Fluoroless endoscopic ultrasound-guided biliary drainage after failed ERCP with a novel lumen-apposing metal stent mounted on a cautery-tipped delivery system

Endoscopic ultrasound (EUS)-guided biliary drainage in patients in whom endoscopic retrograde cholangiopancreatography (ERCP) has failed is rapidly gaining acceptance as a valid alternative to percutaneous drainage [1]. In the last few years, fully covered self-expandable metal stents specifically designed for EUS transmural drainage procedures have become available [2] [3]. Recently, one of these stents has been incorporated into an...