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Nonsurgical fluoroscopically guided dacryocystoplasty of common canalicular obstructions.

Abstract：

PURPOSE:To assess dacryocystoplasty in the treatment of epiphora due to obstructions of the common canaliculus. METHODS:Twenty patients with severe epiphora due to partial (n = 16) or complete (n = 4) obstruction of the common canaliculus underwent fluoroscopically guided dacryocystoplasty. In all cases of incomplete obstruction balloon dilation was performed. Stent implantation was attempted in cases with complete obstruction. Dacryocystography and clinical follow-up was performed at intervals of 1 week, and 3, 6, 12, and 18 months after the procedure. The mean follow-up was 6 months (range 3-18 months). RESULTS:Balloon dilation was technically successfully performed in all patients with incomplete obstructions (n = 16). In three of four patients with complete obstruction stent implantation was performed successfully. Subsequent to failure of stent implantation in one of these patients balloon dilation was performed instead. The long-term primary patency rate in patients with incomplete obstructions was 88% (n = 14/16). In three of four cases with complete obstruction long-term patency was achieved during follow-up. Severe complications, infections, or punctal splitting were not observed. CONCLUSION:Fluoroscopically guided balloon dacryocystoplasty is a feasible nonsurgical therapy in canalicular obstructions with good clinical results that may be used as an alternative to surgical procedures. In patients with complete obstructions stent placement is possible but further investigations are needed to assess the procedural and long-term results.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Wilhelm KE,Hofer U,Textor HJ,Böker T,Strunk H,Schild HH

doi

10.1007/s002709910001

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

1-8

issue

1

eissn

0174-1551

issn

1432-086X

pii

1567

journal_volume

23

pub_type

杂志文章

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