Cholangioscopy as a rescue technique of a major basket failure during ERCP

Abstract Text This is a unique case of cholangioscopy in the role of rescuer, as it managed to free the basket from the wedged stone of the common bile duct (CBD). A 47-year-old man underwent an ERCP due to difficult CBD stone. During ERCP we attempted to extract the stone using a basket through the cholangioscope. While pulling the basket, its wire was damaged. As a result, the basket with the wedged stone remained in the CBD, making it impossible for the endoscopist to manipulate it. Then, we cut the wire leaving the basket with the wedged stone in the CBD and we promoted the lithotripsy probe through the cholangioscope. We reached the stone, applied successfully Electrohydraulic Lithotripsy and set free the basket from the stone (Video). Finally, using a simple forceps we pulled the basket out and cleaned the duct from the rubbish.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/3164a787-db8d-4d06-82a7-c3604ba5ea26/Uploads/13821_FINAL_VIDEO%20Cholangioscopy%20as%20a%20rescue%20technique%20of%20a%20major%20bas....mp4

Publication History

Article published online:
15 April 2024