Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval

Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval

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 whic...

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Main Authors: Francis G. Celii, BSc Biochem, Rodrick C. Zvavanjanja, MD, MSc, FRCR, DABR(DR/VIR)
Format: Article
Language:English
Published: Elsevier 2019-02-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318304916
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spelling doaj-6a1741e5e7684f5783af2655077d9d802020-11-24T21:40:25ZengElsevierRadiology Case Reports1930-04332019-02-01142246250Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrievalFrancis G. Celii, BSc Biochem0Rodrick C. Zvavanjanja, MD, MSc, FRCR, DABR(DR/VIR)1University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USADepartment of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA; Corresponding author.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 procedurehttp://www.sciencedirect.com/science/article/pii/S1930043318304916
collection DOAJ
language English
format Article
sources DOAJ
author Francis G. Celii, BSc Biochem
Rodrick C. Zvavanjanja, MD, MSc, FRCR, DABR(DR/VIR)
spellingShingle Francis G. Celii, BSc Biochem
Rodrick C. Zvavanjanja, MD, MSc, FRCR, DABR(DR/VIR)
Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
Radiology Case Reports
author_facet Francis G. Celii, BSc Biochem
Rodrick C. Zvavanjanja, MD, MSc, FRCR, DABR(DR/VIR)
author_sort Francis G. Celii, BSc Biochem
title Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
title_short Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
title_full Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
title_fullStr Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
title_full_unstemmed Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
title_sort percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2019-02-01
description 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
url http://www.sciencedirect.com/science/article/pii/S1930043318304916
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AT rodrickczvavanjanjamdmscfrcrdabrdrvir percutaneoustranshepaticuseofrigidbronchialforcepsasbailoutindifficultbiliarystentretrieval
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