Comparative study of rendezvous techniques in post-liver transplant biliary stricture

Figure 3 Kumpe catheter technique. A: Two Kumpe (KMP) catheters were placed along the previous percutaneous transhepatic biliary drainage tracts; B, C: The KMP catheters were located out of the major ampulla in the duodenum; D, E: The KMP catheter was pulled back and rotated to approximate the slightly angulated end of the KMP catheter and the end of the endoscopic retrograde cholangiopancreatography (ERCP) cannula. Then, a preloaded guidewire in the ERCP cannula was advanced through the KMP catheter; F: Two inside stents were placed over the stricture in the anterior and posterior branches of the right hepatic duct of the recipient liver.