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Safety and efficacy of percutaneous transhepatic–endoscopic rendezvous procedure in a single session

Authors :
Chivot, Cyril
Yzet, Clara
Bouzerar, Roger
Brazier, Franck
Hakim, Sami
Le Mouel, Jean Philippe
Nguyen-Khac, Eric
Delcenserie, Richard
Yzet, Thierry
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