EUS rendezvous or direct intervention involves: (1) using endoscopic-ultrasound technology to access the bile duct with a small needle and manipulate a wire across the biliary orifice and into the duodenum to be then retrieved endoscopically for ERCP (rendezvous ERCP), or (2) using endoscopic-ultrasound technology to directly puncture and perform intended biliary therapy
Rendezvous ERCP via endoscopic ultrasound-guided gallbladder drainage to salvage a dislodged lumen-apposing metal stent during choledochoduodenostomy A patient with metastatic pancreatic adenocarcinoma underwent combined endoscopic ultrasound-guided fine nee-dle aspiration (EUS-FNA) and endoscopic biliary drainage. Tumor involvement of a
EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS … EUS (UCT-180; Olympus Ltd, Tokyo, Japan) revealed a dilated CBD with multiple calculi without intrahepatic biliary radicle dilation . Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity . Hence, EUS-guided rendezvous (EUS … When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy. Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure.
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How to prepare for ERCP ERCP and EUS advanced endoscopy Murdoch Perth. The Prevention eller två-seans rendezvous ERCP för behandling av gallgångstenar under Ultraljudsledd endoskopisk dränering av pseudocysta i pancreas utan EUS . Rendezvous ERCP for purely diagnostic indications in inappropriate. Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy. Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure.
Steady progress is being made in endoscopic biliary intervention, especially endoscopic ultrasonography (EUS)‐guided procedures. The EUS‐guided rendezvous technique (EUS‐RV) is a salvage method for failed selective biliary cannulation.
Marrache Mohamad K et al. EUS-guided rendezvous ERCP with steerable access device… Endoscopy 2020; 52: E355–E356 E355 This document was downloaded for personal use only. Unauthorized distribution is strictly Endoscopic ultrasound (EUS)-assisted biliary access is utilized when conventional endoscopic retrograde cholangiopancreatography (ERCP) fails. We report a 10-year experience utilizing a transduodenal EUS rendezvous via a transpapillary route without dilation of the transduodenal tract, followed by immediate ERCP access.
Mar 27, 2020 Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity (Fig. 2).
The EUS‐guided rendezvous technique (EUS‐RV) is a salvage method for failed selective biliary cannulation.
EUS-guided biliary rendezvous was successful in 14 of 15 patients (93.3%). Once the wire was across the papilla and in the duodenum, rendezvous ERCP with biliary drainage was successfully completed in all patients.
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EUS-drainage ; 50 Biliary Drainage Trans-luminal Rendezvous 51 EUS-Rendezvous vs. Precut Papillotomy Precut Rendezvous p First-time success Overall success Complications 90.3 95.8 6.9 98.3 98.3 3.4 0.38 0.35 0.27 Rendezvous is effective and safe Dhir V GI Endoscopy 2012 52 Trans-luminal route Intra vs. Extra-hepatic .
1,2. There are two major EUS-guided MPD interventions, namely, rendezvous technique
EUS and ERCP. Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.
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The EUS-guided rendezvous procedure (EUS-RV) has emerged as a rescue procedure for patients with failed endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage. 1 We have also shown EUS-RV to be an acceptable alternative to precut papillotomy in patients with difficult bile duct cannulation. 2 One of the advantages of EUS-guided biliary drainage procedure is the possibility
But with EUS, there is … Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. EUS-guided biliary rendezvous was successful in 14 of 15 patients (93.3%).
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The EUS-guided rendezvous procedure (EUS-RV) has emerged as a rescue procedure for patients with failed endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage. 1 We have also shown EUS-RV to be an acceptable alternative to precut papillotomy in patients with difficult bile duct cannulation. 2 One of the advantages of EUS-guided biliary drainage procedure is the possibility
ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone.