Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in whic...
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| Published in | Radiology case reports Vol. 14; no. 2; pp. 246 - 250 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier
01.02.2019
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| Subjects | |
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| Abstract | Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. We finally successfully retrieved the plastic forceps after off-label utilization of rigid bronchial forceps via a percutaneous transhepatic approach. We describe the technique utilized in detail and this appears to be the first description of this off-label use in this challenging scenario. |
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| AbstractList | Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. We finally successfully retrieved the plastic forceps after off-label utilization of rigid bronchial forceps via a percutaneous transhepatic approach. We describe the technique utilized in detail and this appears to be the first description of this off-label use in this challenging scenario. Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. We finally successfully retrieved the plastic forceps after off-label utilization of rigid bronchial forceps via a percutaneous transhepatic approach. We describe the technique utilized in detail and this appears to be the first description of this off-label use in this challenging scenario. Keywords: Proximal biliary stent migration, Foreign body retrieval, Biliary stent, Bronchial forceps, Cholelithiasis, Rendezvous procedure |
| Author | Celii, Francis G Zvavanjanja, Rodrick C |
| AuthorAffiliation | b Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA a University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA |
| AuthorAffiliation_xml | – name: a University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA – name: b Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA |
| Author_xml | – sequence: 1 givenname: Francis G surname: Celii fullname: Celii, Francis G organization: University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA – sequence: 2 givenname: Rodrick C surname: Zvavanjanja fullname: Zvavanjanja, Rodrick C organization: Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30479681$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/s00464-017-5657-z 10.1016/S0016-5107(95)70003-X 10.2214/ajr.130.2.287 10.1053/j.tvir.2018.03.004 10.1097/SLE.0b013e3181a031f5 10.3748/wjg.v20.i5.1318 10.1007/s00464-002-9163-5 10.1046/j.1440-1673.2002.01071.x |
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| Keywords | Bronchial forceps Foreign body retrieval Proximal biliary stent migration Rendezvous procedure Biliary stent Cholelithiasis |
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| References_xml | – volume: 32 start-page: 191 issue: 1 year: 2018 ident: 10.1016/j.radcr.2018.10.034_bib0003 article-title: Forgotten biliary stents: ignorance is not bliss publication-title: Surg Endosc doi: 10.1007/s00464-017-5657-z contributor: fullname: Kumar – volume: 42 start-page: 513 issue: 6 year: 1995 ident: 10.1016/j.radcr.2018.10.034_bib0005 article-title: Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients publication-title: Gastrointest Endosc doi: 10.1016/S0016-5107(95)70003-X contributor: fullname: Tarnasky – volume: 130 start-page: 287 issue: 2 year: 1978 ident: 10.1016/j.radcr.2018.10.034_bib0009 article-title: Postoperative biopsy of the common bile duct via the T-tube tract publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.130.2.287 contributor: fullname: Palayew – volume: 2 start-page: 85 issue: 2 year: 2018 ident: 10.1016/j.radcr.2018.10.034_bib0008 article-title: Endobronchial forceps-assisted and excimer laser-assisted inferior vena cava filter removal: the data, where we are, and how it is done publication-title: Tech Vasc Interv Radiol doi: 10.1053/j.tvir.2018.03.004 contributor: fullname: Chen – volume: 19 start-page: 217 issue: 3 year: 2009 ident: 10.1016/j.radcr.2018.10.034_bib0004 article-title: Migration of plastic biliary stents and endoscopic retrieval: an experience of three referral centers publication-title: Surg Laparosc Endosc Percutan Tech doi: 10.1097/SLE.0b013e3181a031f5 contributor: fullname: Katsinelos – volume: 8 start-page: 632 issue: 6 year: 2009 ident: 10.1016/j.radcr.2018.10.034_bib0007 article-title: Cholangiopancreatography troubleshooting: the usefulness of endoscopic retrieval of migrated biliary and pancreatic stents publication-title: Hepatobiliary Pancreat Dis Int contributor: fullname: Sakai – volume: 20 start-page: 1318 issue: 5 year: 2014 ident: 10.1016/j.radcr.2018.10.034_bib0001 article-title: Risk factors for proximal migration of biliary tube stents publication-title: World J Gastroenterol doi: 10.3748/wjg.v20.i5.1318 contributor: fullname: Kawaguchi – volume: 17 start-page: 1803 issue: 11 year: 2003 ident: 10.1016/j.radcr.2018.10.034_bib0002 article-title: Stent migration necessitating surgical intervention publication-title: Surg Endosc doi: 10.1007/s00464-002-9163-5 contributor: fullname: Diller – volume: 46 start-page: 325 issue: 3 year: 2002 ident: 10.1016/j.radcr.2018.10.034_bib0006 article-title: Percutaneous retrieval of a proximally migrated common bile duct endoprosthesis from the right anterior duct publication-title: Australas Radiol doi: 10.1046/j.1440-1673.2002.01071.x contributor: fullname: Gupta |
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| Title | Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
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