Análisis retrospectivo multicéntrico de las incidencias asociadas a las prótesis de aposición luminal tipo Axios™

  1. Sergio Bagaza Pérez de Rozas 1
  2. Ana Yaiza Carbajo 1
  3. Francisco Javier García Alonso 1
  4. Vicente Sanchiz Soler 2
  5. David Martí Sánchez 2
  6. Belén Martínez Moreno 3
  7. Rafael Pedraza Sanz 4
  8. José Ramón Aparicio Tormo 3
  9. Juan José Vila Costas 5
  10. Rosanna Villanueva Hernández 6
  11. Enrique Vázquez Sequeiros 7
  12. J. Alexander Jordán Castro 8
  13. Carlos de la Serna Higuera 9
  14. Marcos Jiménez Palacios 1
  15. Manuel Perez Miranda Castillo 1
  1. 1 Hospital Universitario Río Hortega. Valladolid
  2. 2 Hospital Clínico Universitario de Valencia. Valencia
  3. 3 Hospital General Universitario de Alicante. Alicante
  4. 4 Hospital General Universitario de Castellón. Castellón
  5. 5 Complejo Hospitalario de Navarra. Pamplona, Navarra
  6. 6 Hospital Nuestra Señora de Sonsoles. Ávila
  7. 7 Hospital Universitario Ramón y Cajal. Madrid
  8. 8 Hospital del Bierzo. Ponferrada, León
  9. 9 Hospital Universitario de León. León
Erakutsi afiliazioak +
Aldizkaria:
Revista Española de Enfermedades Digestivas

ISSN: 2340-416,  1130-0108

Argitalpen urtea: 2019

Alea: 111

Zenbakia: 6

Orrialdeak: 419-424

Mota: Artikulua

DOI: 10.17235/REED.2019.6147/2018 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Revista Española de Enfermedades Digestivas

Laburpena

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.

Datuen iturria: Dialnet