Retrospective analysis of complications associated with
metallic esophageal stents implanted under fluoroscopy inside
malignant stenoses

a 2022

Retrospective analysis of complications associated with metallic esophageal stents implanted under fluoroscopy inside malignant stenoses

MATKULČÍK, Peter; Tomáš ROHAN; Michal UHER; Tomáš ANDRAŠINA; Matej STRAKA et al.

Základní údaje

Originální název

Retrospective analysis of complications associated with metallic esophageal stents implanted under fluoroscopy inside malignant stenoses

Autoři

MATKULČÍK, Peter; Tomáš ROHAN; Michal UHER; Tomáš ANDRAŠINA a Matej STRAKA

Vydání

CIRSE 2022, 2022

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30224 Radiology, nuclear medicine and medical imaging

Stát vydavatele

Španělsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/22:00129690

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1007/s00270-022-03246-4

Klíčová slova anglicky

esophageal carcinoma; metal stent; complications; retrospective analysis

Změněno: 27. 9. 2022 13:26, MUDr. Tomáš Rohan, Ph.D.

Anotace

V originále

Purpose: To identify risk factors that could potentially predict late complications associated with metallic stents in malignant esophageal stenosis. Material and methods: Retrospective analysis of patients with metallic stent implantation for malignant esophageal stenosis between 2005 and 2019. The incidence and type of complications (stent dislodgement, stent obstruction, fistula) were investigated according to the type (Ella, Wallflex, Boubella, Egis), stent length, implanting surgeon, patient age, patient survival, adjuvant chemotherapy or radiotherapy, characteristics of the malignant stenosis (length, width, contour), and extent of prestenotic dilatation. Radiological parameters were evaluated from fluoroscopy of the esophagus before and after stent implantation; other information was obtained from the hospital information system. Among statistical methods, Mann-Whitney test and t-test were used for continuous variables, Chi-squared test for categorical variables, and Kaplan-Meier and log-rank test for survival analysis. Results: The study included 115 esophageal metallic stents in 96 consecutive patients. There were 37 stents in the proximal esophagus (32.2%) and 78 stents in the distal esophagus (67.8%). Complications were observed in 25 (21.7%) stents. Median survival from stent implantation was 132 days. A significantly higher risk of stent dislocation was observed with shorter stents (96±16 vs 116±24 mm; p=0.008). Other parameters were not significantly associated with complication rates. Conclusion: Stent length was the only observed statistically significant factor in the complication rate of metallic stents implanted in malignant esophageal stenosis, with shorter stents having a significantly higher risk of dislocation than longer stents.

Návaznosti

MUNI/A/1388/2021, interní kód MU

Název: Význam radiologických intervencí a pokročilých zobrazovacích metod v diagnostice a léčbě pacientů s maligním onemocněním

Investor: Masarykova univerzita, Význam radiologických intervencí a pokročilých zobrazovacích metod v diagnostice a léčbě pacientů s maligním onemocněním

NU21-08-00561, projekt VaV

Název: Využití ireverzibilní elektroporace a vysokofrekvenční ireverzibilní elektroporace k léčbě okluzí metalických stentů

Investor: Ministerstvo zdravotnictví ČR, Využití ireverzibilní elektroporace a vysokofrekvenční ireverzibilní elektroporace k léčbě okluzí metalických stentů, Podprogram 1 - standardní

Citovat

MATKULČÍK, Peter; Tomáš ROHAN; Michal UHER; Tomáš ANDRAŠINA a Matej STRAKA. Retrospective analysis of complications associated with metallic esophageal stents implanted under fluoroscopy inside malignant stenoses. In CIRSE 2022. 2022. Dostupné z: https://doi.org/10.1007/s00270-022-03246-4.

@proceedings{2220967,
   author = {Matkulčík, Peter and Rohan, Tomáš and Uher, Michal and Andrašina, Tomáš and Straka, Matej},
   booktitle = {CIRSE 2022},
   doi = {https://doi.org/10.1007/s00270-022-03246-4},
   keywords = {esophageal carcinoma; metal stent; complications; retrospective analysis},
   language = {eng},
   title = {Retrospective analysis of complications associated with metallic esophageal stents implanted under fluoroscopy inside malignant stenoses},
   url = {https://programme.cirse2022.cirse.org/cirse2022poster/crs/retrospective-analysis-of-complications-associated-with-metallic-esophageal-stents-implanted-under-fluoroscopy-inside-malignant-stenoses},
   year = {2022}
}

TY  - CONF
ID  - 2220967
AU  - Matkulčík, Peter - Rohan, Tomáš - Uher, Michal - Andrašina, Tomáš - Straka, Matej
PY  - 2022
TI  - Retrospective analysis of complications associated with metallic esophageal stents implanted under fluoroscopy inside malignant stenoses
KW  - esophageal carcinoma
KW  - metal stent
KW  - complications
KW  - retrospective analysis
UR  - https://programme.cirse2022.cirse.org/cirse2022poster/crs/retrospective-analysis-of-complications-associated-with-metallic-esophageal-stents-implanted-under-fluoroscopy-inside-malignant-stenoses
N2  - Purpose: To identify risk factors that could potentially predict late complications associated with metallic stents in malignant esophageal stenosis. Material and methods: Retrospective analysis of patients with metallic stent implantation for malignant esophageal stenosis between 2005 and 2019. The incidence and type of complications (stent dislodgement, stent obstruction, fistula) were investigated according to the type (Ella, Wallflex, Boubella, Egis), stent length, implanting surgeon, patient age, patient survival, adjuvant chemotherapy or radiotherapy, characteristics of the malignant stenosis (length, width, contour), and extent of prestenotic dilatation. Radiological parameters were evaluated from fluoroscopy of the esophagus before and after stent implantation; other information was obtained from the hospital information system. Among statistical methods, Mann-Whitney test and t-test were used for continuous variables, Chi-squared test for categorical variables, and Kaplan-Meier and log-rank test for survival analysis. Results: The study included 115 esophageal metallic stents in 96 consecutive patients. There were 37 stents in the proximal esophagus (32.2%) and 78 stents in the distal esophagus (67.8%). Complications were observed in 25 (21.7%) stents. Median survival from stent implantation was 132 days. A significantly higher risk of stent dislocation was observed with shorter stents (96±16 vs 116±24 mm; p=0.008). Other parameters were not significantly associated with complication rates. Conclusion: Stent length was the only observed statistically significant factor in the complication rate of metallic stents implanted in malignant esophageal stenosis, with shorter stents having a significantly higher risk of dislocation than longer stents.
ER  -

MATKULČÍK, Peter; Tomáš ROHAN; Michal UHER; Tomáš ANDRAŠINA a Matej STRAKA. Retrospective analysis of complications associated with metallic esophageal stents implanted under fluoroscopy inside malignant stenoses. In \textit{CIRSE 2022}. 2022. Dostupné z: https://doi.org/10.1007/s00270-022-03246-4.

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