Research Article
Endoscopic Ultrasound Guided Rendezvous Drainage of Biliary Obstruction Using a New Flexible 19-Gauge Fine Needle Aspiration Needle
Table 3
Outcomes of EUS-RV Studies > 15 Patients; a: 5 patients with failed intrahepatic access subsequently underwent extrahepatic access.
| | Study | Method | Needle size | Extrahepatic access | Intrahepatic access | Overall | Adverse events | Adverse events details | | Success rate, % () | Success rate, % () | Success rate, % () | Rate, % () |
| | Kahaleh et al. [24] (2006) | RS | 19- or 22-gauge | 70 (7/10) | 61 (11/18) | 78 (18/23) | 17 (4/23) | Pneumoperitoneum 2, bile leak 1, bleeding 1 | | Shah et al. [25] (2012) | RS | 19- or 22-gauge | NS | NS | 74 (37/50) | 12 (6/50) | Pancreatitis 4, bile leak 1, duodenal perforation 1 | | Artifon et al. [26] (2012) | RS | 19-gauge | 98 (57/58) | NS | 98 (57/58) | 3 (2/58) | Pericholedochal contrast leak 2 | | Iwashita et al. [27] (2012) | RS | 19-gauge | 81 (25/31) | 44 (4/9) | 73 (29/40) | 13 (5/40) | Pancreatitis 2, abdominal pain 1, pneumoperitoneum 1, sepsis/death within four days of procedure 1 | | Park et al. [28] (2013) | PS | 19-gauge | 93 (13/14) | 50 (3/6) | 80 (16/20) | 14 (2/14) | Pancreatitis 1, bile peritonitis 1 | | Dhir et al. [29] (2013) | RS | 19-gauge | 94 (16/17) | 100 (18/18) | 97 (34/35) | 23 (8/35) | Pain alone 4, bile leak 2, pneumoperitoneum 2 | | Dhir et al. [30] (2014) | RS | 19-gauge | NS | NS | 100 (20/20) | 15 (3/20) | NS | | Current study | RS | 19-gauge | 83.3 (20/24) | 0 (0/1) | 80 (20/25) | 16 (4/25) | Pancreatitis 3, cholangitis 1 |
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5 patients with failed intrahepatic access subsequently underwent successful extrahepatic access.
NS, not specified; RS, retrospective; PS, prospective.
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