Long-term follow-up in patients with malignant biliary obstruction after percutaneous placement of uncovered wallstent endoprostheses

被引:30
作者
Kaskarelis, IS [1 ]
Papadaki, MG [1 ]
Papageorgiou, GN [1 ]
Limniati, MD [1 ]
Malliaraki, NE [1 ]
Piperopoulos, PN [1 ]
机构
[1] Evangelismos Gen Hosp, Dept Radiol, Athens, Greece
关键词
bile ducts; neoplasm; stenosis; obstruction; prosthesis;
D O I
10.3109/02841859909175579
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: Evaluation of the treatment of malignant obstructive jaundice by percutaneous insertion of uncovered stents. Material and Methods: 51 patients (35 men, 16 women) with inoperable malignant biliary obstruction underwent percutaneous placement of uncovered Wallstent biliary endoprostheses. A total of 65 endoprostheses were inserted. Results: The technical success rate was 98%, and the procedure-related complications rate was 10%. Early complications rate within the first 30 days was 2%. The clinical success rate within the first 30 days was 98% and the 30-day mortality rate was 2%. The late complications rate was 16%. The overall stent occlusion rate was 18% at a mean of 288.4 days. Mean survival time of the 50 patients was 214 days, and the mean total duration of hospital stay was 9.8 days. Conclusions: The advantages of uncovered Wallstent endoprostheses justify their placement in patients with inoperable malignant obstructive jaundice since patients' quality of life is markedly improved. Stent insertion is associated with a low complication rate, most stents remain patent longer than the patients' survival time and patients' hospital stay is relatively short.
引用
收藏
页码:528 / 533
页数:6
相关论文
共 26 条
[21]   METALLIC STENTS IN MALIGNANT BILIARY OBSTRUCTION - RESULTS OF A MULTICENTER EUROPEAN STUDY OF 240 PATIENTS [J].
ROSSI, P ;
BEZZI, M ;
ROSSI, M ;
ADAM, A ;
CHETTY, N ;
RODDIE, ME ;
IACARL, V ;
CWIKIEL, W ;
ZOLLLKOFER, CL ;
ANTONUCCI, F ;
BOGUTH, L .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (02) :279-285
[22]   Preliminary results of a new covered biliary metal stent for malignant biliary obstruction [J].
Shim, CS ;
Lee, YH ;
Cho, YD ;
Bong, HK ;
Kim, JO ;
Cho, JY ;
Kim, YS ;
Lee, JS ;
Lee, MS ;
Hwang, SG ;
Shin, KM .
ENDOSCOPY, 1998, 30 (04) :345-350
[23]  
Stoker J, 1993, J Vasc Interv Radiol, V4, P767, DOI 10.1016/S1051-0443(93)71970-3
[24]   PERCUTANEOUSLY PLACED WALLSTENT ENDOPROSTHESIS IN PATIENTS WITH MALIGNANT DISTAL BILIARY OBSTRUCTION [J].
STOKER, J ;
LAMERIS, JS ;
JEEKEL, J .
BRITISH JOURNAL OF SURGERY, 1993, 80 (09) :1185-1187
[25]  
WATKINSON A, 1996, INTERVENTIONAL RADIO, P59
[26]  
Zollikofer CL, 1996, BILIARY TRACT RADIOL, P387