Self expanding metallic stent placement in a case of cholangiocarcinoma

A 56 year old lady with cholangiocarcinoma deemed inoperable due to metastases. The ampulla was inferior to a diverticulum (A: white arrow shows the diverticulum and green arrow shows the ampulla). Cannulation and contrast injection showed a mid CBD stricture (B: blue arrow). A guidewire was placed across the stricture followed by stent assembly (C: blue arrows). A 10cm long metallic stent of 10mm diameter was placed (D1: blue arrows show the stent on fluoroscopy. D2: blue arrow shows the stent deployed at the ampulla)