From Endoscopy to Interventional Radiology: Biliary Recanalization with a Freehand Cystotome of a Strasberg C Bile Duct Injury

Abstract Text To address a Strasberg type C bile duct injury, a radiological/endoscopic rendezvous procedure was planned. Even the interventional radiologist was unable to pass through the suprasternal right duct stenosis from above using guide wire techniques.The decision was made to forcefully recanalize the stenosis using a non-wire-guided 6 Fr cystotome inserted percutaneously by the endoscopist. After creating a fistula with the freehand cystotome, a guide wire was successfully placed in the common bile duct. The rendezvous procedure was then completed by advancing the guide wire into the duodenum, dilating the fistula with a 4 mm balloon over the wire, and placing a 10 Fr plastic stent.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/6fe64ffe-f619-4d29-af25-d2b7163f875e/Uploads/16849_Creation_of%20a%20new%20bile%20duct%20with%20percutaneous%20cystotome%20v2.mp4

Publication History

Article published online:
27 March 2025