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Naji, M. |
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Motta, Antonella |
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Aletan, Dirar |
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Mohamed, Tarek |
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Ertürk, Emre |
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Taccardi, Nicola |
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Kononenko, Denys |
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Petrov, R. H. | Madrid |
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Alshaaer, Mazen | Brussels |
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Bih, L. |
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Casati, R. |
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Muller, Hermance |
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Kočí, Jan | Prague |
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Šuljagić, Marija |
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Kalteremidou, Kalliopi-Artemi | Brussels |
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Azam, Siraj |
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Ospanova, Alyiya |
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Blanpain, Bart |
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Ali, M. A. |
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Popa, V. |
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Rančić, M. |
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Ollier, Nadège |
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Azevedo, Nuno Monteiro |
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Landes, Michael |
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Rignanese, Gian-Marco |
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Uhlig, Kai
in Cooperation with on an Cooperation-Score of 37%
Topics
Publications (12/12 displayed)
- 2025Characterisation and modelling of the fibre-matrix interface of short fibre reinforced thermoplastics using the push-out technique
- 2024Design, simulation and experimental analysis of a monolithic bending section for enhanced maneuverability of single use laparoscopic devicescitations
- 2024Leaftronics: Natural lignocellulose scaffolds for sustainable electronicscitations
- 2024Anchoring fins of fully covered self-expandable metal stents affect pull-out force and stent migrationcitations
- 2023Characterization and model‐based mechanical analysis of moisture gradients in PA 6citations
- 2023Hygromechanical Behavior of Polyamide 6.6: Experiments and Modelingcitations
- 2023The crystallinity of chemically bonded PA-PTFE-oil compounds by X-ray diffraction and DSCcitations
- 2022On the Resin Transfer Molding (RTM) Infiltration of Fiber-Reinforced Composites Made by Tailored Fiber Placement
- 2022Chemically bonded PA-PTFE-oil compounds by reactive processingcitations
- 2020Structural optimization through biomimetic-inspired material-specific application of plant-based natural fiber-reinforced polymer composites (Nfrp) for future sustainable lightweight architecturecitations
- 2019Waviness and fiber volume content analysis in continuous carbon fiber reinforced plastics made by tailored fiber placementcitations
- 2018Beitrag zur Anwendung der Tailored Fiber Placement Technologie am Beispiel von Rotoren aus kohlenstofffaserverstärktem Epoxidharz für den Einsatz in Turbomolekularpumpen
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article
Anchoring fins of fully covered self-expandable metal stents affect pull-out force and stent migration
Abstract
Background and Aims: Stent migration and subsequent adverse events are frequently observed in the use of fully covered self-expandable metal stents (FCSEMSs) for distal biliary stenosis. In this study, we identified predictors for stent migration based on biomechanical stent characteristics and associated these findings with clinical outcomes. Methods: The migration resistance of FCSEMSs was quantified by measuring the pull-out force. We analyzed a single-center retrospective cohort of 178 FCSEMSs for treatment success and adverse events occurring during 180 days of follow-up. Results: Biomechanical measurements revealed a 4-fold higher migration resistance of FCSEMSs with anchoring fins (AF-FCSEMSs; Fmax = 14.2 ± .1 N) compared with FCSEMSs with flared ends (FE-FCSEMSs; Fmax = 3.8 ± 1.0 N; P < .0001). Clinically, AF-FCSEMSs showed lower rates of migration compared with FE-FCSEMSs (5% vs 34%, P < .0001). Unscheduled ERCP procedures because of stent dysfunction were less frequent in the AF group compared with the FE group (15% vs 29%, P = .046). Cholangitis because of stent dysfunction was observed in 5% of the AF group compared with 19% in the FE group (P = .02). Stent patency rates at 1, 3, and 6 months were higher in the AF group (96%, 90%, and 80%, respectively) compared with the FE group (90%, 74%, and 66%; log-rank test: P = .03). Conclusions: The pull-out force as a biomechanical stent property predicts the migration resistance of FCSEMSs in distal biliary stenosis and may thus be used to classify stents for this application. AF-FCSEMSs showed a significantly lower rate of migration and adverse events compared with FE-FCSEMSs.