Visualize the bile duct with clarity

Use direct visualization
for percutaneous
biliary access

Healthcare Professionals / GastroenterologyHPB Portfolio / Practical Solutions / Access / PTCS

A better view in challenging cases

Decorative Image

Percutaneous transhepatic cholangioscopy (PTCS) is a treatment approach for complex patients who may have limited options for stone disease or stricture management.

It can include patients that: 

  • have surgically altered anatomy
  • are unable to receive an ERCP
  • are high-risk surgical patients

These patients may have undergone a previous surgery like a Roux-en-Y gastric bypass, pancreaticoduodenectomy (Whipple procedure), or liver transplant that resulted in altered hepato-pancreato-biliary (HPB) anatomy.1

Managing subsequent bile duct stones or biliary obstruction in such patients can prove challenging. Their current health status may also exclude surgery from the available treatment options.2


PTCS with SpyGlass™ Discover

SpyGlass™ Discover helps you overcome these challenges. It is a single-use, sterile endoscope for use in the pancreaticobiliary system, including the hepatic ducts.

It leverages a minimally invasive approach, with an outer diameter of 3,5 mm (11 or 12 Fr access sheath). This gives you the ability to gain access in patients with complex or altered anatomy percutaneously.

View product information for
the SpyGlass™ Discover Digital Catheter:

SpyGlass™ Discover Digital Catheter 

The SpyGlassTM Discover System was adapted from the latest SpyGlass™ DS II technology, to enable surgeons to perform intra-operative: 

  • CBD stone clearance, including trans-cystic lithotripsy, during LCBDE
  • Visual and biopsy-guided mapping of cancer margins during resection of cholangiocarcinoma or MD-IPMN
  • Visualization and therapeutic treatment via percutaneous access

A holistic approach to the HPB (hepato-pancreato-biliary) pathway

Explore the Boston Scientific innovations that facilitate smooth access

Short wire technology

The RX Biliary SystemTM puts the physician in control and helps to reduce complications and save on resources

Direct visualization 

Visualize bile duct with clarity to assist with guidewire placement

Lumen-apposing metal stenting 

Create a secure, translumenal conduit with the Hot AXIOSTM Stent and Electrocautery-Enhanced Delivery System

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