{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T07:58:40Z","timestamp":1759564720194,"version":"3.41.2"},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T00:00:00Z","timestamp":1537660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Stenosis of the HJ is a common complication of pediatric split LT with high morbidity and possible evolution to secondary biliary cirrhosis and re\u2010transplantation if not treated. Because the endoscopy is generally infeasible in the Roux\u2010en\u2010Y, percutaneous interventional radiology management is usually the safest and most effective approach to avoid surgical revision of a stenotic bilio\u2010enteric anastomosis. We present the case of a child with acute onset of cholestasis 7\u00a0months after left lateral segment partial LT due to occlusion of the HJ. The biliary stricture was found to be non\u2010crossable with conventional interventional radiological techniques. The obstruction was resolved creating a new bilio\u2010digestive communication via percutaneous transhepatic approach using the TPS. This device is usually employed by the interventional cardiologist to perform some procedures requiring the direct access to the left atrium through interatrial septal puncture. In conclusion, percutaneous transhepatic recanalization of the hepato\u2010jejuno anastomosis is a rare but feasible and valuable procedure alternative to the surgical resolution even in small infants. Although few cases have been reported in literature, it has to be considered an additional treatment option when the conventional approaches fail.<\/jats:p>","DOI":"10.1111\/petr.13293","type":"journal-article","created":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T00:44:57Z","timestamp":1537749897000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Successful percutaneous transhepatic recanalization of a completely obstructed hepatico\u2010jejunal anastomosis in a child with liver transplantation: Unusual employment of the transseptal puncture system"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7926-3951","authenticated-orcid":false,"given":"Guglielmo","family":"Paolantonio","sequence":"first","affiliation":[{"name":"Interventional Radiology Unit, Department of Imaging Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Pietrobattista","sequence":"additional","affiliation":[{"name":"Hepatology and Gastroenterology Unit, Department of Specialist Pediatrics Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George Koshy","family":"Parapatt","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Imaging Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Liccardo","sequence":"additional","affiliation":[{"name":"Hepatology and Gastroenterology Unit, Department of Specialist Pediatrics Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gian Luigi","family":"Natali","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Imaging Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manila","family":"Candusso","sequence":"additional","affiliation":[{"name":"Hepatology and Gastroenterology Unit, Department of Specialist Pediatrics Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Spada","sequence":"additional","affiliation":[{"name":"Department of Abdominal Transplantation and Hepatobiliary and Pancreatic Surgery Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Rollo","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Imaging Bambino Ges\u00f9 Children\u2019s Hospital IRCCS Rome 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