Zorger, Niels and Lenhart, M. and Strotzer, M. and Paetzel, C. and Hamer, O. and Feuerbach, S. and Link, J. (2002) Percutoneous therapy of inoperable biliary stenoses and occlusions with a new self-expanding nitinol stent (SMART). ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 174 (10). pp. 1253-1257. ISSN 1438-9029
Full text not available from this repository. (Request a copy)Abstract
Objective: To evaluate the treatment of malignant biliary stenoses and occlusions using a new stent. Methods: In a prospective study, 25 patients with malignant obstructive jaundice were treated with SMART(R) stents. The handling and the quality of stent expansion were documented. Stent function was assessed 2 - 4 days after intervention by cholangiography and laboratory tests. A follow-up was performed three months, after stent placement. Results: All lesions were treated successfully, with a total of 35 stents implanted. In 14 patients a further balloon dilatation was performed after stent placement (8 - 10 mm diameter/40-80 mm length). The mean serum bilirubin level decreased significantly from 11.6 mg/dl to 4.6 mg/dl after intervention (p < 0.05). The follow-up showed a mean serum bilirubin level at 4.0 mg/dl. In 4 cases (16%) a further intervention (PTCD or stent) was performed. Six patients died due to tumor progression. The stents proved to be patent in 79% (n = 15) of patients alive at the time of follow-up. Conclusions: Placement of the SMART stent for the therapy of malignant biliary lesions yields good technical and clinical results.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BILE-DUCT OBSTRUCTION; METALLIC STENTS; RANDOMIZED TRIAL; PALLIATIVE TREATMENT; ENDOPROSTHESES; DRAINAGE; COMPLICATIONS; SURGERY; CANCER; BYPASS; cholestasis; jaundice, obstructive; stents; biliary tract |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 05 Oct 2021 11:25 |
| Last Modified: | 05 Oct 2021 11:25 |
| URI: | https://pred.uni-regensburg.de/id/eprint/39856 |
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