A novel “hitch-and-ride” deep biliary cannulation method during rendezvous endoscopic ultrasound-guided ERCP technique

Yousuke Nakai; Hiroyuki Isayama; Saburo Matsubara; Hirofumi Kogure; Suguru Mizuno; Tsuyoshi Hamada; Naminatsu Takahara; Tomoka Nakamura; Tatsuya Sato; Tsuyoshi Takeda; Ryunosuke Hakuta; Kazunaga Ishigaki; Kei Saito; Minoru Tada; Kazuhiko Koike

doi:10.1055/s-0043-113444

Endoscopy, Table of Contents

Endoscopy 2017; 49(10): 983-988
DOI: 10.1055/s-0043-113444

Innovations and brief communications

A novel “hitch-and-ride” deep biliary cannulation method during rendezvous endoscopic ultrasound-guided ERCP technique

Yousuke Nakai

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Hiroyuki Isayama

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Saburo Matsubara

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Hirofumi Kogure

,

Suguru Mizuno

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Tsuyoshi Hamada

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Naminatsu Takahara

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Tomoka Nakamura

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Tatsuya Sato

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Tsuyoshi Takeda

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Ryunosuke Hakuta

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Kazunaga Ishigaki

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Kei Saito

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Minoru Tada

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

,

Kazuhiko Koike

Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

› Author Affiliations

Abstract

Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel “hitch-and-ride” catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV.

Patients and methods We retrospectively evaluated safety and technical success of EUS-RV between June 2011 and May 2016. Biliary cannulation during EUS-RV using three methods – over-the-wire, along-the-wire, and hitch-and-ride – were compared.

Results A total of 30 EUS-RVs were attempted and the technical success rate was 93.3 %, with two failures (one bile duct puncture and one guidewire insertion). After 28 cases of successful guidewire passage, cannulation was attempted by the over-the-wire (n = 13), along-the-wire (n = 4) or hitch-and-ride (n = 11) method. Only the hitch-and-ride method achieved biliary cannulation without guidewire loss or conversion to the other methods. Time to cannulation was shorter with the hitch-and-ride method (4 minutes) than with over-the-wire and along-the-wire methods (9 and 13 minutes, respectively). The adverse event rate of EUS-RV was 23.3 %.

Conclusion A novel hitch-and-ride catheter was feasible for biliary cannulation after EUS-RV.

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References

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