Cook Medical has improved the Zilver 635 Biliary Stent, with a redesigned 6 Fr introducer and two new longer stent options (10 cm and 12 cm), to allow precise* endoscopic stent placement from the hilum through the papilla.
Here, Gregory Ginsberg, MD, performs a simultaneous double stenting procedure to palliate a patient with multifocal stricturing in the common bile duct and hilar strictures on both the left and right sides, resulting from a cholangiocarcinoma. During this procedure, he’s using two 12 cm Zilver 635 Biliary Stents over Acrobat® 2 Calibrated Tip Wire Guides.
Dr Ginsberg is the director of Endoscopic Services, professor of surgery, and professor of medicine at the Hospital of the University of Pennsylvania. His clinical expertise includes cholangiocarcinoma and biliary tract disorders.
Dr Gregory Ginsberg was not a paid consultant for Cook Medical at the time this video was made.
*ZILBS-635 verification testing on file for deployment accuracy. Test report document: D00057285.
Warning: The safety and effectiveness of this device for use in the vascular system have not been established.