Interventional radiology-operated endoscopy-assisted retrograde transnasal placement of a retrievable transhepatic covered biliary stent

Abstract

Biliary stent placement is an adjunct for complex biliary intervention. Patients with benign biliary strictures or aversion to external drainage may benefit from placement of retrievable biliary stents. This report describes a patient with a working diagnosis of benign biliary stricture who underwent interventional radiology-operated endoscopy-guided transnasal placement of a fully covered retrievable biliary stent.

Beyond the Bile Duct: Advanced IR Endoscopic Interventions Involving the Gastrointestinal, Genitourinary, and Musculoskeletal Systems

“…Persistently relevant is its attention to the increased clinical responsibility that accompanies endoscopy, which in turn would be supported by the increased emphasis placed on developing clinical acumen in IR residencies [7,8] Given the successful use of IR endoscopy in the treatment of select hepatobiliary diseases, there has been a natural progression to extend these techniques to other body systems. Specifically, there has been an increased interest in the utilization of IR endoscopy in performing genitourinary (GU), gastrointestinal (GI), and musculoskeletal interventions [9][10][11][12][13][14][15][16][17]. The benefits of direct visualization provided by endoscopy have been demonstrated to facilitate intervention in complex and challenging cases while decreasing radiation to both patients and operators [4,5].…”

Endoscopy for the Interventional Radiologist: An Introduction

“…Now; however, its resurgence is evidenced by the number of recent publications, presentations, workshops, and numerous posts on social media platforms displaying its diagnostic and therapeutic benefits. 4,[9][10][11][12][13][14][15][16] While biliary endoscopy has been the most thoroughly investigated use of this modality, exploration of its therapeutic potential in other systems is just beginning À notably in the gastrointestinal and genitourinary systems. [10][11][12][13][14] Interventional Radiology-operated endoscopy is a complex technique and thus there are a variety of challenges to overcome on initial adoption.…”

“…4,[9][10][11][12][13][14][15][16] While biliary endoscopy has been the most thoroughly investigated use of this modality, exploration of its therapeutic potential in other systems is just beginning À notably in the gastrointestinal and genitourinary systems. [10][11][12][13][14] Interventional Radiology-operated endoscopy is a complex technique and thus there are a variety of challenges to overcome on initial adoption. Firstly, a thorough understanding of the equipment is paramount; selection of the optimal endoscope given a particular clinical situation may be the difference in therapeutic benefit vs detriment.…”