Stent implantation through rendezvous technique of PTBD and ERCP: The treatment of obstructive jaundice

Abstract

Stent implantation using the rendezvous technique of PTBD and ERCP is a new and feasible method to treat obstructive jaundice after initially unsuccessful ERCP. This may be of considerable value in clinical practice.

Color Doppler ultrasound-guided PTBD with and without metal stent implantation by endoscopic control: prospective success and early adverse event rates

“…In this approach, the guide wire has to be grasped and has to be introduced in the working channel of the duodenoscope which could be quite time consuming and challenging. Then, the self-expanding metal stent is implemented via ERCP [22]. In our technique this further step is not necessary.…”

Endoscopic palliation of biliary obstruction

“…The wire is visualized endoscopically and grasped by a snare or forceps, which allows for subsequent endoscopic stent placement (Figure ). This technique has been shown to be successful with reported rates of biliary drainage in approximately 90% of cases when initial endoscopic biliary drainage is unsuccessful . However, PTC‐assisted ERCP can be limited as it often necessitates a two‐step procedure and requires complex coordination with interventional radiologists and advanced endoscopists.…”

A Multidisciplinary Approach to Pancreas Cancer in 2016: A Review

“…While both percutaneous internal–external drainage catheter and SEMS placement are safe and effective when initial ERCP is unsuccessful, an alternative approach to percutaneous drainage alone is the combined interventional radiology and ERCP rendezvous procedure (87). Similar to the EUS-ERCP rendezvous procedure described above, antegrade cholangiography defines the level of biliary obstruction, followed by advancement of the guidewire across the obstruction into the duodenum.…”