Document Detail


Polyurethane-covered Wallstents to recanalize Wallstents obstructed by tumor ingrowth from malignant common bile duct obstruction.
MedLine Citation:
PMID:  10795847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Four patients with malignant obstruction of the common bile duct had been treated with uncovered Wallstents and suffered from a reobstruction after 2-13 months (mean 5.3 months). Repeat cholangiography revealed severe stenosis of the stent lumen caused by tumor ingrowth through the mesh. A Wallstent with a self-made polyurethane-cover was inserted through the uncovered stent in these patients. The four patients were followed for 3-13 months (mean 6.3 months) until death. There was good drainage with no evidence of recurrent obstruction in all patients. We conclude that a covered Wallstent may extend patency of stented bile ducts, preventing tumor ingrowth in patients with neoplastic obstruction. Further observations are needed.
Authors:
T Nakamura; M Kitagawa; Y Takehira; M Yamada; T Kawasaki; H Nakamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  23     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2000 Mar-Apr
Date Detail:
Created Date:  2000-06-26     Completed Date:  2000-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  161-4     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Hamamatsu Medical Center, Shizuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cholestasis / etiology,  therapy*
Common Bile Duct Neoplasms / complications,  pathology
Female
Gallbladder Neoplasms / complications,  pathology
Humans
Male
Middle Aged
Neoplasm Invasiveness
Pancreatic Neoplasms / complications,  pathology
Polyurethanes*
Stents*
Vascular Patency
Chemical
Reg. No./Substance:
0/Polyurethanes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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