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
