EUS-guided hybrid rendezvous technique as salvage for standard rendezvous with intra-hepatic bile duct approach

Percutaneous rendezvous technique for the management of a bile duct injury

The rendezvous technique typically involves combined efforts of interventional radiology, endoscopy, and surgery. It can be done solely percutaneously, whereby the interventionalist gains desired access to one point in the body by approaching it from two different access sites. We present the case of a woman who underwent cholecystectomy complicated by a bile duct injury. A percutaneous rendezv...

Transpapillary EUS-guided retrograde puncture of the biliary tree as an alternative for failed rendezvous procedure.

Endoscopic retrograde cholangiopancreatography (ERCP) is a first-line therapeutic method for obstructive biliary pathologies. Rarely, this procedure fails to obtain access and/or drainage of the biliary tree [1]. Until recently, such patients could be managed only via a percutaneous or surgical approach. An emerging alternative is endoscopic ultrasound (EUS)-assisted biliary access and drainage...

Modified rendezvous technique with successful reconnection of completely transected common bile duct using combined endoscopic and radiologic approach.

Optimal Rendezvous Trajectory Using a Hybrid Approach

Genetic algorithms have gained popularity as effective search procedures for obtaining solutions to traditionally difficult space mission optimization problems. In this paper, a real-coded genetic algorithm is used together with calculus of variations to optimize a trajectory for rendezvous problem. The global search properties of genetic algorithm combine with the local search capabilities of ...

Usefulness of combined percutaneous-endoscopic rendezvous techniques after failed therapeutic endoscopic retrograde cholangiography in the era of endoscopic ultrasound guided rendezvous

The rendezvous approach is a salvage technique after failure of endoscopic retrograde cholangiography (ERC). In certain circumstances, percutaneous-endoscopic rendezvous (PE-RV) is preferred, and endoscopic ultrasound-guided rendezvous (EUS-RV) is difficult to perform. We aimed to evaluate PE-RV outcomes, describe the PE-RV techniques, and identify potential indications for PE-RV over EUS-RV.Re...