Novel method to remove deeply migrated pancreatic duct stent

Fig. a The 0.018-in guidewire (purple) was passed into the pancreatic duct (PD) through the migrated PD stent (green). b The microcatheter (grey) was then railroaded through an 0.018-in guidewire into the PD stent. c The 0.018-in guidewire was then exchanged for a microsnare (brown). d A 0.025-inch guidewire (red) was then passed externally alongside the PD stent and maneuvered through the microsnare loop at the proximal end of the PD stent. e The microsnare was used to snare the non-hydrophilic portion of the guidewire to minimize slipping and the microcatheter was pulled back to the proximal end of the PD stent to form a closed loop. f With this closed loop system, the PD stent was removed successfully.