3-Fr microcatheter-assisted endoscopic ultrasound-guided rendezvous technique with a 22-gauge needle and a 0.018-inch guidewire for difficult biliary cannulation

J Hepatobiliary Pancreat Sci. 2024 Feb;31(2):e5-e7. doi: 10.1002/jhbp.1377. Epub 2023 Oct 9.

Abstract

Endoscopic ultrasound-guided rendezvous with a 22-gauge needle and a 0.018-inch guidewire, assisted by a 3-Fr microcatheter, effectively addresses challenges in biliary cannulation, improving guidewire manipulation and reducing risks of injury and leakage. Natsume and colleagues describe the successful extraction of common bile duct stones to demonstrate the efficacy of this technique.

Keywords: 3-Fr microcatheter; CBD stone; endoscopic biliary drainage; interventional EUS; rendezvous technique.

Publication types

  • Case Reports

MeSH terms

  • Catheterization* / methods
  • Cholangiopancreatography, Endoscopic Retrograde* / methods
  • Drainage / methods
  • Endosonography / methods
  • Humans
  • Needles
  • Ultrasonography, Interventional