Dual M-Stent Procedure Combines Transpapillary and Percutaneous Techniques at Antwerp University Hospital
20/12/2024
On December 19, 2024, a complex and successful biliary drainage procedure was performed using 2 M-stents in a "One-Step Side-by-Side" approach.
Team of Experts:
- Dr. Elisabeth Macken
- Dr. Michael Staessens
- Nurse Ann De Herdt
- Prion Medical & Taewoong Medical Representative: Kim Muyldermans
Patient Details:
- Indication: Klatskin Tumor Type 3a
Procedure Highlights:
Initial attempts at primary transpapillary cannulation of the right hepatic duct were unsuccessful. A creative and collaborative effort led to the use of both percutaneous and transpapillary techniques to achieve optimal drainage:
In a second stage:
A plastic biliary stent (15 cm) was initially placed in the left hepatic duct to ensure drainage.
- The plastic stent was removed and replaced by a Visiglide 0.025" guidewire to the left hepatic duct.
- Another Visiglide 0.025" guidewire was inserted percutaneously through the pigtail drainage catheter, reaching the duodenum.
Innovative Technique Execution:
- Instead of a rendezvous approach, the decision was made to place two M-stents simultaneously:
- The first M-stent was advanced transpapillary into the left hepatic duct.
- The second M-stent was introduced percutaneously into the right hepatic duct, crossing into the duodenum.
- The left hepatic stent (12 cm x 8 mm) was fully deployed first, followed by precise deployment of the right hepatic stent (12 cm x 8 mm) to ensure optimal alignment and drainage.
This exceptional procedure highlights the innovation, expertise, and collaboration of medical professionals and the effectiveness of Taewoong Medical’s M-stents in complex biliary cases.