Modified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP

World J Gastroenterol. 2010 Nov 14;16(42):5388-90. doi: 10.3748/wjg.v16.i42.5388.

Abstract

The rendezvous procedure combines an endoscopic technique with percutaneous transhepatic biliary drainage (PTBD). When a selective common bile duct cannulation fails, PTBD allows successful drainage and retrograde access for subsequent rendezvous techniques. Traditionally, rendezvous procedures such as the PTBD-assisted over-the-wire cannulation method, or the parallel cannulation technique, may be available when a bile duct cannot be selectively cannulated. When selective intrahepatic bile duct (IHD) cannulation fails, this modified rendezvous technique may be a feasible alternative. We report the case of a modified rendezvous technique, in which the guidewire was retrogradely passed into the IHD through the C2 catheter after end-to-end contact between the tips of the sphincterotome and the C2 catheter at the ampulla's orifice, in a 39-year-old man who had been diagnosed with gallbladder carcinoma with a metastatic right IHD obstruction. Clinically this procedure may be a feasible and timesaving technique.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bile Ducts, Intrahepatic / pathology
  • Bile Ducts, Intrahepatic / surgery*
  • Catheterization / methods*
  • Catheters*
  • Cholangiopancreatography, Endoscopic Retrograde / methods*
  • Drainage / instrumentation
  • Drainage / methods*
  • Gallbladder Neoplasms / pathology
  • Gallbladder Neoplasms / surgery
  • Humans
  • Male