A retrospective, multicenter analysis of incidents associated with Axios™ lumen-apposing stents.
Rev Esp Enferm Dig
; 111(6): 419-424, 2019 Jun.
Article
em En
| MEDLINE
| ID: mdl-31021162
ABSTRACT
INTRODUCTION:
there is controversy with regard to the risks associated with lumen-apposing metal stents (LAMSs), with significant variations between available reports.OBJECTIVES:
to describe the types and proportions of complications that arise during the permanence time and removal of Axios™ LAMS. Furthermore, the relationship between patency time, therapeutic target and the presence of complications was also described.METHODS:
a retrospective, multicenter case series study was performed of all patients with an implanted LAMS to access extra-luminal structures during 2017. Only technically successful cases were recorded.RESULTS:
a total of 179 patients from seven sites (range, 4-68 cases/site) were included in the study, with a mean age of 64.3 years (SD 15.8; range 24.6-98.8 years) and 122 (68.2%) were male. Most common indications included encapsulated necrosis (58, 32.4%), pseudocysts (31, 17.3%) and gallbladder drains (26, 14.5%). Complications during LAMS stay were reported in 19 patients (10.9%); stent lumen or gastroduodenal obstruction (8, 4.5%) and bleeding (7, 3.9%) were the most common. LAMS were not removed in 86 (48%) patients due to the following reasons a permanent stent was used (46, 53.5%), loss to follow-up (18, 20.9%), patient demise (16, 18.6%) and stent migration (6, 7%). Five (5.4%) complications were reported during stent removal, which were three bleeds and two perforations. No association was found between stent duration and complications (p = 0.67).CONCLUSION:
complications secondary to LAMS insertion are uncommon but may be serious. This study found no association between complications and stent duration.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Procedimentos Cirúrgicos do Sistema Digestório
/
Stents
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article