantation effectively manages life-threatening intra-abdominal hemorrhage, leading to successful recovery. This case highlights the importance of recognizing PV tears as complications in patients undergoing balloon angioplasty and underscores the efficacy of emergency covered stent implantation in managing such cases. Additionally, this study contributes to the literature by discussing the management strategies and outcomes associated with PV tears during balloon angioplasty.https://doi.org/10.1186/s13019-025-03553-0Portal vein tearBalloon angioplastyStent implantationIntra-abdominal hemorrhage |
| spellingShingle | Tan-Yang Zhou Hong-Liang Wang Guo-Fang Tao Bin Xiong Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma Journal of Cardiothoracic Surgery Portal vein tear Balloon angioplasty Stent implantation Intra-abdominal hemorrhage |
| title | Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma |
| title_full | Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma |
| title_fullStr | Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma |
| title_full_unstemmed | Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma |
| title_short | Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma |
| title_sort | emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma |
| topic | Portal vein tear Balloon angioplasty Stent implantation Intra-abdominal hemorrhage |
| url | https://doi.org/10.1186/s13019-025-03553-0 |
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