Biliary Stricture
Conditions
Keywords
Bile duct obstruction, Biliary stent, Temperature-Sensitive Radiofrequency Ablation (RFA)
Brief summary
The purpose of this study is to assess the impact of temperature-sensitive radiofrequency ablation (RFA) immediately before biliary stent placement on duration of biliary stent patency and re-intervention free survival. This is a research study meant to collect information to help other patients with malignant biliary strictures in the future.
Interventions
Endobiliary radiofrequency ablation prior to ERCP-guided biliary stenting that utilizes a temperature-sensitive endobiliary RFA catheter
No intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Malignant biliary stricture * participants have or will have a biopsy-confirmed pancreaticobiliary or ampullary malignancy that have agreed to undergo radiofrequency ablation (RFA) with placement of biliary stents * Patients with life expectancy greater than 3 months * Able to provide consent
Exclusion criteria
* Patients who are pregnant * Patients with cirrhosis * Patients with significant liver metastasis >30% on radiologic imaging suggestive of poor liver function that will not improve despite endoscopic drainage. * Patients who have undergone prior biliary decompression stents or percutaneous drainage that cannot be removed at time of ERCP and thus preclude effective RFA * Patients with altered anatomy unable to undergo conventional ERCP (i.e., history of Roux-en-Y gastric bypass)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stent patency | 6 months | Duration of stent patency over the 6 month follow-up period |
| Re-intervention free survival | 6 months | Duration of re-intervention free survival over the 6 month follow-up period |
| Mortality | 6 months | Number of subject deaths following ERCP, over the 6-month follow-up period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Events | 6 months | Number of participants with treatment-related adverse events over the 6-month follow-up period |
| Time until first adverse event | 6 months | Time (in days) from ERCP until first treatment-related adverse event, over the 6-month follow-up period |
Countries
United States