Endoscopic retrograde cholangiography (ERC) is the most common method employed for drainage of malignant biliary obstructions. When ERC fails, bypass, either percutaneously or surgically, is available; more recently, endoscopic ultrasound-guided biliary drainage (EUS-BD) has been described [1–3]. Most endoscopists perform EUS-BD using a rendezvous approach in which the bile duct is accessed usi...

PURPOSE To present a new approach route for recanalization of a chronically occluded superior mesenteric artery (SMA). TECHNIQUE Percutaneous treatment of an SMA occlusion can be accomplished in some cases via retrograde crossing through collaterals from the celiac artery. From a right common femoral artery (CFA) approach, an 8-F RDC guide catheter is advanced to the origin of the celiac arte...

Stroke after internal jugular venous cannulation typically leads to acute carotid or vertebral arteries injury and cerebral ischemia. We report the first case of delayed posterior cerebral infarction following loss of guide wire after left internal jugular venous cannulation in a 46-year-old woman with a history of inflammatory bowel disease. Our observation highlights that loss of an intravasc...

The development of steerable guide wire or catheter designs has been strongly limited by the lack of enabling actuator technologies. This paper presents the properties of an electrostrive actuator technology for steerable actuation. By carefully tailoring material properties and the actuator design, which can be integrated in devices, this technology should realistically make it possible to obt...

Breakage of DHS guide wire during surgery and its migration into the pelvis through the hip joint is a rare complication and its removal can be very challenging for the surgeon. We share our experience of a similar case wherein we used an ‘iliofemoral’ approach to successfully remove the broken transfixing guidewire from the hip joint. Although iliofemoral approach is similar to the lateral win...