scholarly journals Gastrointestinal: Utilization of a novel dedicated stent fixation clip device (“stentfix OTSC”) for an umbrella‐type cardia stent

2020 ◽  
Vol 35 (9) ◽  
pp. 1466-1466 ◽  
Author(s):  
V Zimmer
Keyword(s):  
2018 ◽  
Vol 06 (02) ◽  
pp. E217-E223 ◽  
Author(s):  
Saowanee Ngamruengphong ◽  
Reem Sharaiha ◽  
Amrita Sethi ◽  
Ali Siddiqui ◽  
Christopher DiMaio ◽  
...  

Abstract Background and study aims Self-expandable metallic stents (SEMS) have been increasingly used in benign conditions (e. g. strictures, fistulas, leaks, and perforations). Fully covered SEMS (FSEMS) were introduced to avoid undesirable consequences of partially covered SEMS (PSEMS), but come with higher risk of stent migration. Endoscopic suturing (ES) for stent fixation has been shown to reduce migration of FSEMS. Our aim was to compare the outcomes of FSEMS with ES (FS/ES) versus PSEMS in patients with benign upper gastrointestinal conditions. Patients and methods We retrospectively identified all patients who underwent stent placement for benign gastrointestinal conditions at seven US tertiary-care centers. Patients were divided into two groups: FSEMS with ES (FS/ES group) and PSEMS (PSEMS group). Clinical outcomes between the two groups were compared. Results A total of 74 (FS/ES 46, PSEMS 28) patients were included. On multivariable analysis, there was no significant difference in rate of stent migration between FS/ES (43 %) and PSEMS (15 %) (adjusted odds ratio 0.56; 95 % CI 0.15 – 2.00). Clinical success was similar [68 % vs. 64 %; P = 0.81]. Rate of adverse events (AEs) was higher in PSEMS group [13 (46 %) vs. 10 (21 %); P = 0.03). Difficult stent removal was higher in the PSEMS group (n = 5;17 %) vs. 0 % in the FS/ES group; P = 0.005. Conclusions The proportion of stent migration of FS/ES and PSEMS are similar. Rates of other stent-related AEs were higher in the PSEMS group. PSEMS was associated with tissue ingrowth or overgrowth leading to difficult stent removal, and secondary stricture formation. Thus, FSEMS with ES for stent fixation may be the preferred modality over PSEMS for the treatment of benign upper gastrointestinal conditions.


2019 ◽  
Vol 89 (6) ◽  
pp. AB346-AB347
Author(s):  
Yasuki Hori ◽  
Kazuki Hayashi ◽  
Itaru Naitoh

Endoscopy ◽  
2013 ◽  
Vol 45 (S 02) ◽  
pp. E342-E342 ◽  
Author(s):  
B. da Costa Martins ◽  
B. Medrado ◽  
M. de Lima ◽  
F. Retes ◽  
F. Kawaguti ◽  
...  

2011 ◽  
Vol 10 (2) ◽  
pp. 328
Author(s):  
Y.M. Osman ◽  
T.S. Barakat ◽  
A. Mosbah ◽  
H. Abo-Elenein ◽  
A. Shaaban ◽  
...  

Orbit ◽  
2017 ◽  
Vol 36 (3) ◽  
pp. 175-177 ◽  
Author(s):  
Kaveh Vahdani ◽  
Vladimir Theodor Thaller ◽  
Giorgio Albanese

2020 ◽  
Vol 11 (3) ◽  
pp. 187-192
Author(s):  
Tamás Ruttkay ◽  
László Bárány ◽  
András Grimm ◽  
Lajos Patonay ◽  
Örs Petneházy ◽  
...  

Introduction Many coronary anastomotic devices have been designed to replace manual stitching in coronary surgery; however, interestingly, none of them became widespread. Our aim was to work out an easy and fast endoluminal vessel-to-vessel stent bridge distal anastomotic technique. Materials and methods Ten coronary arteries of eight fresh human hearts were used in this study. The anastomosis was performed with the implantation of a graft vessel into the lumen of the coronary artery by performing stent fixation. The technique is described and photo documented in detail. The durability and the conductibility of the anastomosis were examined with intraluminal endoscopy, functional streaming test, and a coloring of the vessels. Results The anastomosis had great results in all cases. Obstruction, dissection, or dislocation of the vessels was not observable. Conclusions This study confirmed the ex-vivo feasibility of the described technique. This method can be an easy, fast, and reliable method applied in the endoscopic distal coronary artery anastomosis surgery. The development of stents adapted to this method and the in-vivo testing of this technique are necessary for the future.


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