Palliation of Malignant Obstructive Jaundice

Men, Süleyman; Hekimoğlu, Barış; Kadero<glu, H.; Pınar, Aslı; Conkbayir, Işık; Soylu, Seçil; Bulut, Aziz; Yandakçi, Kemal; Baran, İbrahim; Aran, Y.

doi:10.3109/02841859609177649

Cited by 7 publications

(3 citation statements)

References 15 publications

(19 reference statements)

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“…However, Wallstents deployed in malignant biliary strictures without balloon inflation showed progressive self-expansion over the following days after stenting, and reached at least 85% of their nominal diameter. 11 In our case also, the stent showed self-expansion over the following days and provided sufficient flow to the ipsilateral hemisphere.…”

Section: Discussionsupporting

confidence: 62%

Carotid Stenting without Angioplasty

Men

Lownie

Pelz

2002

Can. j. neurol. sci.

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Abstract:Background:Carotid angioplasty and stenting is gaining popularity as an alternative to carotid endarterectomy for the treatment of carotid bifurcation stenosis. The major concern with the procedure is the risk of embolic stroke which may be initiated by balloon angioplasty of friable atherosclerotic plaque. Elimination of angioplasty may result in a lower incidence of embolic complications.Method:We describe a case in which a self-expanding stent alone, without balloon angioplasty, was used to successfully dilate an atherosclerotic stenosis of the carotid bifurcation.Results:A moderate increase in vessel diameter, from 75% to 50%, was immediately observed after stent placement alone. No embolic complications were observed and follow-up plain film and ultrasound examinations showed progressive stent enlargement with excellent anatomic and hemodynamic results.Conclusions:In this case of severe carotid stenosis, the use of a self-expanding stent alone, without balloon angioplasty, resulted in excellent anatomic and hemodynamic improvement.

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Section: Discussionsupporting

confidence: 62%

Carotid Stenting without Angioplasty

Men

Lownie

Pelz

2002

Can. j. neurol. sci.

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“…An expandable metal stent (EMS) is used to provide palliation in patients with malignant obstructive jaundice [58] . EMSs have been compared with plastic endoprostheses for the palliative treatment of malignant obstructive jaundice [59,60] .…”

Section: Palliative Therapymentioning

confidence: 99%

Diagnosis and initial management of cholangiocarcinoma with obstructive jaundice

Tajiri¹,

Yoshida²,

Mamada³

et al. 2008

WJG

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“…Consequently, Wallstents put less pressure on the carotid sinus. 5,11,18,20) Based on our preliminary experience, we conclude that the rate of HD is lower after insertion of closed-cell rather than open-cell stents.…”

mentioning

confidence: 99%

Incidence of Hemodynamic Depression After Carotid Artery Stenting Using Different Self-Expandable Stent Types

Nii

Tsutsumi

Aikawa

et al. 2011

Neurol. Med. Chir.(Tokyo)

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The rates of hemodynamic depression (HD) and thromboembolism were compared in 95 carotid artery stenting (CAS) procedures performed in 87 patients with severe carotid artery stenosis using self-expandable braided Elgiloy stents (Wallstent) in 52 and slotted-tube Nitinol stents (Precise) in 43 procedures. The blood pressure, pulse rate, and neurological signs were recorded at short intervals during and after CAS. All patients underwent diffusion-weighted magnetic resonance imaging within 5 days after the procedure. The incidences of hypotension, bradycardia, and both were 17.9%, 3.2%, and 11.6%, respectively. The rate of postprocedural HD was 23.1% with Wallstent and 44.2% with Precise; the difference was significant (p ＝ 0.025). No patient manifested major cardiovascular disease after CAS. Diffusion-weighted magnetic resonance imaging revealed thromboembolism after 26.9% and 34.9% of Wallstent and Precise stent placement procedures, respectively; the difference was not significant. The type of self-expandable stent placed may affect the risk of procedural HD in patients undergoing CAS. Postprocedural HD was resolved successfully by the administration of vasopressors and by withholding antihypertensive agents.

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Palliation of Malignant Obstructive Jaundice

Cited by 7 publications

References 15 publications

Carotid Stenting without Angioplasty

Carotid Stenting without Angioplasty

Diagnosis and initial management of cholangiocarcinoma with obstructive jaundice

Incidence of Hemodynamic Depression After Carotid Artery Stenting Using Different Self-Expandable Stent Types

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