Modified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP.

Abstract

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.

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Cite this paper

@article{Lee2010ModifiedRI, title={Modified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP.}, author={Tae Hoon Lee and Sang-Heum Park and Sae Hwan Lee and Chang-Kyun Lee and Suck-Ho Lee and Il-Kwun Chung and Hong Soo Kim and Sun-Joo Kim}, journal={World journal of gastroenterology}, year={2010}, volume={16 42}, pages={5388-90} }