Journal: Scientific Reports
Article Title: Safety and feasibility of a novel recanalization technique using guidewire puncture under cholangioscopy for complete biliary stricture after liver transplantation
doi: 10.1038/s41598-023-31475-1
Figure Lengend Snippet: SpyGlass-assisted puncture of the complete biliary anastomotic strictures using the hard tip of the guidewire. ( a ) The stricture is impassable by conventional ERCP methods. The cholangiography, which is performed though PTCD and ERCP at the same time, implies two disconnected stumps. ( b ) The stricture is completely occlusive under SpyGlass. ( c ) Hard-tip (arrow) puncture of the stricture is performed under guidance of both SpyGlass and fluoroscopy. ( d ) Recanalization is successful, as indicated by the visible graft duct. ( e ) The stricture is expanded with 8 Fr dilating bougie. ( f ) A fully covered self-expanding metallic stent is deployed over the guidewire.
Article Snippet: The hard tip of a guidewire (Jagwire, 0.035 inch, Boston Scientific, USA) was advanced through the working channel to the top of the cholangioscope.
Techniques: