A RETROSPECTIVE ANALYSIS TO ASSESS THE IMPORTANCE OF DOING A BILIARY SPHINCTEROTOMY TO INCREASE AND SIMPLIFY CANNULATION SUCCESS RATE OF THE MAIN PANCREATIC DUCT

2019 ◽  
Author(s):  
P Desai ◽  
M Kabrawala ◽  
S Nandwani ◽  
R Mehta ◽  
C Patel ◽  
...  
Keyword(s):  
Success Rate ◽  
Pancreatic Duct ◽  
Retrospective Analysis ◽  
Main Pancreatic Duct ◽  
Biliary Sphincterotomy ◽  
Cannulation Success Rate ◽  
Cannulation Success

scholarly journals Subclavian Vein Cannulation Success Rate in Neonates and Children

2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Reza Aminnejad ◽  
Seyed Sajjad Razavi ◽  
Seyed Amir Mohajerani ◽  
Seyed Alireza Mahdavi
Keyword(s):  
Success Rate ◽  
Subclavian Vein ◽  
Vein Cannulation ◽  
Cannulation Success Rate ◽  
Cannulation Success

scholarly journals Comparison of three different techniques for internal jugular vein cannulation under real time ultrasound guidance

2021 ◽  
Vol 8 (2) ◽  
pp. 129
Author(s):  
Reena Mahajan ◽  
Suchitra Malhotra
Keyword(s):  
Success Rate ◽  
Real Time ◽  
Traditional Approach ◽  
Venous Access ◽  
Access Time ◽  
Internal Jugular Vein Cannulation ◽  
Successful Cannulation ◽  
Number Of Patients ◽  
Cannulation Success Rate ◽  
Cannulation Success

<p><strong>Background: </strong>Ultrasound (USG) guided Internal jugular venous (IJV) cannulation is preferred than traditional approach due to increase in success rate, reduction in time taken and attempts of successful cannulation and less complications. The purpose of our study was to observe and compare three different real time 2-dimensional US-guided approaches and to determine which approach improves rate of successful cannulation, decreases complications along with shorter average time taken for the procedure. Primary outcomes of the study were venous access time, catheterization time and success rate. Secondary outcomes were number of patients requiring second attempt and complications observed.</p><p><strong>Methods: </strong>120 adult patients were randomly divided into three groups according to real time US guided cannulation done with SAX-OP approach, LAX-IP approach and OAX-IP approach. Parameters like venous access time, catheterization time, number of patients requiring second attempt and complications were noted.</p><p><strong>Results: </strong>Venous access time was shortest in LAX group 21.84±3.67 seconds which was just significant statistically. Catheterization time was shortest in LAX group 241±123 seconds. Cannulation success rate was highest in LAX group 98% and was statistically significant. Patients requiring second attempt was least in LAX group 2.5%. Posterior IJV wall puncture was observed in 10% patients in SAX group and none in LAX and OAX group which was statistically significant.</p><p><strong>Conclusions:</strong> LAX-IP showed better performance in terms of higher cannulation success, lesser average venous access time and catheterization time and lesser complications. On toggling USG probe, both IJV and carotid artery can be differentiated and carotid puncture could be avoided. Hence LAX approach is safer and effective approach.</p>

scholarly journals Transpancreatic Precut Sphincterotomy for Biliary Access: The Relation of Sphincterotomy Size to Immediate Success Rate of Biliary Cannulation

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Lien-Fu Lin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Success Rate ◽  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
The Other ◽  
Pancreatic Stent ◽  
Biliary Cannulation ◽  
Needle Knife ◽  
Precut Sphincterotomy

Background. Transpancreatic precut sphincterotomy (TPS) is an option for difficult common bile duct (CBD) access, and the reports are few, with immediate success rate varying from 60 to 96%. The description of relation between the size of TPS and the immediate success rate of CBD cannulation was not found in the literature. The Aim of the Study. To evaluate the relation of large TPS to immediate success rate of CBD cannulation. Methods. A retrospective analysis was performed in prospectively collected data of 20 patients. TPS was performed with traction papillotome in the main pancreatic duct (MPD) directing towards 11 o’clock. Needle knife (NK) was used to enlarge TPS in five patients, and the other 15 cases had large TPS from the beginning of sphincterotomy. Prophylactic pancreatic stent was inserted in 18 cases, with diclofenac given in 12 cases. Results. The immediate success rate of CBD cannulation was 90% and with an eventual success rate of 100%. The failure in one immediate CBD cannulation with large TPS was due to atypical location of CBD orifice, and the other failed immediate CBD cannulation was due to inadequate size of TPS. Complications included 3 cases of post-TPS bleeding and 3 cases of mild pancreatitis. Conclusion. TPS is an effective procedure in patients with difficult biliary access and can have high immediate success rate with large TPS.

scholarly journals A Randomized Controlled Trial of Radial Artery Cannulation Guided by Modified Long Axis Ultrasound Versus Short Axis Ultrasound Versus Palpation

2020 ◽  
Author(s):  
Jiebo Wang ◽  
Liangcheng Zhang ◽  
Zisong Zhao ◽  
Zhongmeng Lai ◽  
Qijian Huang ◽  
...  
Keyword(s):  
Success Rate ◽  
Radial Artery ◽  
Controlled Trial ◽  
Short Axis ◽  
Ultrasound Guided ◽  
Radial Artery Cannulation ◽  
Artery Cannulation ◽  
Out Of Plane ◽  
Cannulation Success Rate ◽  
Cannulation Success

Abstract Background: Given the low first-pass success rate of the conventional short-axis (SAX) or long-axis (LAX) approach, ultrasound-guided radial artery cannulation in adults with radial artery diameters less than 2.2 mm may still be challenging. In this study, we compare the efficacy of modified long-axis in-plane(M-LAIP) versus short-axis out-of-plane (SAOP) or conventional palpation(C-P) approaches for ultrasound-guided radial artery cannulation.Methods: This was a prospective, randomized and controlled trial, conducted from 1 July 2018 to 24 November 2018. A total of 201 patients (age 18 to 85 years, the diameter of the radial artery less 2.2 mm) were included. All patients were randomized 1:1:1 to the M-LAIP, SAOP or conventional palpation (C-P) approach. The primary outcome was the cannulation success rate. Secondary outcomes included first location time and cannulation time, number of attempts. The Chi-square (χ2) test was used to compare categorical data between 3 groups.Results: The cannulation success rate was significantly higher in the M-LAIP group than in the SAOP or C-P groups (first success rate: 80.3% vs 53.8% or 33.8%; p < 0.001; total success rate: 93.9% vs 78.5% or 50.8%; p < 0.001). First location time (seconds) was significantly longer in the M-LAIP group (31(28-35[12-44])) than in the SAOP (15(14-17[10-21]); p < 0.001) and C-P groups (12(8-13.5 [6-37]). However, the cannulation time (seconds) in the M-LAIP group (29(24-45[16-313])) was significantly shorter than that in the SAOP (45(28.5-135.5[14-346]); p = 0.002) and the C-P groups (138(27-308[12-363]); p < 0.001). The number of attempts was lower in the M-LAIP group compared with SAOP or C-P group (1.29±0.63 vs 1.8±0.89 or 2.22±0.93, p < 0.001).Conclusions: The use of the M-LAIP approaches significantly improved the success rate of radial artery cannulation in adults with radial artery diameters less than 2.2 mm, compared with that achieved with the use of traditional short-axis out-of-plane approach.Trial registration: ClinicalTrials.gov; No: ChiCTR-IOR-17011474; URL: http: // www. chictr.org. cn/index.aspx. Registered 24 June 2018.

scholarly journals Impact of Periampullary Diverticulum on Biliary Cannulation and ERCP Outcomes: A Single-Center Prospective Study

2020 ◽  
Author(s):  
Fatema Tabak ◽  
Guo-Zhong Ji ◽  
Lin Miao
Keyword(s):  
Adverse Events ◽  
Success Rate ◽  
Biliary Cannulation ◽  
Periampullary Diverticulum ◽  
Group A ◽  
Group B ◽  
Cannulation Success Rate ◽  
Cannulation Success ◽  
Selective Cannulation ◽  
The Impact

Aim: This study aimed to investigate the association between periampullary diverticulum (PAD) and difficult biliary cannulation, as well as to evaluate the impact of different types of PAD on the cannulation success rate and adverse events. Methods: A total of 636 patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) during the study period were prospectively studied and divided into two groups based on the presence or absence of PAD. In group A, 126 patients had PAD compared with 510 patients in group B without PAD. The primary outcome measurements were ERCP procedures time, selective cannulation techniques, and cannulation difficulty in addition to cannulation success rate and ERCP-related adverse events. The difficult cannulation was analyzed using logistic regression considering age, co-morbidities, the presence of PAD types, and indications as independent factors. Results: The average cohort age was 65.30&plusmn;16.67 years, and 52.7% were male. Significant higher rates of choledocholithiasis, cholangitis, and biliary pancreatitis were reported in the group of PAD (p&lt;0.05). Successful selective cannulation was achieved in 97.6% in group A and 95.3% in group B (p&gt;0.05). The cannulation time was significantly longer in the presence of PAD (5.1 min, vs. 4.09 min, p&lt;0.05). There was no significant difference in the rate of overall adverse events and post ERCP pancreatic PEP. Conclusion: The presence of PAD did not affect the duration or success of the ERCP procedure. Furthermore, it was associated with longer cannulation time and increase in the cannulation difficulty, especially with PAD type 1.

Evaluation of the AirgloveTM, An Air-Regulated Thermal-Venodilatory Device Facilitating the Cannulation of Patients With Difficult Venous Access

2021 ◽  
Author(s):  
Leon Gerard D'Cruz ◽  
Elaine Gardiner ◽  
Priyank Shukla ◽  
Dianne M. Dickson ◽  
Tiago M. Malaquias ◽  
...  
Keyword(s):  
Success Rate ◽  
Water Immersion ◽  
Venous Access ◽  
Cross Sectional ◽  
Percentage Body Fat ◽  
Array Transducer ◽  
Cubital Fossa ◽  
Cannulation Success Rate ◽  
Cannulation Success ◽  
Difficult Venous Access

Abstract Background Difficult venous access (DVA) can prevent delivery of life-saving intravenous (IV) fluids and medication. The Airglove™ was developed to facilitate IV access, circumventing DVA in chemotherapy patients, as current warm-water immersion (WWI) methods are sub-optimal. Methods This study had two parts; EAGLE-1, an observational, proof-of-concept study and EAGLE-2, a prospective, cross-sectional comparative study. EAGLE-1 recruited 80 adult participants undergoing chemotherapy for cancer with DVA where venous cannula insertion success rate was evaluated using Airglove™. EAGLE-2 was carried out on 34 adult healthy participants where the degree of venodilation by WWI and AirGlove™ in three veins; cubital-fossa cephalic vein, cubital-fossa median vein and the third dorsal carpal vein on both arms were measured using the GE Logic S8 multi-frequency linear-array transducer (L6-15MHz), two-dimension B-mode ultrasound. Baseline measurements were taken at 23oC, forearms were warmed to 38oC using the two modalities prior to ultrasound assessment. Results An IV cannulation success-rate of 87.5% was achieved with the Airglove™ in EAGLE-1. The EAGLE-2 study demonstrated significant venodilation enhancement in all veins examined (p < 0.001, 95% C.I) using the Airglove™. BMI, percentage body-fat, age, gender, or blood-pressure did not significantly influence the degree of venodilation. Conclusions Airglove™ enabled a significant percentage of successful cannulations in participants with DVA in EAGLE-1. EAGLE-2 demonstrated that Airglove™ significantly enhanced venodilation compared to WWI. There may be potential for Airglove™ to be considered in specific clinical settings where DVA is encountered.

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