Use of a novel dual-action clip for closure of complex endoscopic resection defects

Wei, Mike; Friedland, Shai

doi:10.1016/j.vgie.2022.08.005

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…Because increased gripping ability might expand potential indications, we are testing a TTSC with anchor prongs. Use of this clip has been reported for closure of complex polyp resection defects in three patients [4]. For preliminary evidence of the functional capacity of the new TTSC, we present an analysis of our first 50 cases.…”

Section: Methodsmentioning

confidence: 99%

A new through-the-scope clip with anchor prongs is safe and successful for a variety of endoscopic uses

Guardiola,

Rex,

Thompson

et al. 2024

Endosc Int Open

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Background & Aims: Endoscopic through-the-scope clips (TTSC) are used for hemostasis and closure. We documented the performance of a new TTSC with anchor prongs. Methods: We conducted a prospective case series of the new TTSC in 50 patients with an indication for endoscopic clipping at 3 hospitals in the USA and Canada. Patients were followed for 30 days after index procedure. Outcomes included defect closure and rate of serious adverse events (SAEs) related to the device or procedure. Results: Fifty patients had 56 clipping procedures. Thirty-four procedures were clipping after EMR in colon (33) or stomach (1), 16 after polypectomy, 2 for hemostasis of active bleeding, and 1 each for fistula closure, post-POEM mucosal closure, or anchoring a feeding tube. Complete defect closure was achieved in 32/33 colon EMR defects and 21/22 other defects. All clips were placed per labeled directions for use. In 41 (82.0%) patients, prophylaxis of delayed bleeding was reported as an indication for endoscopic clipping. There were 3 instances of delayed bleeding. There were no device-related SAEs. The only technical difficulty was one instance of premature clip deployment. Conclusion: A novel TTSC with anchor prongs showed success in a range of defect closures, an acceptable safety profile, and low incidence of technical difficulties. (ClinicalTrials.gov number, NCT05653843)

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Section: Methodsmentioning

confidence: 99%

A new through-the-scope clip with anchor prongs is safe and successful for a variety of endoscopic uses

Guardiola,

Rex,

Thompson

et al. 2024

Endosc Int Open

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“…Although there are various techniques for CMC after DESD, 1 some of these methods require technical skills. Anchor‐pronged clip closure is a simple technique that enables the closure of larger defects and overcomes the challenges of conventional clips during the closure procedure, such as tissue slippage when grasping the opposite side 3,4 . Furthermore, by applying the previously reported technique of anchor‐pronged clip to grasp and suture the muscle layer, it may be possible to reduce suture‐induced dead space even in the duodenum 5 .…”

Section: Brief Explanationmentioning

confidence: 99%

“…Anchor-pronged clip closure is a simple technique that enables the closure of larger defects and overcomes the challenges of conventional clips during the closure procedure, such as tissue slippage when grasping the opposite side. 3,4 Furthermore, by applying the previously reported technique of anchor-pronged clip to grasp and suture the muscle layer, it may be possible to reduce suture-induced dead space even in the duodenum. 5 Therefore, mucosal closure using anchor-pronged clips is a viable option for CMC of large defects after DESD.…”

mentioning

confidence: 99%

Novel clip closure technique for a large mucosal defect with anchor‐pronged clips after duodenal endoscopic submucosal dissection

Shigeta,

Kawata,

Ono

2024

Digestive Endoscopy

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“…Using the "clip drag" technique, the anchor pronged clip is opened and closed (but not deployed) at the margin of the defect. 46 With the closed clip, the edge is then mobilized to approximate the contralateral side. The clip is then reopened and closed to bring together both edges prior to deployment.…”

Section: Technical Considerationsmentioning

confidence: 99%

Novel devices for third‐space endoscopy procedures

Yang,

Xiao,

Draganov

2023

Digestive Endoscopy

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Third‐space endoscopy (TSE) is a subspecialty in interventional endoscopy that exploits the submucosa as a working space for the management of various gastrointestinal diseases. Over recent years, TSE has emerged as a viable alternative to surgery for the treatment of various conditions. The rapid dissemination and adoption of TSE has been largely supported by the advent of novel devices aimed to improve the efficacy and safety of these procedures. In this article, we review some of the recent developments in TSE devices and provide our initial experience with these instruments in clinical practice.

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Use of a novel dual-action clip for closure of complex endoscopic resection defects

Cited by 5 publications

References 10 publications

A new through-the-scope clip with anchor prongs is safe and successful for a variety of endoscopic uses

A new through-the-scope clip with anchor prongs is safe and successful for a variety of endoscopic uses

Novel clip closure technique for a large mucosal defect with anchor‐pronged clips after duodenal endoscopic submucosal dissection

Novel devices for third‐space endoscopy procedures

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