Abstract
ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone. A main advantage of PTC over ERCP is the opportunity to drain obstructed bile duct segments externally, even if the obstructing stricture is not passed by the draining catheter, as PTC uses a percutaneous antegrade access route. In patients with multiple and large bile duct stones and severe comorbidity, PTCD and/or PTC-ERC rendezvous might be an alternative in multistep approaches through the established percutaneous access. This combined procedure may resolve difficult to treat bile duct obstruction and/or infection. With a tailored approach, the interventionalists are able to drain externally or internally and may excellently treat infected bilioma with downstream bile duct obstruction. An experienced, dedicated team is required.
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Abbreviations
- CT:
-
Computed tomography
- ERC:
-
Endoscopic retrograde cholangiography
- ERCP:
-
Endoscopic retrograde cholangiopancreatography
- ESGE:
-
European Society of Gastrointestinal Endoscopy
- EUS-CD:
-
Endoscopic ultrasound cholangiodrainage
- MRCP:
-
Magnetic resonance cholangiopancreatography
- MRI:
-
Magnetic resonance imaging
- PTCD:
-
Percutaneous transhepatic cholangiodrainage
- US:
-
Percutaneous ultrasound
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Albert, J.G. (2020). PTC and PTC-ERCP Rendezvous Procedures. In: Mutignani, M., Albert, J.G., Fabbri, C. (eds) Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS. Springer, Cham. https://doi.org/10.1007/978-3-030-42569-2_25
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DOI: https://doi.org/10.1007/978-3-030-42569-2_25
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