Isaac Raijman, MD, David Walden, MD, Paul Kortan, MD, Gregory B

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Presentation transcript:

Expandable esophageal stents: Initial experience with a new nitinol stent  Isaac Raijman, MD, David Walden, MD, Paul Kortan, MD, Gregory B. Haber, MD, Eliyahu Fuchs, MD, Melissa Siemens, MD, Gabor Kandel, MD, Norman E. Marcon, MD  Gastrointestinal Endoscopy  Volume 40, Issue 5, Pages 614-621 (September 1994) DOI: 10.1016/S0016-5107(94)70265-9 Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 1 Expanded nitinol stent. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 2 Nitinol stent shown in its compressed state (below) and the stent stabilizer (above) after the stent has been deployed. Note the radiopaque markers in the stabilizer. The stent stabilizer shown above belongs to a shorter stent than that shown below. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 3 A, Barium swallow showing a distal, angulated malignant stricture. B, Fluoroscopic view of the nitinol stent across the malignant stricture, identified by external markers. The endoscope is in place for direct visual control. C, The stabilizer has been removed and the guide wire kept in place. Note expansion of the stent. D, Partially expanded stent in place. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 3 A, Barium swallow showing a distal, angulated malignant stricture. B, Fluoroscopic view of the nitinol stent across the malignant stricture, identified by external markers. The endoscope is in place for direct visual control. C, The stabilizer has been removed and the guide wire kept in place. Note expansion of the stent. D, Partially expanded stent in place. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 3 A, Barium swallow showing a distal, angulated malignant stricture. B, Fluoroscopic view of the nitinol stent across the malignant stricture, identified by external markers. The endoscope is in place for direct visual control. C, The stabilizer has been removed and the guide wire kept in place. Note expansion of the stent. D, Partially expanded stent in place. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 3 A, Barium swallow showing a distal, angulated malignant stricture. B, Fluoroscopic view of the nitinol stent across the malignant stricture, identified by external markers. The endoscope is in place for direct visual control. C, The stabilizer has been removed and the guide wire kept in place. Note expansion of the stent. D, Partially expanded stent in place. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 4 Endoscopic view showing the sequence of events during placement of the nitinol stent in the patient shown in Fig. 3. A, The stabilizer is seen within the lumen of the partially compressed stent. B, After removal of the stabilizer, the guide wire is kept in place. C, Final view of the expanded stent shows a twist of the mesh. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 4 Endoscopic view showing the sequence of events during placement of the nitinol stent in the patient shown in Fig. 3. A, The stabilizer is seen within the lumen of the partially compressed stent. B, After removal of the stabilizer, the guide wire is kept in place. C, Final view of the expanded stent shows a twist of the mesh. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 4 Endoscopic view showing the sequence of events during placement of the nitinol stent in the patient shown in Fig. 3. A, The stabilizer is seen within the lumen of the partially compressed stent. B, After removal of the stabilizer, the guide wire is kept in place. C, Final view of the expanded stent shows a twist of the mesh. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 5 Endoscopic view showing granulation tissue scattered over the mesh of the stent. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 6 Endoscopic view showing normal squamous mucosa covering the proximal part of the stent and granulation tissue covering most of the remainder of the stent. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions

Fig. 7 Prematurely deployed stent locked within the covering plastic sheath and the stabilizer, compared to a stabilizer after removal of the stent. Gastrointestinal Endoscopy 1994 40, 614-621DOI: (10.1016/S0016-5107(94)70265-9) Copyright © 1994 American Society for Gastrointestinal Endoscopy Terms and Conditions