MALIGNANT BILIARY OBSTRUCTION TREATED BY WALLSTENTS AND STRECKER TANTALUM STENTS - A RETROSPECTIVE REVIEW

被引:10
作者
FERRO, C [1 ]
PERONA, F [1 ]
AMBROGI, C [1 ]
BARILE, A [1 ]
CIANNI, R [1 ]
机构
[1] OSPED SAN PAOLO,DEPT RADIOL,I-17100 SAVONA,ITALY
关键词
BILE DUCTS STENOSIS OR OBSTRUCTION; PLASTIC ENDOPROSTHESES; METALLIC STENTS;
D O I
10.1007/BF02807351
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To evaluate retrospectively the role and the effectiveness of self-expandable Wallstents and balloon-expandable Strecker stents in patients with inoperable malignant obstruction of the biliary tree. Methods: Fifty patients with malignant biliary obstruction were treated from August 1991 to August 1992 by percutaneous placement of 55 metallic endoprostheses (39 Wallstents, 16 Strecker stents). All patients were followed by clinical evaluation, laboratory data, and ultrasonographic examination until death. Results: Wallstent placement was successful in 36 patients without procedure-related complications. One partial occlusion after 1 year was resolved by percutaneous balloon dilatation. Fourteen patients were treated with 16 Strecker stents. Stenting was unsuccessful in four cases; four occlusions (after 6 h, 48 h, 2 and 6 months) were encountered. Conclusion: Wallstent endoprostheses have good results and, long-term patency. There were some problems with Strecker stents during the placement and there was a higher- occlusion rate.
引用
收藏
页码:25 / 29
页数:5
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