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Axios and stent

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https://www.readbyqxmd.com/read/28584846/rare-esophageal-migration-of-axios-stent-used-for-walled-off-pancreatic-necrosis-drainage
#1
Yousef Abdel-Aziz, Anas Renno, Tariq Hammad, Ali Nawras
The AXIOS stent (Boston Scientific, Marlborough, MA) is a novel lumen-apposing self-expandable metallic stent designed for enteric drainage of nonadherent lumens. Efficacy and safety of using the AXIOS stent for pancreatic fluid drainage have been consistently shown in several studies. Although it is less common with this novel stent, stent migration still may happen. We present a case of AXIOS stent migration into the esophagus.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28573178/endoscopic-esophagogastric-anastomosis-with-luminal-apposition-axios-stent-las-approach-a-new-concept-for-hybrid-lewis-santy
#2
Adrian Culetto, Jean-Michel Gonzalez, Geoffroy Vanbiervliet, Pablo Mira da Garcia, Juan Ignacio Tellechea, Emmanuelle Garnier, Stephane Berdah, Marc Barthet
BACKGROUND AND STUDY AIMS:  Esophagogastric anastomosis (EGA) has a high risk of leakage. Based upon our experience in endoscopic gastrojejunal anastomosis using LAS, the aim of this study was to verify the technical feasibility and the safety of performing an EGA using a hybrid approach (endoscopic and surgical). MATERIALS AND METHODS:  A pilot prospective study was performed on 8 survival pigs. The procedure was carried out in 2 stages: (i) surgical step consisting of an esogastrectomy by laparotomy with separated suture of the esophagus and stomach; (ii) endoscopic esophagogastric anastomosis using the LAS...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28337480/intra-channel-stent-release-technique-for-fluoroless-endoscopic-ultrasound-guided-lumen-apposing-metal-stent-placement-changing-the-paradigm
#3
Andrea Anderloni, Fabia Attili, Silvia Carrara, Domenico Galasso, Milena Di Leo, Guido Costamagna, Alessandro Repici, Rastislav Kunda, Alberto Larghi
Background Recently, a novel lumen-apposing fully covered self-expanding metal stent (LA-FCSEMS) mounted on an electrocautery-enhanced delivery system has been developed to perform endoscopic ultrasound (EUS)-guided transluminal drainage. From early experience, however, release of the proximal flange of the stent has mostly been done using endoscopic view guidance to ensure proper positioning. Aim We describe a new technique that we have named the Intra-Channel Stent Release Technique (ICSRT) to perform stent placement under complete EUS control, without the use of either fluoroscopic or endoscopic views...
January 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/27545192/evaluation-of-the-axios-stent-for-the-treatment-of-pancreatic-fluid-collections
#4
REVIEW
Eduardo Rodrigues-Pinto, Todd H Baron
INTRODUCTION: Endoscopic ultrasound guided translumenal drainage of pancreatic fluid collections (PFCs) has been widely practiced for over a decade, using conventional plastic and self-expandable metal stents. The use of such stents for transmural drainage is off-label and limited by the lack of lumen-to-lumen anchorage, which can lead to leakage, migration and tissue trauma. AREAS COVERED: Novel stent designs dedicated to applications of translumenal drainage have recently emerged and promise to make transmural drainage quicker, safer, and more effective...
September 2016: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/27489992/single-step-endoscopic-ultrasound-guided-fluoroless-gallbladder-drainage-using-the-axios-lumen-apposing-metal-stent
#5
Carmelo Barbera, Giuseppe Grande, Nadia Alberghina, Mauro Manno, Rita Luisa Conigliaro
No abstract text is available yet for this article.
2016: Endoscopy
https://www.readbyqxmd.com/read/27189914/endoscopic-therapy-with-lumen-apposing-metal-stents-is-safe-and-effective-for-patients-with-pancreatic-walled-off-necrosis
#6
Reem Z Sharaiha, Amy Tyberg, Mouen A Khashab, Nikhil A Kumta, Kunal Karia, Jose Nieto, Uzma D Siddiqui, Irving Waxman, Virendra Joshi, Petros C Benias, Peter Darwin, Christopher J DiMaio, Christopher J Mulder, Shai Friedland, David G Forcione, Divyesh V Sejpal, Tamas A Gonda, Frank G Gress, Monica Gaidhane, Ann Koons, Ersilia M DeFilippis, Sanjay Salgado, Kristen R Weaver, John M Poneros, Amrita Sethi, Sammy Ho, Vivek Kumbhari, Vikesh K Singh, Alan H Tieu, Viviana Parra, Alisa Likhitsup, Craig Womeldorph, Brenna Casey, Sreeni S Jonnalagadda, Amit P Desai, David L Carr-Locke, Michel Kahaleh, Ali A Siddiqui
BACKGROUND & AIMS: Endoscopic ultrasound-guided transmural drainage and necrosectomy have become the standard treatment for patients with pancreatic walled-off necrosis (WON). Lumen-apposing metal stents (LAMS) have shown success in the management of pancreatic fluid collections. However, there are few data on their specific roles in management of WON. We investigated the efficacy and safety of LAMS in treatment of WON. METHODS: We performed a retrospective multicenter case series of 124 patients with WON who underwent endoscopic transmural drainage by using LAMS at 17 tertiary care centers from January 2014 through May 2015...
December 2016: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27065729/endoscopic-ultrasound-guided-placement-of-axios-stent-for-drainage-of-pancreatic-fluid-collections
#7
REVIEW
Rashmee Patil, Mel A Ona, Charilaos Papafragkakis, Sury Anand, Sushil Duddempudi
Pancreatic fluid collections (PFCs) have conventionally been treated with surgery, percutaneous drainage, or with the more recently established endoscopic ultrasound (EUS)-guided drainage modality. Currently, endoscopic plastic or metallic stents are used for PFC drainage. Plastic stents present issues with stent migration and premature occlusion requiring frequent stent exchanges or placement of additional stents. Metallic stents are tubular and may migrate, resulting in inefficient drainage, content leakage, retrieval and replacement, and possible mucosal injury...
April 2016: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/26969661/eus-guided-choledochoduodenostomy-for-malignant-distal-biliary-obstruction-using-a-lumen-apposing-fully-covered-metal-stent-after-failed-ercp
#8
Rastislav Kunda, Manuel Pérez-Miranda, Uwe Will, Sebastian Ullrich, Dirk Brenke, Markus Dollhopf, Michelle Meier, Alberto Larghi
BACKGROUND: A novel lumen-apposing, self-expanding metal stent to perform EUS-guided drainage procedures has been recently developed. The aim of this study was to analyze the safety, technical and clinical effectiveness of this device for EUS-guided choledochoduodenostomy (EUS-CD) with palliative intent. METHODS: Retrospective analysis of all consecutive patients with unresectable malignant distal bile duct obstruction who, between March 2012 and September 2014, underwent EUS-CD using the study devices (AXIOS™ and Hot AXIOS™, Xlumena Inc...
March 11, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26397845/treatment-of-a-benign-anastomotic-refractory-rectal-stricture-with-an-axios-stent
#9
Felipe Martínez Alcalá, Felipe R Martínez-Alcalá García, Andres Sánchez-Yague, Alvaro Martínez-Alcalá García, Jose Antonio Ciria Avila, Jose Manuel Perez Pozo
No abstract text is available yet for this article.
2015: Endoscopy
https://www.readbyqxmd.com/read/24949351/a-kit-for-eus-guided-access-and-drainage-of-pancreatic-pseudocysts-efficacy-in-a-porcine-model
#10
Kenneth F Binmoeller, Ioana Smith, Monica Gaidhane, Michel Kahaleh
OBJECTIVE: Transluminal pseudocyst drainage with currently available tools remains technically challenging, time consuming and limited to fluid collections adherent to the GI tract. Multiple tools and steps are still required to achieve pseudocyst drainage. We evaluated a novel kit to facilitate endoscopic ultrasonography (EUS)-guided access, drainage and rapid decompression in a porcine model. METHODS: The kit consists of the NAVIX access device and the AXIOS stent delivery system...
October 2012: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/23232994/endosonography-guided-drainage-of-pancreatic-fluid-collections-with-a-novel-lumen-apposing-stent
#11
MULTICENTER STUDY
Joan B Gornals, Carlos De la Serna-Higuera, Andrés Sánchez-Yague, Carme Loras, Andrés M Sánchez-Cantos, Manolo Pérez-Miranda
BACKGROUND: The purpose of this study is to report our initial experience with a new fully covered metallic stent with a novel design (AXIOS) to prevent migration and fluid leakage, in the drainage of pancreatic fluid collections (PFC). METHODS: We included nine patients from four Spanish centers undergoing endoscopic ultrasound (EUS)-guided drainage of PFC with placement of an AXIOS stent. The lesions were accessed via transgastric (n = 7), transesophageal (n = 1), and transduodenal (n = 1) by using a novel access device (NAVIX) in six cases or a 19-G needle in three...
April 2013: Surgical Endoscopy
https://www.readbyqxmd.com/read/21264800/a-novel-lumen-apposing-stent-for-transluminal-drainage-of-nonadherent-extraintestinal-fluid-collections
#12
K F Binmoeller, J Shah
BACKGROUND AND STUDY AIMS: Tubular stents have been used to accomplish endoscopic transluminal drainage, but do not impart lumen-to-lumen anchorage. We evaluated a novel lumen-apposing stent designed for enteric drainage of nonadherent lumens. MATERIAL AND METHODS: Ex vivo benchtop testing was performed to quantify various physical and performance metrics of the stent (Axios). A simulator was developed to test the stent deployment through an echoendoscope. Survival experiments were performed on four pigs...
April 2011: Endoscopy
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