Radiofrequency Ablation for Treatment of an Intraductal Visible Vessel

Video Transcription

Video Summary

The video discusses a case involving an 81-year-old female with unresectable hyaluronic carcinoma who required repeated biliary stenting. During routine stent exchange, active bleeding was observed from the major papilla, leading to the placement of a biliary stent to control the bleeding. The patient was later readmitted with concerns of recurring bleeding, and a repeat ERCP was performed. Using cholangioscopy, a nodular and erythematous vessel was identified as the potential bleeding source. Radiofrequency ablation (RFA) was then performed on the vessel, resulting in successful ablation and no further bleeding. The video concludes by highlighting the need for further studies on the safety and efficacy of intraductal RFA for hemostasis in the bioduct.

Keywords

biliary stenting

active bleeding

radiofrequency ablation (RFA)

cholangioscopy

intraductal RFA