Multimedia Article
Endoscopy in the CT Scanner: a Multidisciplinary Approach to Difficult Cases

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Abstract

Endoscopic interventions have been made safer with the use of fluoroscopy. This technique has limitations in patients with challenging anatomy. The combined use of endoscopy and CT fluoroscopy provides the added precision necessary to accomplish difficult interventions. In this video, we present two cases where endoscopy and CT fluoroscopy were used concurrently. While other publications have demonstrated the use of CT guidance to perform endoscopic interventions, this video also demonstrates the reverse—how endoscopic guidance can be used to make a CT-guided procedure possible. This video demonstrates the enhanced patient care possible when a multidisciplinary approach between interventional radiologists and surgeons is followed.

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Video Script

One advantage of endoscopy is its ability to be performed in austere environments. Beyond the operating room, flexible endoscopy has been utilized in locations such as emergency departments and intensive care units. Endoscopic interventions have been made safer through the use of real-time two-dimensional imaging, most often fluoroscopy1. Combining the direct visualization of endoscopy with the radiographic visualization of fluoroscopy has allowed for more precise, targeted interventions.

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Disclosures

Colin G. DeLong: There are no conflicts of interest to declare

Nabeel E. Sarwani: There are no conflicts of interest to declare

Rickhesvar P. Mahraj: There are no conflicts of interest to declare

Eric M. Pauli:

• Speaking/Teaching: Cook Biotech, Inc.; C. R. Bard, Inc., Boston Scientific Corp

• Research Support: C. R. Bard, Inc

• Consultant: Boston Scientific Corp.; Actuated Medical, Inc., Medtronic, Baxter

• Royalties: UpToDate Inc., Springer

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