PTC and PTC-ERCP Rendezvous Procedures

  • Jörg G. AlbertEmail author


ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone. A main advantage of PTC over ERCP is the opportunity to drain obstructed bile duct segments externally, even if the obstructing stricture is not passed by the draining catheter, as PTC uses a percutaneous antegrade access route. In patients with multiple and large bile duct stones and severe comorbidity, PTCD and/or PTC-ERC rendezvous might be an alternative in multistep approaches through the established percutaneous access. This combined procedure may resolve difficult to treat bile duct obstruction and/or infection. With a tailored approach, the interventionalists are able to drain externally or internally and may excellently treat infected bilioma with downstream bile duct obstruction. An experienced, dedicated team is required.


Percutaneous transhepatic cholangiodrainage Rendezvous procedures Endoscopic retrograde cholangiopancreatography ERCP PTCD 



Computed tomography


Endoscopic retrograde cholangiography


Endoscopic retrograde cholangiopancreatography


European Society of Gastrointestinal Endoscopy


Endoscopic ultrasound cholangiodrainage


Magnetic resonance cholangiopancreatography


Magnetic resonance imaging


Percutaneous transhepatic cholangiodrainage


Percutaneous ultrasound


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Hepatologie und EndokrinologieAbteilung für Gastroenterologie, Robert-Bosch-KrankenhausAuerbachstraßeGermany

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