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Temporary placement of covered retrievable expandable nitinol stents with barbs in high-risk surgical patients with benign prostatic hyperplasia: work in progress.

Authors
Kim, CS; Song, HY; Jeong, IG; Yeo, HJ; Kim, EY; Park, JH; Yoon, CJ; Paick, SH; Park, SW; Bae, JI; Won, JH
Citation
Journal of vascular and interventional radiology : JVIR, 22(10):1420-1426, 2011
Journal Title
Journal of vascular and interventional radiology : JVIR
ISSN
1051-04431535-7732
Abstract
PURPOSE: To report the use of a newly constructed, covered, retrievable, expandable nitinol stent with barbs to overcome the problem of stent migration associated with conventional covered prostatic expandable stents and to evaluate prospectively the technical feasibility and clinical effectiveness of the stents in patients with benign prostatic hyperplasia (BPH).



MATERIALS AND METHODS: A covered retrievable expandable nitinol stent with four barbs was placed with use of an 18-F stent delivery system in seven consecutive patients with symptomatic BPH who had high operative risks. Age range of patients was 62-83 years (mean 74 years). In cases in which the stent migrated, it was replaced with a stent with eight barbs. The stents were routinely removed 4 months after placement using a 21-F stent removal set.



RESULTS: Stent placement was technically successful and well tolerated in six of the seven patients. The remaining patient needed a second stent placement after removal of the first stent. The stent with four barbs migrated into the urinary bladder in four patients (57%); three of these patients received a second stent with eight barbs with good results, and the fourth patient did not need further treatment because his symptoms improved. Routine removal of the stent 4 months after placement was performed in three of the seven patients with good results.



CONCLUSIONS: Retrievable stents with eight barbs seem to overcome the problem of stent migration associated with conventional prostatic expandable stents. Preliminary results suggest that stents with barbs are both feasible and effective in patients with BPH.
MeSH terms
AgedAged, 80 and over*AlloysBalloon Dilation/adverse effects/*instrumentationDevice RemovalFeasibility StudiesForeign-Body Migration/etiology/prevention & controlHumansMalePilot ProjectsProspective StudiesProstatic Hyperplasia/radiography/*therapyProsthesis DesignRadiography, InterventionalRepublic of Korea*Stents/adverse effectsTime FactorsTreatment OutcomeUreteroscopy
DOI
10.1016/j.jvir.2011.06.017
PMID
21840225
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
AJOU Authors
배, 재익원, 제환
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