Fig. 3. Peroral cholangioscopy (POC)-guided cystic duct cannulation after failure of fluoroscopic guidance by using the SpyGlass digital system (DS). (A) Cholangiogram shows SpyGlass DS located close to the cystic duct opening. Guide wire advanced into the cystic duct under (B) POC and (C) fluoroscopic guidance. (D) Cholangiogram shows a 7-Fr, 15-cm double-pigtail stent placed between the gallbladder and duodenum.
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