A NEW BALLOON-EXPANDABLE TANTALUM STENT (STRECKER-STENT) FOR THE BILIARY SYSTEM - PRELIMINARY EXPERIENCE

被引:25
作者
JASCHKE, W
KLOSE, KJ
STRECKER, EP
机构
[1] Institut für Klinische Radiologie, Klinikum Mannheim, Universität Heidelberg, Mannheim 1, D-6800
[2] Abt. für Strahlendiagnostik, Mediznisches Zentrum für Radiologie, Philipps-Universität Marburg
[3] Abt. Röntgendiagnostik und Nuklearmedizin, Diakonissenkrankenhaus Karlsruhe-Rüppurr
关键词
BILIARY DRAINAGE; JAUNDICE; TRANSHEPATIC DRAINAGE; STENT;
D O I
10.1007/BF02734118
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Placement of a balloon-expandable metallic stent (Strecker-Stent) for biliary drainage has been attempted in 30 patients. The stent was successfully implanted in 22 patients; in the remaining 8 patients, dilatation of the biliary stricture prior to stent placement was inadequate and delivery of the Strecker-Stent was, therefore, not possible. Insufficient balloon dilatation was related to the rigid nature of the stricture and to pain experienced during dilatation. During 2-9 months follow-up, 3 of 21 patients (14%) presented with reocclusion of the stented bile ducts. In all other patients, biliary drainage remains adequate. No major complications related to stent placement were observed.
引用
收藏
页码:356 / 359
页数:4
相关论文
共 13 条
[1]  
Gunther R.W., Schild H., Thelen M., Review article. Percutaneous transhepatic biliary drainage: Experience with 311 procedures, Cardiovascular and Interventional Radiology, 11, pp. 65-71, (1988)
[2]  
Lammer J., Neumayer K., Biliary drainage endoprostheses: Experience with 201 placements, Radiology, 159, pp. 625-629, (1988)
[3]  
Lammer J., Stoffer G., Petek W.W., Hofler H., In vitro long-term perfusion of different materials for biliary endoprostheses, Invest Radiol, 21, pp. 329-331, (1987)
[4]  
Strecker E.P., Berg G., Schneider B., Freudenberg N., Weber H., Wolf R.D., A new vascular balloon-expandable prosthesis: Experimental studies and first clinical results, J Intervent Radiol, 3, pp. 59-62, (1988)
[5]  
McLean G., Burke D.R., Role of endoprostheses in the management of malignant biliary obstruction, Radiology, 170, pp. 961-967, (1989)
[6]  
Brambs H-J, Billmann P., Pausch J., Holstege A., Salm R., Non-surgical biliary drainage: Endoscopic conversion of percutaneous transhepatic into endoprosthetic drainage, Endoscopy, 18, pp. 52-56, (1986)
[7]  
Coons H.G., Self-expanding stainless steel biliary stents, Radiology, 170, pp. 979-983, (1989)
[8]  
Huitbregtse K., Cheng J., Coene P.P.L.O., Fockens P., Tytgat G.N.J., Endoscopic placement of expandable metal stents for biliary strictures, Endoscopy, 21, pp. 280-282, (1989)
[9]  
Alvarado R., Palmaz J.C., Garcia O.J., Tio F.O., Rees, Evaluation of polymer-coated balloon-expandable stents in bile ducts, Radiology, 170, pp. 975-978, (1989)
[10]  
Irving J.D., Adam A., Dick R., Dondelinger R.F., Lunderquist A., Roche A., Gianturco expandable metallic biliary stents: Results of a European clinical trial, Radiology, 172, pp. 321-326, (1989)