Abstract
PURPOSE: The authors report their experience with three types of retrievable covered nitinol stents in patients with malignant esophageal strictures. Materials AND METHODS: Three types of retrievable covered nitinol stents were designed. Type A stents were placed in 45 patients, type B stents were placed in 29 patients, and type C stents were placed in 34 patients. The stents were removed with use of a stent retrieval set under fluoroscopic guidance when the stents caused complications. Stent patency, symptom relief, survival rate, and complications were analyzed relative to stent type and radiation therapy. RESULTS: The timing of radiation and the stent type have significant effects on occurrence of complications such as stent migration and fistula formation (P = .002 and P = 0.029, respectively). Complications were significantly more frequent in patients with the type B stent than those with type A or type C stents (P = .008). Patients who underwent radiation therapy before stent placement or who underwent no radiation therapy experienced substantially less complications than those who underwent radiation therapy after stent placement (P = .005 and P < .001, respectively). The survival period was significantly longer in patients who underwent radiation therapy after stent placement than in the other groups (P = .034). Stents were removed from 15 patients (14%) 2 days to 16 weeks (mean, 4 weeks) after stent placement as a result of severe pain (n = 7), stent migration (n = 6), or stent deformity (n = 2). Stent removal was well tolerated in all patients. CONCLUSION: Use of retrievable covered nitinol stents seems to be a safe and effective method of treatment in patients with malignant esophageal strictures. However, removal of the stents was needed in 14% of the patients because of complications. Patients who underwent radiation therapy after stent placement and those with the type B stent experienced more complications than other patients.
Original language | English |
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Pages (from-to) | 285-292 |
Number of pages | 8 |
Journal | Journal of Vascular and Interventional Radiology |
Volume | 13 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2002 |
Bibliographical note
Funding Information:The study was supported by a grant (#HMP-98-G-2-043) of the HAN (Highly Advanced National) Project, Ministry of Health and Welfare, Republic of Korea.
Keywords
- Esophagus, stenosis or obstruction
- Stents and prostheses
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine