A novel fixation procedure to eliminate covered self-expanding metal stent migration

Calvin D. Lyons, Min Peter Kim, Shanda H. Blackmon

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Leakage from esophageal and gastric perforation carries a high morbidity rate and requires surgical or endoscopic intervention. When stenting is utilized, migration of the stent is a common complication. A novel technique to prevent migration of the stent is described. Fourteen patients presenting with leakage from the foregut underwent stent fixation with this technique. A bridle is created by delivering umbilical tape through each nostril securing the stent for 4 days. None of the 14 patients' X-rays showed migration of the stent. This new technique is both safe and effective when treating leaks and perforations from the foregut. Until nonmigrating stents can be developed, such techniques will be an important resource for treatment.

Original languageEnglish (US)
Pages (from-to)1748-1750
Number of pages3
JournalAnnals of Thoracic Surgery
Volume94
Issue number5
DOIs
StatePublished - Nov 1 2012

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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