Background/AimsStent migration occurs frequently, but the prevention of complications resulting from covered self-expandable metal stents (C-SEMSs) remains unresolved. We prospectively assessed a newly developed C-SEMS, a modified covered Zeo stent (m-CZS), in terms of its antimigration effect.MethodsBetween February 2010 and January 2011, an m-CZS was inserted into 42 patients (31 initial drainage cases and 11 reintervention cases) at a tertiary referral center and three affiliated hospitals. The laser-cut stent was flared for 1.5 cm at both ends, with a 1 cm raised bank located 1 cm in from each flared end. The main outcome of this study was the rate of stent migration, and secondary outcomes were the rate of recurrent biliary obstruction (RBO), the time to RBO, the frequencies of complications, and overall survival.ResultsOf the 31 patients with initial drainage, stent migration occurred in four (12.9%, 95% confidence interval, 5.1% to 29.0%), with a mean time of 131 days. RBO occurred in 18 (58%), with a median time to RBO of 107 days. Following previous C-SEMS migration, seven of 10 patients (70%) did not experience m-CZS migration until death.Conclusionsm-CZSs with antimigration properties effectively, although not completely, prevented stent migration after stent insertion.
The critical amount of nitrogen atoms at the interface, above which the roughness of the oxynitride/Si(100) interface increases, was studied using noncontact-mode atomic force microscopy and X-ray photoelectron spectroscopy. The interface roughness was found to increase upon increasing the amount of nitrogen atoms at and near the interface if the amount of nitrogen atoms is greater than 0.37 monolayers. This increase in interface roughness was found to be reflected in an increase in surface roughness of almost the same amount.
The mechanism of corrosion inhibition by cerium(III) dibutylphosphate [Ce(dbp) 3 ] on aluminium alloy 2024-T3 (AA2024-T3) has been investigated using macroscopic models of the intermetallic (IM) phases in the alloy. Polished specimens of pure Al (99?999%) and the macroscopic IM phases Al 2 CuMg, Al 7 Cu 2 Fe and Al 3 Fe were each coupled to a large surface area of AA2024-T3 to simulate the interaction they experience in the alloy. Samples were immersed in 0?1M NaCl with 200 ppm Ce(dbp) 3 for 24 h, and the resulting surfaces characterised by scanning electron microscopy, X-ray photoelectron spectroscopy, Rutherford backscattering spectroscopy and Raman spectroscopy. Ce(dbp) 3 was found to interact differently with each of the different phases examined, providing evidence for a multifunctional corrosion inhibition mechanism.
Background/Aims: Mechanical properties (MPs) and axial and radial force (AF and RF) may influence the efficacy and complications of self-expandable metallic stent (SEMS) placement. We measured the MPs of various SEMSs and examined their influence on the SEMS clinical ability. Methods: We evaluated the MPs of 29 types of 10-mm SEMSs. RF was measured using a conventional measurement device. AF was measured using the conventional and new methods, and the correlation between the methods was evaluated. Results: A high correlation in AFs was observed, as measured by the new and conventional manual methods. AF and RF scatterplots divided the SEMSs into three subgroups according to structure: hook-and-cross-type (low AF and RF), cross-type (high AF and low RF), and laser-cut-type (intermediate AF and high RF). The hook-and-cross-type had the largest axial force zero border (>20°), followed by the laser-cut and cross types. Conclusions: MPs were related to stent structure. Hook-and-cross-type SEMSs had a low AF and high axial force zero border and were considered safest because they caused minimal stress on the biliary wall. However, the increase in RF must be overcome.
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