Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis

Abstract Endoscopic transpapillary gallbladder drainage is an alternative procedure for patients with acute cholecystitis. However, this procedure is technically challenging because the drainage stent is sometimes obstructed by an impacted cystic duct stone, even if the guidewire is advanced into th...

Full description

Bibliographic Details
Main Authors: Tesshin Ban, Yoshimasa Kubota, Takuya Takahama, Tomoaki Ando, Takashi Joh
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.78
_version_ 1818162016078004224
author Tesshin Ban
Yoshimasa Kubota
Takuya Takahama
Tomoaki Ando
Takashi Joh
author_facet Tesshin Ban
Yoshimasa Kubota
Takuya Takahama
Tomoaki Ando
Takashi Joh
author_sort Tesshin Ban
collection DOAJ
description Abstract Endoscopic transpapillary gallbladder drainage is an alternative procedure for patients with acute cholecystitis. However, this procedure is technically challenging because the drainage stent is sometimes obstructed by an impacted cystic duct stone, even if the guidewire is advanced into the gallbladder. In this report, the front end of a standard endoscopic retrograde cholangiopancreatography catheter was cut to an appropriate length as a drainage stent for transpapillary gallbladder drainage. However, this modified stent became stuck because of an impacted cystic duct stone. The Soehendra stent retriever was used as a stent delivery device in this setting. A Soehendra stent retriever with clockwise rotation was coupled with the drainage stent. Integrated devices provide a stent tip for pushability and torqueability. The stuck drainage stent at the impacted cystic duct stone resumed advancement into the gallbladder. After stent indwelling, decoupling was easy under counterclockwise rotation of the Soehendra stent retriever.
first_indexed 2024-12-11T16:26:57Z
format Article
id doaj.art-95b2300a8b014690a91be88737324701
institution Directory Open Access Journal
issn 2692-4609
language English
last_indexed 2024-12-11T16:26:57Z
publishDate 2022-04-01
publisher Wiley
record_format Article
series DEN Open
spelling doaj.art-95b2300a8b014690a91be887373247012022-12-22T00:58:43ZengWileyDEN Open2692-46092022-04-0121n/an/a10.1002/deo2.78Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitisTesshin Ban0Yoshimasa Kubota1Takuya Takahama2Tomoaki Ando3Takashi Joh4Department of Gastroenterology and Hepatology Gamagori Municipal Hospital Aichi JapanDepartment of Gastroenterology and Hepatology Gamagori Municipal Hospital Aichi JapanDepartment of Gastroenterology and Hepatology Gamagori Municipal Hospital Aichi JapanDepartment of Gastroenterology and Hepatology Gamagori Municipal Hospital Aichi JapanDepartment of Gastroenterology and Hepatology Gamagori Municipal Hospital Aichi JapanAbstract Endoscopic transpapillary gallbladder drainage is an alternative procedure for patients with acute cholecystitis. However, this procedure is technically challenging because the drainage stent is sometimes obstructed by an impacted cystic duct stone, even if the guidewire is advanced into the gallbladder. In this report, the front end of a standard endoscopic retrograde cholangiopancreatography catheter was cut to an appropriate length as a drainage stent for transpapillary gallbladder drainage. However, this modified stent became stuck because of an impacted cystic duct stone. The Soehendra stent retriever was used as a stent delivery device in this setting. A Soehendra stent retriever with clockwise rotation was coupled with the drainage stent. Integrated devices provide a stent tip for pushability and torqueability. The stuck drainage stent at the impacted cystic duct stone resumed advancement into the gallbladder. After stent indwelling, decoupling was easy under counterclockwise rotation of the Soehendra stent retriever.https://doi.org/10.1002/deo2.78acute cholecystitisendoscopic transpapillary gallbladder drainageSoehendra stent retriever
spellingShingle Tesshin Ban
Yoshimasa Kubota
Takuya Takahama
Tomoaki Ando
Takashi Joh
Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
DEN Open
acute cholecystitis
endoscopic transpapillary gallbladder drainage
Soehendra stent retriever
title Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
title_full Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
title_fullStr Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
title_full_unstemmed Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
title_short Soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
title_sort soehendra stent retriever as a useful delivery device of drainage stent for passing an impacted cystic duct stone in a patient with acute cholecystitis
topic acute cholecystitis
endoscopic transpapillary gallbladder drainage
Soehendra stent retriever
url https://doi.org/10.1002/deo2.78
work_keys_str_mv AT tesshinban soehendrastentretrieverasausefuldeliverydeviceofdrainagestentforpassinganimpactedcysticductstoneinapatientwithacutecholecystitis
AT yoshimasakubota soehendrastentretrieverasausefuldeliverydeviceofdrainagestentforpassinganimpactedcysticductstoneinapatientwithacutecholecystitis
AT takuyatakahama soehendrastentretrieverasausefuldeliverydeviceofdrainagestentforpassinganimpactedcysticductstoneinapatientwithacutecholecystitis
AT tomoakiando soehendrastentretrieverasausefuldeliverydeviceofdrainagestentforpassinganimpactedcysticductstoneinapatientwithacutecholecystitis
AT takashijoh soehendrastentretrieverasausefuldeliverydeviceofdrainagestentforpassinganimpactedcysticductstoneinapatientwithacutecholecystitis