Year 2024 / Volume 116 / Number 9
Letter
Preliminary experience of the use of a self-expanding nititol stent in refractory variceal bleeding: a real-world study

516-517

DOI: 10.17235/reed.2023.10035/2023

María Desirée García García, Teresa Valdés Delgado, Paula Fernández Álvarez, Carmen Lara Romero, Lourdes Grande Santamaría, Maria Cinta Núñez Sousa, Jesús García de la Borbolla Serres, Manuel Rodríguez-Téllez,

Abstract
Background and Aims:The fully-covered self-expanding metal stent (SEMS) has a role in the management of refractory acute variceal haemorrhage. The aim of this study was to evaluate its effectiveness and complications in real-world practice. Patients and methods: An observational, descriptive, multicenter study was carried out. Eight patients with clinically significant portal hypertension who underwent a SEMS were included. Results: SEMS placement controlled acute bleeding in 7 patients with technical success. Stents were removed after a median of 8 days. Rescue transjugular intrahepatic portosystemic shunt was performed around 48 hours after SEMS placement. Four patients survived after successful SEMS removal. The most common adverse event was stent loop in 2 patients. Conclusions: In our experience, SEMS was highly effective in controlling acute refractory variceal bleeding. Bleeding-related mortality rate was probably due to impossibility of TIPS implantation. Stent loop was a common limiting factor.
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References
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Citation tools
García García M, Valdés Delgado T, Fernández Álvarez P, Lara Romero C, Grande Santamaría L, Núñez Sousa M, et all. Preliminary experience of the use of a self-expanding nititol stent in refractory variceal bleeding: a real-world study. 10035/2023


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Publication history

Received: 23/10/2023

Accepted: 27/10/2023

Online First: 06/11/2023

Published: 09/09/2024

Article Online First time: 14 days

Article editing time: 322 days


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