Access and Cannulation



Presentations

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Devices for Cannulating Anatomic Variations, Divyesh V. Sejpal, MD

Dr. Sejpal discusses the importance of learning different cannulation techniques to increase success rates and help reduce pancreatitis risk factors. He also shares his treatment algorithm and video examples of cannulation techniques.

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Procedural Techniques

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Overview of Biliary Cannulation with Eric Goldberg, MD

Dr. Eric Goldberg, University of Maryland School of Medicine, gives an overview on using a double wireguided cannulation technique to facilitate biliary duct cannulation. Concepts are explained and cases are performed highlighting selective duct cannulation, deep cannulation to facilitate therapeutic ERCP and recognizing difficult cannulation due to a patient’s anatomy such as ampullary strictures and tumors, stones, etc.

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Physician Controlled Wireguided Cannulation with Steven Edmundowicz, MD, FASGE

Dr. Steven Edmundowicz, Barnes Jewish Hospital, St. Louis, Missouri, discusses the advantages of wireguided cannulation (WGC) and various cannulation techniques. He also discusses physician-controlled WGC and the benefits of using a short-wire system, which include having a tactile feel to correctly position and manipulate the guidewire. Forming an Alpha Loop to get beyond a tight stricture is also demonstrated.

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Demonstrating the Hydrostatic Technique Using a Hydrophilic Guidewire

Dr. David Carr-Locke, Beth Israel Hospital, New York, NY explains the hydrostatic technique using the NaviPro™ Hydrophilic Guidewire.

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Case Studies

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Guidewire Facilitates Stent Placement to Repair a Damaged Pancreatic Duct

Sphincterotome steerability facilitates stent placement in a damaged pancreatic duct. Case features use of the TRUEtome™ Cannulating Sphincterotome. The case is presented by Dr. Drew Schembre, Dr. Jack Brandabur and 3D fluoro technician Tristan Case, Swedish Medical Center, Seattle, Washington.

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