Dr. Sejpal discusses the importance of learning different cannulation techniques to increase success rates and help reduce pancreatitis risk factors. He also shares his treatment algorithm and video examples of cannulation techniques.
Dr. Goldberg provides a case study demonstrating the double wire-guided cannulation technique. He also discusses selective duct cannulation, deep cannulation to facilitate therapeutic ERCP and recognizing difficult cannulation due to a patient’s anatomy.
Similar stiffness and pushability to the .035 inch guidewire, but in a .025 inch guidewire platform, may use as a primary and rescue guidewire.
Techniques are demonstrated using a guidewire to gain access to the pancreas and place a stent after a failed ERCP are demonstrated. The knuckling and hydrophilic properties of the Jagwire™ Revolution Guidewire optimizes safety and efficacy of this manuever.
A knuckling technique using the Jagwire Revolution guidewire is usesd perform a sphincterotomy on a scarred and stenotic papilla. The smooth pushability and the angled tip of this guidewire optimes safety of this manuever.
Sphincterotome steerability facilitates stent placement in a damaged pancreatic duct. Case features use of the TRUEtome™ Cannulating Sphincterotome.