metal stent
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2022 ◽  
Vol 2022 ◽  
pp. 1-13
Author(s):  
Joel Ferreira-Silva ◽  
Renato Medas ◽  
Mohit Girotra ◽  
Monique Barakat ◽  
James H. Tabibian ◽  
...  

Endoscopic stenting is a well-established option for the treatment of malignant obstruction, temporary management of benign strictures, and sealing transmural defects, as well as drainage of pancreatic fluid collections and biliary obstruction. In recent years, in addition to expansion in indications for endoscopic stenting, considerable strides have been made in stent technology, and several types of devices with advanced designs and materials are continuously being developed. In this review, we discuss the important developments in stent designs and novel indications for endoluminal and transluminal stenting. Our discussion specifically focuses on (i) biodegradable as well as (ii) irradiating and drug-eluting stents for esophageal, gastroduodenal, biliary, and colonic indications, (iii) endoscopic stenting in inflammatory bowel disease, and (iv) lumen-apposing metal stent.


2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Jean-Michel Gonzalez ◽  
Sohaib Ouazzani ◽  
Laurent Monino ◽  
Laura Beyer-Berjot ◽  
Stephane Berdah ◽  
...  

AbstractWe conducted a pilot study of a potential endoscopic alternative to bariatric surgery. We developed a Natural Orifice Transluminal Endoscopic Surgery (NOTES) gastric bypass with controlled bypass limb length using four new devices including a dedicated lumen-apposing metal stent (GJ-LAMS) and pyloric duodenal exclusion device (DED). We evaluated procedural technical success, weight change from baseline, and adverse events in growing Landrace/Large-White pigs through 38 weeks after GJ-LAMS placement. Six pigs (age 2.5 months, mean baseline weight 26.1 ± 2.7 kg) had initial GJ-LAMS placement with controlled bypass limb length, followed by DED placement at 2 weeks. Technical success was 100%. GJ-LAMS migrated in 3 of 6, and DED migrated in 3 of 5 surviving pigs after mucosal abrasion. One pig died by Day 94. At 38 weeks, necropsy showed 100–240 cm limb length except for one at 760 cm. Weight gain was significantly lower in the pigs that underwent endoscopic bypass procedures compared to expected weight for age. This first survival study of a fully endoscopic controlled bypass length gastrojejunostomy with duodenal exclusion in a growing porcine model showed high technical success but significant adverse events. Future studies will include procedural and device optimizations and comparison to a control group.


2022 ◽  
Author(s):  
Andrés Conthe ◽  
Luis Ibáñez Samaniego ◽  
Maria Vega Catalina ◽  
Oscar Nogales Rincón ◽  
Beatriz Merino ◽  
...  

Author(s):  
Xiaobo Wang ◽  
Xiaoqiang Chen ◽  
Lei Xing ◽  
Chun Mao ◽  
Hongxing Yu ◽  
...  

Correction for ‘Blood compatibility of a new zwitterionic bare metal stent with hyperbranched polymer brushes’ by Xiaobo Wang et al., J. Mater. Chem. B, 2013, 1, 5036–5044, DOI: 10.1039/C3TB20855A.


Vascular ◽  
2021 ◽  
pp. 170853812110627
Author(s):  
Julian Smith ◽  
Simon Joseph ◽  
Catherine Thoo

Background The Zenith endovascular graft (Cook Medical, Bloomington, IN, USA) is a well-recognised device used in endovascular repair of abdominal aortic aneurysms (EVAR). After a small number of reported cases of suprarenal stent separation from the main body of the graft, modifications were made to the strength and durability of the suture line attachment of the proximal bare metal component prior to release in 2003. This report describes a further case of suprarenal stent separation and type IA endoleak in a patient who underwent an EVAR using the Zenith device in 2012. Methods We present a case report of a 77-year-old male with incidental finding of type IA endoleak on a background of elective endovascular repair for 50.4-mm infrarenal abdominal aortic aneurysm (AAA), with a Cook Zenith endograft. Computed tomography (CT) demonstrated separation of the suprarenal bare metal stent from the main body of the endograft, with resultant graft migration and increase in native aneurysm sac size. Results The patient underwent semi-urgent surgery with successful placement of a bridging thoracic stent graft between the lowest renal artery and main body of the pre-existing graft. Conclusions This case report describes a rare complication of Zenith devices, additionally emphasising the importance of regular surveillance imaging following EVAR.


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