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Use of a double-lumen cytology brush catheter to allow double-guidewire technique for endoscopic interventions

BACKGROUND AND AIMS: Serial stent placement may be necessary during endoscopic interventions, but the passage of a guidewire alongside an initial stent can be challenging, time-consuming, and sometimes unsuccessful. We describe a modification of a cytology brush catheter to allow simultaneous placem...

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Detalles Bibliográficos
Autores principales: Visrodia, Kavel H., Baron, Todd H., Mavrogenis, Georgios, Topazian, Mark D., Bazerbachi, Fateh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731304/
https://www.ncbi.nlm.nih.gov/pubmed/33319145
http://dx.doi.org/10.1016/j.vgie.2020.08.016
Descripción
Sumario:BACKGROUND AND AIMS: Serial stent placement may be necessary during endoscopic interventions, but the passage of a guidewire alongside an initial stent can be challenging, time-consuming, and sometimes unsuccessful. We describe a modification of a cytology brush catheter to allow simultaneous placement of 2 guidewires to facilitate serial stent placement and demonstrate its application in different scenarios. METHODS: This is a retrospective series of 3 patients with different conditions (acute cholecystitis, pancreas pseudocyst, and severe biliary stricture) in whom placement of a second guidewire facilitated serial stent placement. A step-by-step demonstration of the technique is provided. RESULTS: Serial stent placement was successful in all patients without adverse events. CONCLUSIONS: A modified cytology brush catheter can be used to deliver 2 guidewires simultaneously during ERCP and EUS procedures. This technique may improve procedural efficiency, maintain a safety track, and augment therapy in certain situations.