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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(03): 350-353
DOI: 10.4103/ijri.IJRI_82_18
Interventional Radiology

Interventional radiology-operated endoscopy using the LithoVue disposable endoscope: Approach, technical success, clinical outcomes, and complications

Nishant Patel
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
,
Jeffrey Forris Beecham Chick
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
,
Joseph Gemmete
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
,
Rudra Pampati
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
,
Evan Johnson
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
,
Ravi Srinivasa
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
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Abstract

Purpose: To report the approach, technical success, clinical outcomes, and complications of interventional radiology-operated endoscopy using the LithoVue disposable endoscope. Materials and Methods: 12 patients, 6 (50%) males and 6 (50%) females, underwent interventional radiology-operated endoscopy using the LithoVue disposable endoscope between April 2016 and August 2017. Presenting complaint, reason for endoscopic evaluation, technical success, clinical success, procedure time, fluoroscopy time, hospital length of stay, and complications were recorded. Results: Interventional radiology-operated endoscopy using the LithoVue disposable endoscope was used in 8 (67%) biliary, 2 (16.5%) urologic, and 2 (16.5%) gastrointestinal procedures. Five (42%) patients required endoscopy to locate an ostium that could not be cannulated under fluoroscopy. Five (42%) patients had a biliary-enteric anastomosis with postoperative anatomy of the bowel which precluded endoscopic retrograde cholangiopancreatography and underwent endoscopy for removal of calculi. One (8%) patient underwent treatment of a stricture and one (8%) underwent biopsy. Technical success was 92% (11/12). Clinical success was 83% (10/12). Two complications, a perinephric hematoma and sepsis, occurred. Conclusion: Disposable endoscopes, including the LithoVue, may be used in a variety of procedures to improve patient care and limit fluoroscopy.

Keywords

Cholangioscopy - choledocholithiasis - choledochoscopy - disposable endoscopy - endoscopy - fistula - interventional endoscopy - laser - LithoVue - nephroscopy


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Ahmed S, Schlachter TR, Hong K. Percutaneous transhepatic cholangioscopy. Tech Vasc Interv Radiol 2015; 18: 201-9
    CrossrefPubMedGoogle Scholar
  • 2 Patel SR, Nakada SY. The modern history and evolution of percutaneous nephrolithotomy. J Endourol 2015; 29: 153-7
    CrossrefPubMedGoogle Scholar
  • 3 Armitage JN, Withington J, Fowler S, Finch WJG, Burgess NA, Irving SO. et al Percutaneous nephrolithotomy access by urologist or interventional radiologist: Practice and outcomes in the UK. BJU Int 2017; 119: 913-8
    CrossrefPubMedGoogle Scholar
  • 4 Elta GH, Jorgensen J, Coyle WJ. Training in interventional endoscopy: Current and future state. Gastroenterology 2015; 148: 488-90
    CrossrefPubMedGoogle Scholar
  • 5 Ray DM, Srinivasan I, Tang SJ, Vilmann AS, Vilmann P, McCowan TC. et al. Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology. World J Radiol 2017; 9: 97-111
    CrossrefPubMedGoogle Scholar
  • 6 Gridley CM, Knudsen B. Digital ureteroscopes: Technology update. Res Rep Urol 2017; 9: 19-25
    PubMedGoogle Scholar
  • 7 Chick JFB, Romano N, Gemmete JJ, Srinivasa RN. Disposable single-use ureteroscopy-guided nephroureteral stent placement in a patient with pyelovesicostomy stricture and failed prior nephroureteral stent placement. J Vasc Interv Radiol 2017; 28: 1319-21
    CrossrefPubMedGoogle Scholar