{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T23:07:52Z","timestamp":1779318472794,"version":"3.51.4"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This international survey aimed to characterize current practice patterns, perceptions, and outcomes related to guidewire use in electrocautery-enhanced lumen-apposing metal stents (EC-LAMS) procedures.<\/jats:p>\n                  <jats:p>An online survey of experienced therapeutic endoscopists was conducted, collecting information on preferred techniques, indications for guidewire use, perceived risks, and self-reported adverse events (AEs). Post-hoc analyses explored associations between guidewire use, AEs, and operator experience.<\/jats:p>\n                  <jats:p>Eighty-seven endoscopists (mean age 46.1 years, 88.5% with \u2265 5 years of endoscopic ultrasound (EUS) experience) completed the survey. Freehand deployment was the preferred technique for the majority of all procedures. Guidewire use was mainly preferred for EUS-guided choledochoduodenostomy (EUS-CDS, 24.1%) and EUS-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE, 31%). Reported factors favoring guidewire use included small target lumens and difficult scope positioning. Maldeployment was reported as the most important complication, because 49.3%, and 40.6% of the participants reported at least one maldeployment case in EUS-CDS and EUS-guided gastroenterostomy, respectively. Logistic regression showed that guidewire use in EUS-CDS was perceived to result in higher complication rates (44.1% vs 20.0%; odds ratio 3.16, 95% confidence interval 1.08\u20139.2, P = 0.03). No significant differences in outcomes or guidewire use were observed by operator experience or case volume, although older endoscopists were more likely to use guidewires.<\/jats:p>\n                  <jats:p>Using an international questionnaire for experienced EUS operators, freehand deployment was identified as the predominant technique for EC-LAMS placement.<\/jats:p>","DOI":"10.1055\/a-2854-7045","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T23:05:17Z","timestamp":1776207917000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Guidewire use in electrocautery-enhanced lumen-apposing metal stent procedures: Results of an online survey from an international working group"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6699-8625","authenticated-orcid":false,"given":"Tawfik","family":"Khoury","sequence":"additional","affiliation":[{"name":"Galilee Medical Center, Bar-Ilan University, Safed, Israel","place":["Nahariya"],"department":["Department of Gastroenterology"]},{"name":"Jean Mermoz Private Hospital, Auvergne-Rh\u00f4ne-Alpes, France","place":["Lyon"],"department":["Department of Gastroenterology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2039-5022","authenticated-orcid":false,"given":"Michiel","family":"Bronswijk","sequence":"additional","affiliation":[{"name":"KU Leuven University Hospitals Leuven, Belgium","place":["Leuven"],"department":["Gastroenterology and Hepatology"]},{"name":"Imelda Hospital, Belgium","place":["Bonheiden"],"department":["Department of Gastroenterology and Hepatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wisam","family":"Sbeit","sequence":"additional","affiliation":[{"name":"Galilee Medical Center, North District, Israel","place":["Nahariyya"],"department":["Department of Gastroenterology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4397-9314","authenticated-orcid":false,"given":"Pietro","family":"Fusaroli","sequence":"additional","affiliation":[{"name":"University of Bologna, Italy, Italy","place":["Imola"],"department":["Gastroenterology Unit, Hospital of Imola"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8638-496X","authenticated-orcid":false,"given":"Rares I.","family":"Orzan","sequence":"additional","affiliation":[{"name":"Regional Institute of Gastroenterology and Hepatology, CJ, Romania","place":["Cluj-Napoca"]},{"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy, CJ, Romania","place":["Cluj-Napoca"],"department":["3rd Department of Internal Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khanh Do-Cong","family":"Pham","sequence":"additional","affiliation":[{"name":"Haukeland University Hospital, Norway","place":["Bergen"],"department":["Department of Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7562-8060","authenticated-orcid":false,"given":"Sundeep","family":"Lakhtakia","sequence":"additional","affiliation":[{"name":"AIG Hospitals, Telangana, India","place":["Hyderabad"],"department":["Medical Gastroenterology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremie","family":"Jacques","sequence":"additional","affiliation":[{"name":"CHU Dupuytren Limoges, France","place":["Limoges"],"department":["Service d'H\u00e9pato-Gastro-Ent\u00e9rologie"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2434-3369","authenticated-orcid":false,"given":"Carlos","family":"Robles-Medranda","sequence":"additional","affiliation":[{"name":"Instituto Ecuatoriano de Enfermedades Digestivas - IECED, GUAYAS, Ecuador","place":["Guayaquil"],"department":["Gastroenterology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1885-8035","authenticated-orcid":false,"given":"Anthony Y.B.","family":"Teoh","sequence":"additional","affiliation":[{"name":"Hong Kong Sanatorium & Hospital Limited, Hong Kong","place":["Hong Kong"],"department":["Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0611-7448","authenticated-orcid":false,"given":"Benedetto","family":"Mangiavillano","sequence":"additional","affiliation":[{"name":"Humanitas Mater Domini, Italy","place":["Castellanza"],"department":["Gastrointestinal Endoscopy Unit"]},{"name":"IRCCS Humanitas Research Hospital, Lombardia, Italy","place":["Rozzano"],"department":["Division of Gastroenterology and Digestive Endoscopy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7280-1761","authenticated-orcid":false,"given":"Giuseppe","family":"Vanella","sequence":"additional","affiliation":[{"name":"IRCCS San Raffaele Scientific Institute, Italy","place":["Milan"],"department":["Pancreatobiliary Endoscopy and Endosonography Division"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2107-2156","authenticated-orcid":false,"given":"Antonio","family":"Facciorusso","sequence":"additional","affiliation":[{"name":"Universit\u00e0 del Salento, Italy","place":["Lecce"],"department":["Gastroenterology Unit, Department of Experimental Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7724-7402","authenticated-orcid":false,"given":"Andrea","family":"Lisotti","sequence":"additional","affiliation":[{"name":"University of Bologna, Italy","place":["Imola"],"department":["Gastroenterology Unit, Hospital of Imola"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5866-8132","authenticated-orcid":false,"given":"Bertrand","family":"Napoleon","sequence":"additional","affiliation":[{"name":"Jean Mermoz Private Hospital, Auvergne-Rh\u00f4ne-Alpes, France","place":["Lyon"],"department":["Department of Gastroenterology"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"3286","DOI":"10.3390\/jcm14103286","article-title":"Interventional endoscopic ultrasonography: Advances in application","volume":"14","author":"H Khan","year":"2025","journal-title":"J Clin Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"535","DOI":"10.20524\/aog.2018.0287","article-title":"Current uses and outcomes of lumen-apposing metal stents","volume":"31","author":"A Mussetto","year":"2018","journal-title":"Ann Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"454","DOI":"10.5009\/gnl240452","article-title":"The efficacy and safety of endoscopic ultrasound-guided retroperitoneal fluid collection drainage with novel electrocautery-enhanced lumen-apposing metal stents (with video)","volume":"19","author":"SH Cho","year":"2025","journal-title":"Gut Liver"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"5481","DOI":"10.1038\/s41598-024-53785-8","article-title":"Multicenter study of the efficacy and safety of electrocautery-enhanced lumen-apposing metal stents for the internal drainage of pancreatic fluid collections","volume":"14","author":"CS Chung","year":"2024","journal-title":"Sci Rep"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"620","DOI":"10.4240\/wjgs.v13.i7.620","article-title":"Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction","volume":"13","author":"S Stefanovic","year":"2021","journal-title":"World J Gastrointest Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1055\/a-1717-1391","article-title":"Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline","volume":"54","author":"SW van der Merwe","year":"2022","journal-title":"Endoscopy"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1097\/eus.0000000000000018","article-title":"Mishaps with EUS-guided lumen-apposing metal stents in therapeutic pancreatic EUS: Management and prevention","volume":"12","author":"B Braden","year":"2023","journal-title":"Endosc Ultrasound"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"E1035","DOI":"10.1055\/a-2185-6426","article-title":"Preferred techniques for endoscopic ultrasound-guided gastroenterostomy: a survey of expert endosonographers","volume":"11","author":"PT Magahis","year":"2023","journal-title":"Endosc Int Open"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1002031","article-title":"Current uses of electro-cautery lumen apposing metal stents in endoscopic ultrasound guided interventions","volume":"9","author":"H Yi","year":"2022","journal-title":"Front Med (Lausanne)"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"3341","DOI":"10.3748\/wjg.v29.i21.3341","article-title":"Lumen-apposing-metal stent misdeployment in endoscopic ultrasound-guided drainages: A systematic review focusing on issues and rescue management","volume":"29","author":"E Armellini","year":"2023","journal-title":"World J Gastroenterol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1053\/j.gastro.2023.07.024","article-title":"Endoscopic ultrasound-guided biliary drainage of first intent with a lumen-apposing metal stent vs endoscopic retrograde cholangiopancreatography in malignant distal biliary obstruction: A multicenter randomized controlled study (ELEMENT Trial)","volume":"165","author":"YI Chen","year":"2023","journal-title":"Gastroenterology"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1616","DOI":"10.3390\/cancers16091616","article-title":"Controversies in endoscopic ultrasound-guided biliary drainage","volume":"16","author":"CF Dietrich","year":"2024","journal-title":"Cancers (Basel)"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"237","DOI":"10.4103\/EUS-D-22-00120","article-title":"Risk factors for stent dysfunction during long-term follow-up after EUS-guided biliary drainage using lumen-apposing metal stents: A prospective study","volume":"12","author":"S Geyl","year":"2023","journal-title":"Endosc Ultrasound"},{"key":"ref14","first-page":"441","article-title":"Endoscopic ultrasound-guided biliary drainage and gastrointestinal anastomoses: the journey from promising innovations to standard of care","volume":"35","author":"G Vanella","year":"2022","journal-title":"Ann Gastroenterol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"E527","DOI":"10.1055\/a-2075-9836","article-title":"Living on the EDGE: Preparing for long-term success following EDGE procedure","volume":"11","author":"M Hanscom","year":"2023","journal-title":"Endosc Int Open"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"5675","DOI":"10.3390\/jcm14165675","article-title":"Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE): Techniques, outcomes and safety profiles","volume":"14","author":"F Antonini","year":"2025","journal-title":"J Clin Med"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"671","DOI":"10.14309\/ajg.0000000000002571","article-title":"International consensus recommendations for safe use of LAMS for on- and off-label indications using a modified Delphi process","volume":"119","author":"S Stefanovic","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1055\/a-2463-1601","article-title":"Stent misdeployment and factors associated with failure in endoscopic ultrasound-guided choledochoduodenostomy: analysis of the combined datasets from two randomized trials","volume":"57","author":"YI Chen","year":"2025","journal-title":"Endoscopy"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1136\/gutjnl-2019-319996","article-title":"Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1)","volume":"69","author":"AYB Teoh","year":"2020","journal-title":"Gut"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1055\/a-1738-6780","article-title":"Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review","volume":"54","author":"RLJ van Wanrooij","year":"2022","journal-title":"Endoscopy"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.vgie.2020.05.016","article-title":"Lessons learned from a salvage procedure for lumen-apposing metal stent misplacement during EUS-guided gastrojejunal bypass","volume":"5","author":"BC Martins","year":"2020","journal-title":"VideoGIE"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"E892","DOI":"10.1055\/a-2422-5789","article-title":"Alternative endoscopic salvage therapies using lumen-apposing metal stents for stent misdeployment during endoscopic ultrasound-directed transgastric intervention","volume":"56","author":"L Monino","year":"2024","journal-title":"Endoscopy"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.gie.2017.06.029","article-title":"EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and AE rates","volume":"87","author":"GD Lang","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"2788","DOI":"10.3390\/diagnostics13172788","article-title":"Endoscopic ultrasound-guided biliary drainage using lumen apposing metal stent in malignant biliary obstruction","volume":"13","author":"A Fugazza","year":"2023","journal-title":"Diagnostics (Basel)"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2854-7045.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:45:33Z","timestamp":1779317133000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2854-7045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,14]]},"references-count":24,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a28547045"],"URL":"https:\/\/doi.org\/10.1055\/a-2854-7045","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4,14]]},"published":{"date-parts":[[2026,4,14]]}}}