Clin Endosc.  2018 Mar;51(2):206-207. 10.5946/ce.2017.110.

Piggyback Rendezvous Cannulation for Endoscopic Metal Stent Conversion of Percutaneous Transhepatic Biliary Drainage

• Zimmer V

• KMID: 2410991
• DOI: http://doi.org/10.5946/ce.2017.110

Abstract

No abstract available.

MeSH Terms

Catheterization*
Drainage*
Stents*

Figure

• 

  Fig. 1. Different steps of the novel piggyback technique for rendezvous cannulation with biliary metal stent conversion. (A) Cannulation of the withdrawn 10-F percutaneous transhepatic biliary drainage (PTBD) catheter with a conical, tapered-tip, 5.5-F endoscopic retrograde cholangiopancreatography (ERCP) catheter (Endoflex, Voerde, Germany). (B) Pushing of the cannula into the intern-extern drain for proper alignment (note spraining of the PTBD catheter). (C) Crossing of the common bile duct stricture using coordinated push (ERCP) and pull (PTBD catheter) maneuvers. (D) Removal of the ERCP cannula after guidewire insertion (0.035-inch Jagwire; Boston Scientific, Ratingen, Germany) and release of the end-to-end contact. (E) Final documentation of the transpapillary inserted, partially covered biliary metal stent (Leufen Medical, Aachen, Germany) after PTBD removal.

Reference

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2. Lee TH, Park SH, Lee SH, et al. Modified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP. World J Gastroenterol. 2010; 16:5388–5390.

3. Chang JH, Lee IS, Chun HJ, et al. Comparative study of rendezvous techniques in post-liver transplant biliary stricture. World J Gastroenterol. 2012; 18:5957–5964.