application

Endoluminal Strictures

Biliary RFA

Expanding Treatment Options For Biliary Strictures

Biliary obstruction leads to jaundice, cholangitis, and impaired quality of life. While stents restore flow, restenosis and recurrent strictures are common, particularly in malignant disease.

70%

Of all biliary strictures are malignant, most caused by cholangiocarcinoma or pancreatic cancer.1

<50%

Of patients will experience stent occlusion within 6–8 months, leading to repeat interventions2

Up to 43%

Liver transplant patients may develop benign biliary strictures, underscoring the need for adjunct therapies like biliary RFA.3

Endoluminal RFA with ELRA™

ELRA™ is a temperature-controlled RF catheter designed for endoluminal ablation of biliary and pancreatic ducts. By ablating tumor or fibrotic tissue intraductally, ELRA™ helps restore duct patency and improve stent outcomes.

How It Works?

STEP 1

Percutaneous Access

ELRA™ is introduced over-the-wire (OTW) into the hepatopancreatobiliary ducts under fluoroscopic guidance.

STEP 2

Targeted Endoluminal Ablation

Controlled radiofrequency energy ablates tumor or fibrotic tissue intraductally.

STEP 3

Improved Outcome

Restored lumen patency, optimized stent placement, and reduced need for repeat interventions.

Key Advantages

4 exposure lengths

11, 18, 22, 33 mm for a tailored endoluminal ablation

VIVA combo RF Generator

To provide real-time impedance and temperature monitoring

Flexible 7FR catheter

With a conical silicone tip for easy navigation through narrow ducts

A Portfolio of Sizes

ELRA™ gives physicians the flexibility to tailor ablation to duct size, stricture length, and patient anatomy.

*Recommended size for anatomy.

Evidence at a Glance

Prospective single- and multicenter studies have shown temperature-controlled intraductal RFA using ELRA™ to be feasible, safe, and effective in maintaining biliary patency5,6 . Temperature control prevents excessive heating, minimizing the risk of vascular or ductal injury.

Endoluminal lesions before RFA treatment.
Before STARmed RFA

Obstructed duct with fibrotic tissue

Result of using RFA treatment on endoluminal lesions.
After STARmed RFA

Restored lumen, improved bile flow

Why Endoluminal RFA Matters

For Physician

  • Expands therapeutic options beyond stenting
  • Reduces repeat interventions
  • Seamlessly integrates into existing workflows

For Patients

  • Fewer hospital visits and procedures
  • More durable drainage
  • Improved quality of life

Advance Patient Care with Biliary and Endoluminal RFA

Discover how ELRA™ enables precise, safe, and effective ablation for malignant and benign biliary strictures.

  1. Patel T. BMC Cancer. 2002.
  2. Sofi AA, Khan MA, Das A, et al. Gastrointest Endosc. 2018.
  3. Thuluvath PJ, Pfau PR, Kimmey MB, Ginsberg GG. J Clin Gastroenterol. 2001.
  4. Hendriquez R, Keihanian T, Goyal J, et al. World J Gastrointest Oncol. 2022.
  5. Kang H, Chung MJ, Cho IR, et al. Surg Endosc. 2021.
  6. Laleman W, van der Merwe S, Verbeke L, et al. Endoscopy. 2017.
  7. Lee YN, Jeong S, Choi HJ, et al. J Gastroenterol Hepatol. 2019.

Stay informed with STARmed Technology

Download the Thyroid RFA clinical data sheet

See how safe and effective STARmed’s industry-leading equipment is in practice.

By submitting this form, you consent to receive marketing emails from STARmed America at the email provided. You can unsubscribe at any time. Please see our privacy policy for more information.