EUS-guided choledochoduodenostomy creation using a biliary fully covered self-expanding metal stent after maldeployment of lumen-apposing metal stent

Abstract

Video 1Video depicts EUS-guided choledochoduodenostomy creation using a biliary fully covered self-expanding metal stent after maldeployment of a lumen-apposing metal stent.

Keywords: CBD, common bile duct; LAMS, lumen-apposing metal stent.

Figure 1

CT imaging demonstrating common bile duct dilation to 15 mm secondary to a 6-cm pancreatic head mass.

Figure 2

EUS-guided cholangiogram verifying common bile duct dilation of 15 mm because of a high-grade distal biliary stricture.

Figure 3

Endoscopic visualization of common bile duct defect through the indwelling duodenal lumen-apposing metal stent.

Figure 4

Direct (A) and Fluoroscopic (B) visualization of the bridging 10-mm × 8-cm biliary fully covered self-expanding metal stent that was deployed over a guidewire and through the indwelling lumen apposing metal stent.

Figure 5

Verification of choledochoduodenostomy creation via the injection of contrast dye through the biliary fully covered self-expanding metal stent using a sphincterotome.