Stent placement using the EUS‐PD rendezvous technique for pancreatic ductal stenosis after endoscopic papillectomy

Author(s):  
Kenjiro Yamamoto ◽  
Yukitoshi Matsunami ◽  
Takayoshi Tsuchiya ◽  
Ryosuke Tonozuka ◽  
Shuntaro Mukai ◽  
...  
2020 ◽  
Vol 2 (9) ◽  
pp. 01-04
Author(s):  
Ivan Mendez

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgical alterations in the normal biliary anatomy is technically challenging. We describe the case of a 73-year-old patient with an afferent limb syndrome secondary to a Whipple procedure for pancreatic cancer, in which a percutaneous rendezvous technique assisted in the endoscopic metallic stent placement with favorable outcome.


2014 ◽  
Vol 48 (9) ◽  
pp. 796-800 ◽  
Author(s):  
Kazunari Nakahara ◽  
Chiaki Okuse ◽  
Keigo Suetani ◽  
Ryo Morita ◽  
Yosuke Michikawa ◽  
...  

2019 ◽  
Vol 54 (1) ◽  
pp. 89-92
Author(s):  
Yung Hsu ◽  
Hua-Ming Cheng ◽  
Reng-Hong Wu

Endovascular stent placement (ESP) for patient with spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) is a widely accepted treatment option. However, failed percutaneous ESP is not uncommon and is one of the leading causes for laparotomy. We report a case of 63-year-old man with SIDSMA encountered failed antegrade recanalization via conventional transfemoral approach. We achieved recanalization in a retrograde fashion through middle colic artery using rendezvous technique and successfully placed self-expandable stents inside the dissected superior mesenteric artery. The patient recovered well after percutaneous ESP. We herein describe the transcollateral retrograde approach of percutaneous ESP for SIDSMA as an alternative option when conventional antegrade recanalization fails.


Pancreatology ◽  
2020 ◽  
Vol 20 ◽  
pp. S67
Author(s):  
Y. Min Jae ◽  
K. Jin Hong ◽  
H. Jae Chul ◽  
Y. Byung Moo

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 750
Author(s):  
Federico Fontana ◽  
Filippo Piacentino ◽  
Christian Ossola ◽  
Jvan Casarin ◽  
Andrea Coppola ◽  
...  

Objective: To report safety and efficacy of interventional radiology procedures in the treatment of gynecologic iatrogenic urinary leaks. Methods: A retrospective analysis of iatrogenic ureteral lesions treated between November 2009 to April 2019 was performed. Under ultrasound (US) and fluoroscopy guidance, an attempt to place a ureteral stent and nephrostomy was carried out in the same session using an anterograde percutaneous approach. At the end of any procedure, a fluoroscopic control and a cone-beam CT scan (CBCT) were performed to check the correct placement and functioning of the nephrostomy and DJ stent. In cases of difficult ureteral stent placement via the single anterograde approach, the collaboration of urologists was requested to perform a rendezvous technique, combined with the retrograde approach. Results: DJ stent placement was achieved using the anterograde approach in 12/15 (80.0%) patients and using the retrograde approach in 3/15 cases (20.0%). Moreover, in 3/15 (20.0%) patients, surgical treatment was needed: in one case because of the persistence of ureteral stenosis at 6 months, and in the other two cases due to ureter-vaginal fistula. No major complications were recorded; overall, minor complications occurred in 4/8 patients. Conclusion: Percutaneous minimally invasive treatment of iatrogenic ureteral lesions after gynecological surgery is a safe and effective option.


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