Calaway, Adam C.Borofsky, Michael S.Dauw, Casey A.Lingeman, James E.2017-05-302017-05-302016-02-01Calaway, A. C., Borofsky, M. S., Dauw, C. A., & Lingeman, J. E. (2016). Getting Out of a PCCL: Percutaneous Cholecystolithotomy as a Salvage Treatment Option for Gallstone Removal in Patients Deemed Unfit for Standard Surgical Approaches. Journal of Endourology Case Reports, 2(1), 33–35. http://doi.org/10.1089/cren.2016.0015https://hdl.handle.net/1805/12775Definitive management of acute cholecystitis or symptomatic cholelithiasis in exceedingly high-risk patients remains a clinical dilemma. In certain cases, treatment through a percutaneous approach following standard techniques and principles similar to those of percutaneous nephrolithotomy may be considered. However, one potential challenge, particularly among a high-risk population, is the possible necessity to stay on obligate anticoagulation for pre-existing medical reasons. To date, there have been no prior reports documenting the role of this procedure in patients on systemic anticoagulation, particularly clopidogrel. Here we report a case of a percutaneous cholecystolithotomy performed on an elderly patient unable to stop dual antiplatelet therapy (aspirin and clopidogrel) secondary to recent drug eluting stent placement for myocardial infarction.en-USAttribution-NonCommercial-NoDerivs 3.0 United StatesAcute cholecystitisSymptomatic cholelithiasisPercutaneous nephrolithotomyAnticoagulationClopidogrelPercutaneous cholecystolithotomyAntiplatelet therapyArticle