Fluoroscopic Removal of Embedded Esophageal Self-Expanding Metal Stents: Stent-in-Stent Combined with Guidewire Lasso Technique

We report the use of the guidewire lasso technique for the removal of an embedded esophageal self-expanding metal stent (SEMS), following a failure of distal to proximal invagination by removal hook caused by stent incorporation. During a removal procedure of an embedded SEMS using the hook retrieva...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2021, pp.cr.21-00120
Main Authors: Bi, Yonghua, Chen, Hongmei, Zhang, Wenguang, Han, Xinwei, Ren, Jianzhuang
Format: Article
Language:English
Subjects:
Case Report
Deglutition Disorders - etiology
Device Removal - adverse effects
Device Removal - methods
esophageal cancer
Esophageal Neoplasms - surgery
esophageal stent
Esophagus - surgery
Fluoroscopy - adverse effects
Humans
lasso technique
self-expanding metal stent (SEMS)
Stents - adverse effects
Treatment Outcome
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Description
Summary:We report the use of the guidewire lasso technique for the removal of an embedded esophageal self-expanding metal stent (SEMS), following a failure of distal to proximal invagination by removal hook caused by stent incorporation. During a removal procedure of an embedded SEMS using the hook retrieval device, the strut fractured and the stent retained. Attempts to pull up the retained stent using hook were not effective. Thus, the lasso technique with a guidewire over the retained stent was performed and successfully removed with no procedure-related complications. The patient is alive without dysphagia after 3 months follow-up.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.21-00120