Novel 8-wire basket catheter is useful for endoscopic removal of common bile duct stones up to 10 mm: A multicenter prospective study.
J Hepatobiliary Pancreat Sci
; 31(3): 213-221, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38174419
ABSTRACT
BACKGROUND/PURPOSE:
Endoscopic treatment of common bile duct (CBD) stones involves the use of basket or balloon catheters; however, what is the appropriate device remains controversial. In this study we aimed to prospectively evaluate the usefulness of a novel 8-wire helical basket (8WB) catheter made of Nitinol for the removal of CBD stones ≤10 mm.METHODS:
We conducted a multicenter prospective trial. Patients with CBD stones ≤10 mm were enrolled. The primary endpoint was the rate of complete stone removal within 10 min using the 8WB. The number of cases was determined using a previous study of stone removal by a conventional basket catheter as a historical control.RESULTS:
A total of 155 patients were enrolled and 139 were ultimately included in the analysis. Patients with a single stone were the most common (84 cases, 60.4%), with a median maximum stone diameter of 5 mm. The median stone removal time using the 8WB was 6 min. The complete stone removal rate was 95.0% (132/139). Adverse events were observed in 14 patients (10.1%).CONCLUSIONS:
The novel 8WB catheter is useful in the treatment of CBD stones ≤10 mm, presenting a high complete stone removal rate in this study. TRIAL REGISTRATION NUMBER jRCT1032200324.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Cálculos Biliares
/
Colangiopancreatografia Retrógrada Endoscópica
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article