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...

Full description

Bibliographic Details
Main Authors: Hiroyuki Matsubayashi, Noriaki Hasuike, Masaki Tanaka, Kohei Takizawa, Yuichiro Yamaguchi, Hiroyuki Ono
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