Abstract
Stenting hilar obstruction remains challenging. When bilateral SEMS placement is attempted, failure may occur due to the inability to advance a second SEMS introducer side-by-side the first deployed stent. A new 6Fr introducer for a non-foreshortening nitinol SEMS (Zilver 635®, Cook Endoscopy) permits advancement of side-by-side introducers through a standard duodenoscope working channel (4.2mm). We report our initial experience.
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