Percutaneous creation of a biliary enteric neo-anastomosis in a pediatric liver transplant patient using a vascular re-entry device

Abstract

Establishing access across a post-liver transplant anastomotic obstruction is paramount to allow future management with serial dilatation and to avoid surgical interventions. Several techniques have been reported to facilitate crossing complete anastomotic obstructions. Here, we report a case of successful off-label use of a vascular re-entry device to cross a complete anastomotic obstruction in a child after failed antegrade and retrograde attempts.

Keywords

• anastomosis
• roux-en-y; biliary atresia; liver transplantation