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

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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.

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Authors and Affiliations

  1. Department of Radiology, Amiens University Hospital, Avenue René Laennec Cedex 01, 80054, Amiens, France

    Cyril Chivot & Thierry Yzet

  2. Department of HepatoGastroenterology, Amiens University Hospital, Avenue René Laennec Cedex 01, 80054, Amiens, France

    Clara Yzet, Franck Brazier, Sami Hakim, Jean Philippe Le Mouel, Eric Nguyen-Khac & Richard Delcenserie

  3. Image Processing Department, Amiens University Hospital, Avenue René Laennec Cedex 01, 80054, Amiens, France

    Roger Bouzerar

Authors
  1. Cyril Chivot
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  2. Clara Yzet
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  3. Roger Bouzerar
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  9. Thierry Yzet
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Correspondence to Cyril Chivot.

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Disclosures

Drs Cyril Chivot, Clara Yzet, Roger Bouzerar, Franck Brazier, Sami Hakim, Jean Philippe Le Mouel, Eric Nguyen-Khac, Richard Delcenserie and Thierry Yzet have no conflicts of interest or financial ties to disclose.

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Chivot, C., Yzet, C., Bouzerar, R. et al. Safety and efficacy of percutaneous transhepatic–endoscopic rendezvous procedure in a single session. Surg Endosc 35, 3534–3539 (2021). https://doi.org/10.1007/s00464-020-07812-0

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  • DOI: https://doi.org/10.1007/s00464-020-07812-0

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