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. 2020 Jun 10;5(8):359-361.
doi: 10.1016/j.vgie.2020.04.023. eCollection 2020 Aug.

EUS-guided rendezvous with a steerable access needle in choledocholithiasis

Sundeep Lakhtakia  1 , Radhika Chavan  1 , Mohan Ramchandani  1 , Jahangeer Basha  1 , D Nageshwar Reddy  1
Affiliations

EUS-guided rendezvous with a steerable access needle in choledocholithiasis

Sundeep Lakhtakia et al. VideoGIE. .
No abstract available

Keywords: CBD, common bile duct; RV, rendezvous.

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Figures

Figure 1
Figure 1
Linear EUS. Dilated common bile duct with multiple stones.
Figure 2
Figure 2
Duodenal diverticulum with nonvisualized intradiverticular papilla with multiple out-pouching.
Figure 3
Figure 3
Beacon needle. External image. A, Sharp stylet projecting beyond the tip of the straight needle. B, Needle tip bent (90°) on withdrawal of the stylet.
Figure 4
Figure 4
EUS image with the needle inside the common bile duct. A, Straight needle. B, Needle tip bent (90°) on withdrawal of the stylet.
Figure 5
Figure 5
Dilated common bile duct with stones. Access needle bent with the tip pointing toward the papilla. Guidewire projecting through the needle is across the papilla and coiled within the duodenum.
Figure 6
Figure 6
Cholangiogram showing dilated common bile duct with multiple calculi.
Figure 7
Figure 7
Occlusion cholangiogram showing clear common bile duct.
See this image and copyright information in PMC

References

    1. Nakai Y., Kogure H., Isayama H. Endoscopic ultrasound-guided biliary drainage for benign biliary diseases. Clin Endosc. 2019;52:212–219. - PMC - PubMed
    1. Mukai S., Itoi T., Sofuni A. EUS-guided antegrade intervention for benign biliary diseases in patients with surgically altered anatomy (with videos) Gastrointest Endosc. 2019;89:399–407. - PubMed
    1. Marrache MK, Al-Sabban A, Itani M, et al. Endoscopic ultrasound-guided rendezvous ERCP using a steerable access device. Endoscopy. Epub 2020 Mar 27. - PubMed

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