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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250801/ https://www.ncbi.nlm.nih.gov/pubmed/30479681 http://dx.doi.org/10.1016/j.radcr.2018.10.034 |
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author | Celii, Francis G. Zvavanjanja, Rodrick C. |
author_facet | Celii, Francis G. Zvavanjanja, Rodrick C. |
author_sort | Celii, Francis G. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6250801 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-62508012018-11-26 Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval Celii, Francis G. Zvavanjanja, Rodrick C. Radiol Case Rep Interventional Radiology 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. Elsevier 2018-11-20 /pmc/articles/PMC6250801/ /pubmed/30479681 http://dx.doi.org/10.1016/j.radcr.2018.10.034 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Interventional Radiology Celii, Francis G. Zvavanjanja, Rodrick C. Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
title | Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
title_full | Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
title_fullStr | Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
title_full_unstemmed | Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
title_short | Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
title_sort | percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval |
topic | Interventional Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250801/ https://www.ncbi.nlm.nih.gov/pubmed/30479681 http://dx.doi.org/10.1016/j.radcr.2018.10.034 |
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