Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma
Metallic stent migration is a well-known complication which cannot always be managed by removal or repositioning, especially in case of uncovered stent. We report a patient who developed obstructive jaundice due to migration of an expandable metallic stent (EMS) inserted in the lower bile duct. Trim...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Karger Publishers
2009-07-01
|
Series: | Case Reports in Gastroenterology |
Subjects: | |
Online Access: | http://www.karger.com/Article/FullText/226252 |
_version_ | 1818386630143115264 |
---|---|
author | Hiroyuki Matsubayashi Noriaki Hasuike Masaki Tanaka Kohei Takizawa Yuichiro Yamaguchi Hiroyuki Ono |
author_facet | Hiroyuki Matsubayashi Noriaki Hasuike Masaki Tanaka Kohei Takizawa Yuichiro Yamaguchi Hiroyuki Ono |
author_sort | Hiroyuki Matsubayashi |
collection | DOAJ |
description | Metallic stent migration is a well-known complication which cannot always be managed by removal or repositioning, especially in case of uncovered stent. We report a patient who developed obstructive jaundice due to migration of an expandable metallic stent (EMS) inserted in the lower bile duct. Trimming of the EMS using argon plasma was performed, with the power setting of 60 W and 2.0 l/min of argon flow. The distal part of the EMS was removed and mechanical cleaning using balloon catheter was performed for remnant EMS. Without additional stent insertion, jaundice was relieved in a few days. No complication was recognized during the procedure and no recurrence of jaundice in the rest of his life. |
first_indexed | 2024-12-14T03:57:06Z |
format | Article |
id | doaj.art-691fdbb7b955497982cb8b9e226c5a50 |
institution | Directory Open Access Journal |
issn | 1662-0631 |
language | English |
last_indexed | 2024-12-14T03:57:06Z |
publishDate | 2009-07-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Gastroenterology |
spelling | doaj.art-691fdbb7b955497982cb8b9e226c5a502022-12-21T23:18:03ZengKarger PublishersCase Reports in Gastroenterology1662-06312009-07-013220220610.1159/000226252226252Trimming of a Migrated Biliary Nitinol Stent Using Argon PlasmaHiroyuki MatsubayashiNoriaki HasuikeMasaki TanakaKohei TakizawaYuichiro YamaguchiHiroyuki OnoMetallic stent migration is a well-known complication which cannot always be managed by removal or repositioning, especially in case of uncovered stent. We report a patient who developed obstructive jaundice due to migration of an expandable metallic stent (EMS) inserted in the lower bile duct. Trimming of the EMS using argon plasma was performed, with the power setting of 60 W and 2.0 l/min of argon flow. The distal part of the EMS was removed and mechanical cleaning using balloon catheter was performed for remnant EMS. Without additional stent insertion, jaundice was relieved in a few days. No complication was recognized during the procedure and no recurrence of jaundice in the rest of his life.http://www.karger.com/Article/FullText/226252Metallic stentMigrationBile ductArgon plasmaTrimming |
spellingShingle | Hiroyuki Matsubayashi Noriaki Hasuike Masaki Tanaka Kohei Takizawa Yuichiro Yamaguchi Hiroyuki Ono Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma Case Reports in Gastroenterology Metallic stent Migration Bile duct Argon plasma Trimming |
title | Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma |
title_full | Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma |
title_fullStr | Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma |
title_full_unstemmed | Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma |
title_short | Trimming of a Migrated Biliary Nitinol Stent Using Argon Plasma |
title_sort | trimming of a migrated biliary nitinol stent using argon plasma |
topic | Metallic stent Migration Bile duct Argon plasma Trimming |
url | http://www.karger.com/Article/FullText/226252 |
work_keys_str_mv | AT hiroyukimatsubayashi trimmingofamigratedbiliarynitinolstentusingargonplasma AT noriakihasuike trimmingofamigratedbiliarynitinolstentusingargonplasma AT masakitanaka trimmingofamigratedbiliarynitinolstentusingargonplasma AT koheitakizawa trimmingofamigratedbiliarynitinolstentusingargonplasma AT yuichiroyamaguchi trimmingofamigratedbiliarynitinolstentusingargonplasma AT hiroyukiono trimmingofamigratedbiliarynitinolstentusingargonplasma |