ASGE DDW Videos from Around the World | 2025-RETRIEVAL OF IMPACTED BILIARY LITHOTRIPSY BASKET USING ELECTROHYDRAULIC LITHOTRIPSY AND A PULLEY-METHOD

RETRIEVAL OF IMPACTED BILIARY LITHOTRIPSY BASKET USING ELECTROHYDRAULIC LITHOTRIPSY AND A PULLEY-METHOD

Video Transcription

Video Summary

This video case discusses managing an unusual complication of an impacted lithotripsy basket in the bile duct. Following failed attempts with mechanical lithotripsy due to wire fractures, the impacted basket caused linear ulcerations. A cholangioscopy-guided electrohydraulic lithotripsy successfully fragmented a hard bile duct stone, freeing the basket. To minimize trauma during extraction, a novel pulley system redirected the pulling force safely, allowing for the successful removal of the impacted basket. Post-procedure, the patient experienced no adverse events and recovered well. This case highlights advanced techniques for handling challenging ERCP complications.

Asset Subtitle

Hyun Jae Kim

Keywords

ERCP complications

cholangioscopy

electrohydraulic lithotripsy

bile duct stone

pulley system