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Article ; Online: Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval

Francis G. Celii, BSc Biochem / Rodrick C. Zvavanjanja, MD, MSc, FRCR, DABR(DR/VIR)

Radiology Case Reports, Vol 14, Iss 2, Pp 246-

2019  Volume 250

Abstract: Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. ...

Abstract Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. We finally successfully retrieved the plastic forceps after off-label utilization of rigid bronchial forceps via a percutaneous transhepatic approach. We describe the technique utilized in detail and this appears to be the first description of this off-label use in this challenging scenario. Keywords: Proximal biliary stent migration, Foreign body retrieval, Biliary stent, Bronchial forceps, Cholelithiasis, Rendezvous procedure
Keywords Medical physics. Medical radiology. Nuclear medicine ; R895-920
Language English
Publishing date 2019-02-01T00:00:00Z
Publisher Elsevier
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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