Percutaneous transhepatic release of an impacted lithotripter basket and its fractured traction wire using a goose-neck snare: a case report.
In a patient with a distal common bile duct stone, a fracture of the traction wire of the basket occurring during the performance of mechanical lithotripsy resulted in the impaction of the lithotripter basket with a stone. The impacted lithotripter basket combined with a fracture of the traction wire is a rare complication of endoscopic stone removal. We were able to pull the impacted basket using an Amplatz goose-neck snare inserted via the percutaneous transhepatic route, which resulted in the freeing of the entrapped stone into the dilated supra-ampullary bile duct. The fractured traction wire and basket could be safely removed by pulling the traction wire from the mouth. The present report is the first to describe the safe and effective use of an Amplatz goose-neck snare for the management of a lithotripter basket impacted with a stone and a fractured traction wire.
['Kwon|Jae Hyun|JH|', 'Lee|Jun Kyu|JK|', 'Lee|Jin Ho|JH|', 'Lee|Yong Seok|YS|']
D000368:Aged D002760:Cholangiopancreatography, Endoscopic Retrograde D020878:Device Removal D003937:Diagnosis, Differential D004868:Equipment Failure D042882:Gallstones D006801:Humans D008096:Lithotripsy D008297:Male D015641:Radiography, Interventional D014057:Tomography, X-Ray Computed D014143:Traction
Percutaneous Lithotripsy Impacted basket Goose neck snare