Polyorethaoe-covered nitinol strecker stents as primary palliative treatment of malignant biliary obstruction
Journal Article
·
· Cardiovascular and Interventional Radiology
- Shiga University of Medical Science, Department of Radiology (Japan)
- Yujinkai Yamazaki Hospital, Department of Internal Medicine (Japan)
Purpose: To evaluate the clinical efficacy of the polyure-thane-covered Nitinol Strecker stent in the treatment of patients with malignant biliary obstruction.Methods: Twenty-three covered stents produced by us were placed in 18 patients with malignant biliary obstruction. Jaundice was caused by cholangiocarcinoma (n=5), pancreatic Cancer (n=6), gallbladder Cancer (n=4), metastatic lymph nodes (n=2), and tumor of the papilla (n=1).Resulrs: The mean patency period of the Stents was 37.5 weeks (5-106 weeks). Recurrent obstructive jaundice occurred in two patients (11%). Adequate biliary drainage over 50 weeks or until death was achieved in 17 of 18 patients (94.4%). Late cholangitis was observed in two patients whose stents bridged the ampulla of Vater. Other late severe complications were not encountered.Conclusion: Although more study is necessary, our results suggest the clinical efficacy of our covered Nitinol Strecker stent in the management of obstructive jaundice caused by malignant diseases.
- OSTI ID:
- 21414415
- Journal Information:
- Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 23; ISSN 0174-1551; ISSN CAIRDG
- Country of Publication:
- United States
- Language:
- English
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Related Subjects
62 RADIOLOGY AND NUCLEAR MEDICINE
ALLOYS
BILIARY TRACT
BODY
DIGESTIVE SYSTEM
DISEASES
ENDOCRINE GLANDS
GLANDS
JAUNDICE
LYMPH NODES
LYMPHATIC SYSTEM
MATERIALS
NEOPLASMS
NICKEL ALLOYS
ORGANIC COMPOUNDS
ORGANIC POLYMERS
ORGANS
PANCREAS
PATHOLOGICAL CHANGES
PETROCHEMICALS
PETROLEUM PRODUCTS
PLASTICS
POLYAMIDES
POLYMERS
POLYURETHANES
SYMPTOMS
SYNTHETIC MATERIALS
TITANIUM ALLOYS
TRANSITION ELEMENT ALLOYS
TUBES
ALLOYS
BILIARY TRACT
BODY
DIGESTIVE SYSTEM
DISEASES
ENDOCRINE GLANDS
GLANDS
JAUNDICE
LYMPH NODES
LYMPHATIC SYSTEM
MATERIALS
NEOPLASMS
NICKEL ALLOYS
ORGANIC COMPOUNDS
ORGANIC POLYMERS
ORGANS
PANCREAS
PATHOLOGICAL CHANGES
PETROCHEMICALS
PETROLEUM PRODUCTS
PLASTICS
POLYAMIDES
POLYMERS
POLYURETHANES
SYMPTOMS
SYNTHETIC MATERIALS
TITANIUM ALLOYS
TRANSITION ELEMENT ALLOYS
TUBES