Novel powered 5.0-mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: a case series of consecutive patients from a tertiary referral center (with video)

• DOI: 10.1016/j.gie.2023.10.044
• Publication Date: 2023-10-20T07:22:38Z
• Authors: Gitte Aabye Olsen; Palle Nordblad Sc...; Srdan Novovic; Erik Feldager Hansen; John Gásdal Karst...
• Keywords: Debridement (dental); Endoscope; Pancreatic mass

Background and AimsEUS-guided drainage and, if required, endoscopic necrosectomy (EN) has become the criterion standard for treatment of pancreatic walled-off necrosis (WON). A dedicated powered debridement system, EndoRotor (Interscope Inc, Northbridge, Mass, USA), been introduced as an alternative to snare necrosectomy. This study evaluates novel catheter, NecroMax 6.0 Whitinsville, EN in patients with WON.MethodsThis single-center retrospective case series included consecutive WON treated catheter. Safety, ability perform EN, clinical resolution were evaluated.ResultsTwenty underwent 30 procedures One suspected device-related adverse event was observed (3.3%). In 1 procedure, could not be performed because excessive bending endoscope. Eighteen (90.0%) achieved resolution.ConclusionsEN catheter technically feasible 96.7% a low rate events. EUS-guided WON. evaluated. Twenty resolution.