Double Guidewire Technique Using an Uneven Double Lumen Catheter for Endoscopic Ultrasound-Guided Interventions
Background Endoscopic ultrasonography (EUS)-guided interventions are often performed using a single guidewire (SGW), but there are a few reports on the use of double guidewire (DGW) technique to facilitate multiple drainage placement during EUS-guided drainage of pancreatic fluid collections. This D...
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| Veröffentlicht in: | Digestive diseases and sciences 2021-05, Vol.66 (5), p.1540-1547 |
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| creator | Nakai, Yousuke Oyama, Hiroki Kanai, Sachiko Noguchi, Kensaku Sato, Tatsuya Hakuta, Ryunosuke Ishigaki, Kazunaga Saito, Kei Saito, Tomotaka Hamada, Tsuyoshi Takahara, Naminatsu Mizuno, Suguru Kogure, Hirofumi Isayama, Hiroyuki Koike, Kazuhiko |
| description | Background
Endoscopic ultrasonography (EUS)-guided interventions are often performed using a single guidewire (SGW), but there are a few reports on the use of double guidewire (DGW) technique to facilitate multiple drainage placement during EUS-guided drainage of pancreatic fluid collections. This DGW technique may have advantages other than multiple drainage placement during EUS-guided interventions such as scope stabilization, support for stone extraction and device insertion.
Methods
Consecutive patients who underwent EUS-guided interventions between Feb 2012 and Apr 2019 were retrospectively reviewed. The rate and reasons of DGW technique, and clinical outcomes were evaluated. DGW technique was performed, using an uneven double lumen cannula (UDLC), which facilitates insertion of 0.025-in. and 0.035-in. guidewires.
Results
A total of 249 EUS-guided interventions were analyzed, and DGW technique was utilized primarily in 65 cases (25.7%) and as a salvage after failed SGW technique in 18 cases (7.1%). The reasons for DGW technique were 60 multiple drainage placement, 10 scope stabilization, 7 device insertion, 5 safety guidewire, and 4 antegrade stone removal. Insertion of UDLC and DGW was successful in 100%. Technical success rate of preplanned interventions was 92.7% (96.9% in primary DGW and 77.8% in salvage DGW technique). Adverse events were observed in 19.5% after DGW but were not related to DGW technique.
Conclusions
DGW technique using UDLC during EUS-guided interventions was technically feasible and safe. In addition to multiple drainage insertion, it can potentially support complex EUS-guided interventions. |
| doi_str_mv | 10.1007/s10620-020-06345-9 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2405335728</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A712933584</galeid><sourcerecordid>A712933584</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-97b4b334bbb31505b2ca33d3e98b339cad23b31c2c165676889b0d57083379623</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0Earcff4ADssSFS4rtie3kWC1tqbQSl-7ZSpzJ1lViL3YC4t_jsEsrEELWyPbM876a0RDylrMrzpj-mDhTghVsCQWlLOpXZMWlhkJIVb0mK8ZVfnOuTslZSk-MsVpzdUJOQZSguOArEj6FuR2Q3s2uw-8uIn1A--jd1xnpNjm_o42nW4_f0NMjupnH_Fk30yNOGGkfIr3xXUg27J2l22GKTQqz74pfnh299xnL-skFny7Im74ZEl4e73Oyvb15WH8uNl_u7tfXm8KWpZiKWrdlC1C2bQtcMtkK2wB0gHWV07VtOgG5YoXlSiqtqqpuWSc1qwB0rQSckw8H330MeZY0mdEli8PQeAxzMqJkEkBqUWX0_V_oU5ijz90ZITlowYCXL9SuGdA434c8p11MzbXmos5m1UJd_YPKp8PR2eCxdzn_h0AcBDaGlCL2Zh_d2MQfhjOzbNkctmzYEsuWTZ1F744dz-2I3bPk91ozAAcg5ZLfYXwZ6T-2PwGOJK_C</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2513720314</pqid></control><display><type>article</type><title>Double Guidewire Technique Using an Uneven Double Lumen Catheter for Endoscopic Ultrasound-Guided Interventions</title><source>SpringerLink Journals</source><creator>Nakai, Yousuke ; Oyama, Hiroki ; Kanai, Sachiko ; Noguchi, Kensaku ; Sato, Tatsuya ; Hakuta, Ryunosuke ; Ishigaki, Kazunaga ; Saito, Kei ; Saito, Tomotaka ; Hamada, Tsuyoshi ; Takahara, Naminatsu ; Mizuno, Suguru ; Kogure, Hirofumi ; Isayama, Hiroyuki ; Koike, Kazuhiko</creator><creatorcontrib>Nakai, Yousuke ; Oyama, Hiroki ; Kanai, Sachiko ; Noguchi, Kensaku ; Sato, Tatsuya ; Hakuta, Ryunosuke ; Ishigaki, Kazunaga ; Saito, Kei ; Saito, Tomotaka ; Hamada, Tsuyoshi ; Takahara, Naminatsu ; Mizuno, Suguru ; Kogure, Hirofumi ; Isayama, Hiroyuki ; Koike, Kazuhiko</creatorcontrib><description>Background
Endoscopic ultrasonography (EUS)-guided interventions are often performed using a single guidewire (SGW), but there are a few reports on the use of double guidewire (DGW) technique to facilitate multiple drainage placement during EUS-guided drainage of pancreatic fluid collections. This DGW technique may have advantages other than multiple drainage placement during EUS-guided interventions such as scope stabilization, support for stone extraction and device insertion.
Methods
Consecutive patients who underwent EUS-guided interventions between Feb 2012 and Apr 2019 were retrospectively reviewed. The rate and reasons of DGW technique, and clinical outcomes were evaluated. DGW technique was performed, using an uneven double lumen cannula (UDLC), which facilitates insertion of 0.025-in. and 0.035-in. guidewires.
Results
A total of 249 EUS-guided interventions were analyzed, and DGW technique was utilized primarily in 65 cases (25.7%) and as a salvage after failed SGW technique in 18 cases (7.1%). The reasons for DGW technique were 60 multiple drainage placement, 10 scope stabilization, 7 device insertion, 5 safety guidewire, and 4 antegrade stone removal. Insertion of UDLC and DGW was successful in 100%. Technical success rate of preplanned interventions was 92.7% (96.9% in primary DGW and 77.8% in salvage DGW technique). Adverse events were observed in 19.5% after DGW but were not related to DGW technique.
Conclusions
DGW technique using UDLC during EUS-guided interventions was technically feasible and safe. In addition to multiple drainage insertion, it can potentially support complex EUS-guided interventions.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-020-06345-9</identifier><identifier>PMID: 32436121</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Analysis ; Biochemistry ; Catheters ; Endoscopy ; Fistula ; Gastroenterology ; Hepatology ; Hospitals ; Medicine ; Medicine & Public Health ; Oncology ; Original Article ; Success ; Transplant Surgery ; Ultrasonic imaging ; Ultrasound imaging</subject><ispartof>Digestive diseases and sciences, 2021-05, Vol.66 (5), p.1540-1547</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>COPYRIGHT 2021 Springer</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-97b4b334bbb31505b2ca33d3e98b339cad23b31c2c165676889b0d57083379623</citedby><cites>FETCH-LOGICAL-c442t-97b4b334bbb31505b2ca33d3e98b339cad23b31c2c165676889b0d57083379623</cites><orcidid>0000-0001-7411-1385</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-020-06345-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-020-06345-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32436121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakai, Yousuke</creatorcontrib><creatorcontrib>Oyama, Hiroki</creatorcontrib><creatorcontrib>Kanai, Sachiko</creatorcontrib><creatorcontrib>Noguchi, Kensaku</creatorcontrib><creatorcontrib>Sato, Tatsuya</creatorcontrib><creatorcontrib>Hakuta, Ryunosuke</creatorcontrib><creatorcontrib>Ishigaki, Kazunaga</creatorcontrib><creatorcontrib>Saito, Kei</creatorcontrib><creatorcontrib>Saito, Tomotaka</creatorcontrib><creatorcontrib>Hamada, Tsuyoshi</creatorcontrib><creatorcontrib>Takahara, Naminatsu</creatorcontrib><creatorcontrib>Mizuno, Suguru</creatorcontrib><creatorcontrib>Kogure, Hirofumi</creatorcontrib><creatorcontrib>Isayama, Hiroyuki</creatorcontrib><creatorcontrib>Koike, Kazuhiko</creatorcontrib><title>Double Guidewire Technique Using an Uneven Double Lumen Catheter for Endoscopic Ultrasound-Guided Interventions</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background
Endoscopic ultrasonography (EUS)-guided interventions are often performed using a single guidewire (SGW), but there are a few reports on the use of double guidewire (DGW) technique to facilitate multiple drainage placement during EUS-guided drainage of pancreatic fluid collections. This DGW technique may have advantages other than multiple drainage placement during EUS-guided interventions such as scope stabilization, support for stone extraction and device insertion.
Methods
Consecutive patients who underwent EUS-guided interventions between Feb 2012 and Apr 2019 were retrospectively reviewed. The rate and reasons of DGW technique, and clinical outcomes were evaluated. DGW technique was performed, using an uneven double lumen cannula (UDLC), which facilitates insertion of 0.025-in. and 0.035-in. guidewires.
Results
A total of 249 EUS-guided interventions were analyzed, and DGW technique was utilized primarily in 65 cases (25.7%) and as a salvage after failed SGW technique in 18 cases (7.1%). The reasons for DGW technique were 60 multiple drainage placement, 10 scope stabilization, 7 device insertion, 5 safety guidewire, and 4 antegrade stone removal. Insertion of UDLC and DGW was successful in 100%. Technical success rate of preplanned interventions was 92.7% (96.9% in primary DGW and 77.8% in salvage DGW technique). Adverse events were observed in 19.5% after DGW but were not related to DGW technique.
Conclusions
DGW technique using UDLC during EUS-guided interventions was technically feasible and safe. In addition to multiple drainage insertion, it can potentially support complex EUS-guided interventions.</description><subject>Analysis</subject><subject>Biochemistry</subject><subject>Catheters</subject><subject>Endoscopy</subject><subject>Fistula</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Success</subject><subject>Transplant Surgery</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound imaging</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kU1v1DAQhi0Earcff4ADssSFS4rtie3kWC1tqbQSl-7ZSpzJ1lViL3YC4t_jsEsrEELWyPbM876a0RDylrMrzpj-mDhTghVsCQWlLOpXZMWlhkJIVb0mK8ZVfnOuTslZSk-MsVpzdUJOQZSguOArEj6FuR2Q3s2uw-8uIn1A--jd1xnpNjm_o42nW4_f0NMjupnH_Fk30yNOGGkfIr3xXUg27J2l22GKTQqz74pfnh299xnL-skFny7Im74ZEl4e73Oyvb15WH8uNl_u7tfXm8KWpZiKWrdlC1C2bQtcMtkK2wB0gHWV07VtOgG5YoXlSiqtqqpuWSc1qwB0rQSckw8H330MeZY0mdEli8PQeAxzMqJkEkBqUWX0_V_oU5ijz90ZITlowYCXL9SuGdA434c8p11MzbXmos5m1UJd_YPKp8PR2eCxdzn_h0AcBDaGlCL2Zh_d2MQfhjOzbNkctmzYEsuWTZ1F744dz-2I3bPk91ozAAcg5ZLfYXwZ6T-2PwGOJK_C</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Nakai, Yousuke</creator><creator>Oyama, Hiroki</creator><creator>Kanai, Sachiko</creator><creator>Noguchi, Kensaku</creator><creator>Sato, Tatsuya</creator><creator>Hakuta, Ryunosuke</creator><creator>Ishigaki, Kazunaga</creator><creator>Saito, Kei</creator><creator>Saito, Tomotaka</creator><creator>Hamada, Tsuyoshi</creator><creator>Takahara, Naminatsu</creator><creator>Mizuno, Suguru</creator><creator>Kogure, Hirofumi</creator><creator>Isayama, Hiroyuki</creator><creator>Koike, Kazuhiko</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7411-1385</orcidid></search><sort><creationdate>20210501</creationdate><title>Double Guidewire Technique Using an Uneven Double Lumen Catheter for Endoscopic Ultrasound-Guided Interventions</title><author>Nakai, Yousuke ; Oyama, Hiroki ; Kanai, Sachiko ; Noguchi, Kensaku ; Sato, Tatsuya ; Hakuta, Ryunosuke ; Ishigaki, Kazunaga ; Saito, Kei ; Saito, Tomotaka ; Hamada, Tsuyoshi ; Takahara, Naminatsu ; Mizuno, Suguru ; Kogure, Hirofumi ; Isayama, Hiroyuki ; Koike, Kazuhiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-97b4b334bbb31505b2ca33d3e98b339cad23b31c2c165676889b0d57083379623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Biochemistry</topic><topic>Catheters</topic><topic>Endoscopy</topic><topic>Fistula</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Success</topic><topic>Transplant Surgery</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakai, Yousuke</creatorcontrib><creatorcontrib>Oyama, Hiroki</creatorcontrib><creatorcontrib>Kanai, Sachiko</creatorcontrib><creatorcontrib>Noguchi, Kensaku</creatorcontrib><creatorcontrib>Sato, Tatsuya</creatorcontrib><creatorcontrib>Hakuta, Ryunosuke</creatorcontrib><creatorcontrib>Ishigaki, Kazunaga</creatorcontrib><creatorcontrib>Saito, Kei</creatorcontrib><creatorcontrib>Saito, Tomotaka</creatorcontrib><creatorcontrib>Hamada, Tsuyoshi</creatorcontrib><creatorcontrib>Takahara, Naminatsu</creatorcontrib><creatorcontrib>Mizuno, Suguru</creatorcontrib><creatorcontrib>Kogure, Hirofumi</creatorcontrib><creatorcontrib>Isayama, Hiroyuki</creatorcontrib><creatorcontrib>Koike, Kazuhiko</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakai, Yousuke</au><au>Oyama, Hiroki</au><au>Kanai, Sachiko</au><au>Noguchi, Kensaku</au><au>Sato, Tatsuya</au><au>Hakuta, Ryunosuke</au><au>Ishigaki, Kazunaga</au><au>Saito, Kei</au><au>Saito, Tomotaka</au><au>Hamada, Tsuyoshi</au><au>Takahara, Naminatsu</au><au>Mizuno, Suguru</au><au>Kogure, Hirofumi</au><au>Isayama, Hiroyuki</au><au>Koike, Kazuhiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Double Guidewire Technique Using an Uneven Double Lumen Catheter for Endoscopic Ultrasound-Guided Interventions</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>66</volume><issue>5</issue><spage>1540</spage><epage>1547</epage><pages>1540-1547</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><abstract>Background
Endoscopic ultrasonography (EUS)-guided interventions are often performed using a single guidewire (SGW), but there are a few reports on the use of double guidewire (DGW) technique to facilitate multiple drainage placement during EUS-guided drainage of pancreatic fluid collections. This DGW technique may have advantages other than multiple drainage placement during EUS-guided interventions such as scope stabilization, support for stone extraction and device insertion.
Methods
Consecutive patients who underwent EUS-guided interventions between Feb 2012 and Apr 2019 were retrospectively reviewed. The rate and reasons of DGW technique, and clinical outcomes were evaluated. DGW technique was performed, using an uneven double lumen cannula (UDLC), which facilitates insertion of 0.025-in. and 0.035-in. guidewires.
Results
A total of 249 EUS-guided interventions were analyzed, and DGW technique was utilized primarily in 65 cases (25.7%) and as a salvage after failed SGW technique in 18 cases (7.1%). The reasons for DGW technique were 60 multiple drainage placement, 10 scope stabilization, 7 device insertion, 5 safety guidewire, and 4 antegrade stone removal. Insertion of UDLC and DGW was successful in 100%. Technical success rate of preplanned interventions was 92.7% (96.9% in primary DGW and 77.8% in salvage DGW technique). Adverse events were observed in 19.5% after DGW but were not related to DGW technique.
Conclusions
DGW technique using UDLC during EUS-guided interventions was technically feasible and safe. In addition to multiple drainage insertion, it can potentially support complex EUS-guided interventions.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32436121</pmid><doi>10.1007/s10620-020-06345-9</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7411-1385</orcidid></addata></record> |
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| ispartof | Digestive diseases and sciences, 2021-05, Vol.66 (5), p.1540-1547 |
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| language | eng |
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| source | SpringerLink Journals |
| subjects | Analysis Biochemistry Catheters Endoscopy Fistula Gastroenterology Hepatology Hospitals Medicine Medicine & Public Health Oncology Original Article Success Transplant Surgery Ultrasonic imaging Ultrasound imaging |
| title | Double Guidewire Technique Using an Uneven Double Lumen Catheter for Endoscopic Ultrasound-Guided Interventions |
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