For EUS-RV, a 22-gauge needle and a 0.018-inch guidewire were used. Inclusion criteria were unsuccessful biliary or pancreatic cannulation for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) with benign biliary or pancreatic obstruction.

Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS including more standard techniques such as pseudocyst drainage.

2017-06-21 The EUS-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation. The overall success rate of EUS-RV in 247 cases from seven published articles was 74 % Albert JG, Finkelmeier F, Friedrich-Rust M, Kronenberger B, Trojan J, Zeuzem S, Sarrazin C. Identifying indications for percutaneous (PTC) vs. endoscopic ultrasound (EUS)—guided “rendezvous” procedure in biliary obstruction and incomplete endoscopic retrograde cholangiography (ERC). Z Gastroenterol.

2005-02-01 In the EUS‐guided rendezvous technique (EUS‐RV) (Fig. 3), first described in 2004, 40 the bile duct is accessed under EUS guidance with the creation of a temporary fistula, followed by guidewire advancement across the ampulla into the duodenum. Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. In 2004, EUS-guided biliary access for rendezvous ERCP was introduced as an additional option for patients who fail standard ERCP cannulation and drainage. 2, 3 Recent articles cite procedural success rates of 58 to 80%. 4 – 6 These modest success rates may be explained by technical limitations of advancing a wire across the obstruction including acuity of needle angle compared with the duct Primary EUS-guided biliary drainage versus ERCP drainage for the management of malignant biliary obstruction: A systematic review and meta-analysis Gaurav Kakked 1, Habeeb Salameh 2, Antonio R Cheesman 2, Nikhil A Kumta 2, Satish Nagula 2, Christopher J DiMaio 2 1 Department of Medicine, Mount Sinai St. Luke's/West Hospitals, New York, USA 2 Dr. Henry D. Janowitz Division of Gastroenterology EUS (Endoscopic Ultrasound): Diagnostic and interventional EUS services and includes evaluating pancreaticobiliary diseases, neoplasms including sub-epithelial tumors, cancer diagnosis and staging, pseudocyst drainage, peri-rectal pelvic abscesses drainage, Fiducials placement for image-guided radiation therapy, rendezvous access for biliary and pancreatic duct access and drainage in complex "In situations where ERCP cannot be performed due to blockage or narrowing of the duodenum or if the opening of the bile duct, the ampulla, cannot be accessed, then the rendezvous procedure can be useful.

If guidewire passage was successful, rendezvous ERCP with stent placement was performed immediately afterward. Results: EUS-guided duct access and intraductal guide-wire placement was accomplished in 5 of 6 cases, with successful traversal of the obstruction, and rendezvous ERCP, with stent placement in 3 of 6 cases (two biliary, one pancreatic).

Technically, EUS-BD includes rendezvous techniques via transesophageal, transgastric, and transduodenal routes, EUS-guided choledochoduodenostomy (EUS-CDS), and EUS-guided hepaticogastrostomy (EUS-HGS). PDF | On Jun 1, 2020, Sundeep Lakhtakia and others published EUS-guided rendezvous with a steerable access needle in choledocholithiasis | Find, read and cite all the research you need on ResearchGate an EUS was performed to assess for EUS-directed drainage options; this was unsuccessful because of the distance of small-bowel loops from the remnant stomach and the lack of small-bowel distension. After initial attempted EA-ERCP and EUS-guided ap-proaches, alternative options including surgical intervention endoscopic retrograde cholangiopancreatography (ERCP).1,2 This approach has recently gained popularity because of a reasonably high technical success rate and favorable safety proﬁle in expert hands.3,4 The EUS-guided rendezvous approach is typically employed, wherein an aspiration needle is used to puncture the pancreatic duct and inject guided cholangiography to guide ERCP in 7 patients in 1996 [6].

2004-01-01

Patients are sedated for EUS and usually go home that same day after they recover from the anesthesia.

Objective: To evaluate the safety and efficacy of EUS-guided rendezvous drainage of the bile duct and compare its outcome with that of precut papillotomy.
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EUS guided biliary access and drainage EUS-guided drainage should not be used to compensate for a lack of ERCP skills EUS-ERCP Rendez-vous 1 Feb 2018 EUS-guided rendezvous for difficult biliary cannulation using a EUS-guided biliary drainage after failed ERCP: a novel algorithm 9 Nov 2009 Since EUS-guided ERCP is a technically challenging procedure that bears EUS-guided drainage of obstructed biliary ducts via a rendezvous 9 Nov 2009 Diagnostic endoscopic retrograde cholangiopancreatography.

rendezvous-kanylering för att underlätta peritoneal carcinomatosis in patients with pancreatic cancer diagnosed by EUS-guided. Endoskopiskt ultraljud med finnålsaspiration (EUS-FNA) har att endoskopiskt ultraljud är mer kostnadseffektivt än ERCP och MRCP av G Olsson · 2010 — Endoskopisk Retrograd Cholangio Pankreatikografi (ERCP), som är en endoskopisk undersöknings- och uteslutande med hjälp av ERCP. Remember Rendezvous Procedure.
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When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy. Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure.

By . Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP is a technically challenging procedure yet has become nearly universally available.

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Albert JG, Finkelmeier F, Friedrich-Rust M, Kronenberger B, Trojan J, Zeuzem S, Sarrazin C. Identifying indications for percutaneous (PTC) vs. endoscopic ultrasound (EUS)—guided “rendezvous” procedure in biliary obstruction and incomplete endoscopic retrograde cholangiography (ERC). Z Gastroenterol. 2014;52(10):1157–63. CrossRef Google

CrossRef Google EUS rendezvous or direct intervention involves: (1) using endoscopic-ultrasound technology to access the bile duct with a small needle and manipulate a wire across the biliary orifice and into the duodenum to be then retrieved endoscopically for ERCP (rendezvous ERCP), or (2) using endoscopic-ultrasound technology to directly puncture and perform intended biliary therapy and celiac plexus neurolysis (9). In 2001, EUS-guided bili-ary drainage was reported for the first time (10). EUS-guided rendezvous technique (EUS-RV) were first reported in 2004 by Mallery (11). Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. 2020-07-01 Beside rendezvous, EUS-directed transgastric ERCP (EDGE) procedures performed in patients with gastric bypass, and EUS-guided gastroenterostomy procedures performed in patients with postsurgical altered anatomy, should be included in this stage. EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy.

In this video, Yukitoshi Matsunami, MD, et al, demonstrate an EUS-guided rendezvous technique in a patient who presented with bile leakage and cholangitis du

ERCP) is a specialized endoscopy technique used to study the ducts of the liver, gallbladder and pancreas. Shah JN, Marson F, Weilert F, et al. Single-operator, single-session EUS-guided anterograde cholangiopancreatography in failed ERCP or inaccessible papilla. Gastrointest Endosc 2012;75:56-64. Dhir V, Bhandari S, Bapat M, et al.

This report presents 7 years' cumulative experience of EUS-guided biliary drainage for obstructive jaundice in patients with failed ERCP. Patients and methods: Between February 2006 and February 2013, 101 patients (malignant = 98, benign = 3) with previous failed ERCP underwent an EUS intra- or Abstract. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic ultrasonography rendezvous technique (EUS‐RV) is a useful salvage method.