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Safety and efficacy of percutaneous transhepatic–endoscopic rendezvous procedure in a single session
- Source :
- Surgical Endoscopy; July 2021, Vol. 35 Issue: 7 p3534-3539, 6p
- Publication Year :
- 2021
-
Abstract
- Purpose: To demonstrate the feasibility and safety of PTE-RV performed in a single session. Materials and methods: This is a retrospective review of a prospective database on ERCP between January 2014 and December 2018. PTE-RV was performed in case of second ERCP failure. Technical success was defined as the establishment of an intestinal access to the biliary tract using a PTE-RV procedure allowing an immediate internal biliary drainage. Safety endpoints included intra-operative complications, morbidity and mortality occurring within 30 days after the procedure. Results: Eighty-four patients (44 M/40F) with a median age of 69 years (range 40–91 years) underwent combined PTE-RV. The PTE-RVs were successfully performed in the same session in 80 subjects, resulting in an overall technical success rate of 95.2%. Adverse events were observed in 19% (16/84) of cases. The mortality rate within 30 days after the procedure was 9.5%. Conclusion: Percutaneous transhepatic–endoscopic rendezvous technique is feasible in a single session with acceptable level of risk. A randomized trial is required to compare EUBD and PTE-RV.
Details
- Language :
- English
- ISSN :
- 09302794 and 14322218
- Volume :
- 35
- Issue :
- 7
- Database :
- Supplemental Index
- Journal :
- Surgical Endoscopy
- Publication Type :
- Periodical
- Accession number :
- ejs53873862
- Full Text :
- https://doi.org/10.1007/s00464-020-07812-0