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Published on: August 8, 2025
Safety and efficacy of percutaneous transhepatic-endoscopic rendezvous procedure in a single session
Cyril Chivot1, Clara Yzet2, Roger Bouzerar3
1Department of Radiology, Amiens University Hospital, Avenue René Laennec Cedex 01, 80054, Amiens, France. chivot.cyril@chu-amiens.fr.
Purpose:
To demonstrate the feasibility and safety of PTE-RV performed in a single session.
Materials And Methods:
This is a retrospective review of a prospective database on ERCP between January 2014 and December 2018. PTE-RV was performed in case of second ERCP failure. Technical success was defined as the establishment of an intestinal access to the biliary tract using a PTE-RV procedure allowing an immediate internal biliary drainage. Safety endpoints included intra-operative complications, morbidity and mortality occurring within 30 days after the procedure.
Results:
Eighty-four patients (44 M/40F) with a median age of 69 years (range 40-91 years) underwent combined PTE-RV. The PTE-RVs were successfully performed in the same session in 80 subjects, resulting in an overall technical success rate of 95.2%. Adverse events were observed in 19% (16/84) of cases. The mortality rate within 30 days after the procedure was 9.5%.
Conclusion:
Percutaneous transhepatic-endoscopic rendezvous technique is feasible in a single session with acceptable level of risk. A randomized trial is required to compare EUBD and PTE-RV.
