Open AccessModified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP
Author(s) -
Tae Hoon Lee,
SangHeum Park,
Sae Hwan Lee,
Chang Kyun Lee,
Suck-Ho Lee,
IlKwun Chung,
Hong Soo Kim,
SunJoo Kim
Publication year - 2010
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v16.i42.5388
Subject(s) - rendezvous , medicine , catheter , endoscopic retrograde cholangiopancreatography , bile duct , ampulla , surgery , percutaneous , intrahepatic bile ducts , gallbladder , radiology , pancreatitis , engineering , spacecraft , aerospace engineering
The rendezvous procedure combines an endoscopic technique with percutaneous transhepatic biliary drainage (PTBD). When a selective common bile duct cannulation fails, PTBD allows successful drainage and retrograde access for subsequent rendezvous techniques. Traditionally, rendezvous procedures such as the PTBD-assisted over-the-wire cannulation method, or the parallel cannulation technique, may be available when a bile duct cannot be selectively cannulated. When selective intrahepatic bile duct (IHD) cannulation fails, this modified rendezvous technique may be a feasible alternative. We report the case of a modified rendezvous technique, in which the guidewire was retrogradely passed into the IHD through the C2 catheter after end-to-end contact between the tips of the sphincterotome and the C2 catheter at the ampulla's orifice, in a 39-year-old man who had been diagnosed with gallbladder carcinoma with a metastatic right IHD obstruction. Clinically this procedure may be a feasible and timesaving technique.