Coronary balloon angioplasty for severe biliary strictures: a novel endoscopic approach

Česká verzia

Authors: G. R. Sivandzadeh ¹ ; S. A. Taghavi ¹ ; M. Tahani ² ; F. Sharafi ² ; I. Shahramian ¹
Authors place of work: Gastroenterohepatology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran ¹; Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran ²
Published in the journal: Gastroent Hepatol 2025; 79(6): 473-477
Category: Klinická a experimentální gastroenterologie: přehledová práce

Summary

:Severe biliary strictures present a substantial challenge in endoscopic interventions, often resistant to conventional dilation techniques. This case series explores the successful utilization of coronary angioplasty balloons, typically reserved for cardiovascular applications, in six patients with tight biliary strictures where standard through-the-scope (TTS) balloons failed. The patients, ranging from pediatric to adult cases, exhibited diverse etiologies, including post-transplant and chronic inflammatory strictures. Results demonstrated the versatility and efficacy of coronary balloons, achieving complete biliary flow restoration without complications. This study highlights the potential of coronary balloon angioplasty as an indispensable tool for complex endoscopic retrograde cholangiopancreatography (ERCP) procedures. These findings support the broader adoption of this technique and warrant further investigations through larger clinical studies.

Keywords:

ERCP – coronary balloon – biliary stenting – severe biliary strictures – endoscopic dilation – case series

Zdroje

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