Treating bladder-outflow obstruction with thermo-expandable prostate metal stents.

Abstract:

:Bladder-outflow obstruction is a common age-related clinical entity due to a variety of benign and malignant diseases of the prostate. Surgical treatment is not suitable for high-risk elderly patients who seek minimally invasive management. We present a prostatic thermo-expandable metal stent for treating bladder-outflow obstruction. In this review, we include the design characteristics of this novel device, the performance assessment in comparison with alternative devices, the limitations, our personal clinical experience, as well as a long-term perspective. According to our experience among 127 patients (who underwent insertion of 192 stents) after 1, 2 and 3 years, 82, 61 and 47% of the original stents were functional without apparent complications, respectively. The mean single stent indwelling time was 1 year, with a maximum of 4 years. In 41% of patients, the stent needed to be removed and/or exchanged owing to stent encrustation (15%), migration (10%), penile pain (6%), bladder-outflow obstruction symptoms (5%), urinary incontinence (<3%), tissue granulation (<3%), recurrent urinary tract infections (<3%) or urethral stricture (<3%). The thermo-expandable prostatic stent seems to be an effective minimally invasive treatment of bladder-outflow obstruction, especially in high-risk patients.

journal_name

Expert Rev Med Devices

authors

Papatsoris AG,El-Husseiny T,Sawada Y,Takahashi T,Nagaoka A,Maan Z,Moraitis K,Masood J,Junaid I,Buchholz N

doi

10.1586/erd.09.13

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

357-63

issue

4

eissn

1743-4440

issn

1745-2422

journal_volume

6

pub_type

杂志文章,评审
  • Computer-aided design and manufacturing of surgical templates and their clinical applications: a review.

    abstract:INTRODUCTION:The surgical template is a guide aimed at directing the implant placement, tumor resection, osteotomy and bone repositioning. Using it, preoperative planning can be transferred to the actual surgical site, and the precision, safety and reliability of the surgery can be improved. However, the actual workflo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2016.1218758

    authors: Chen X,Xu L,Wang W,Li X,Sun Y,Politis C

    更新日期:2016-09-01 00:00:00

  • Surface coatings for ventricular assist devices.

    abstract::This article focuses on the surface engineering of ventricular assist devices (VADs) for the treatment of heart failure patients, which involves the modification of surfaces contacting blood in order to improve the blood compatibility (hemocompatibility) of the VADs. Following an introduction to the categorization and...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.6.1.51

    authors: Sin DC,Kei HL,Miao X

    更新日期:2009-01-01 00:00:00

  • Neuroinformatics and modeling of the basal ganglia: bridging pharmacology and physiology.

    abstract::The subthalamic nucleus (STN) is the primary target for the chronic deep brain stimulation treatment of Parkinson's disease. STN neurons exhibit a variety of characteristic properties that may play a key role in the overall population response to deep brain stimulation. Neuroinformatics techniques, in particular compu...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.5.663

    authors: Gillies A,Willshaw D

    更新日期:2007-09-01 00:00:00

  • Evolution of endovascular stroke therapies and devices.

    abstract::Acute ischemic stroke is caused by occlusion of a cerebral artery, resulting in loss of brain tissue and neurologic deficits. However, a portion of the ischemic brain can be salvaged if blood flow is restored within an appropriate time frame. The past year has seen the publication of five positive randomized controlle...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1143772

    authors: Wallace AN,Kansagra AP,McEachern J,Moran CJ,Cross DT 3rd,Derdeyn CP

    更新日期:2016-01-01 00:00:00

  • What can be done for cerebral embolic protection in TAVI? Analysis in the light of 10 years' experience with protected carotid artery stenting.

    abstract::In the last 30 years, development of minimally invasive percutaneous procedures to treat cardiovascular defects has been thriving. Although these techniques present obvious advantages, like avoiding cardiopulmonary bypass, the passage of catheter systems and the deployment of devices in the blood circulation can cause...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.1120666

    authors: Egron S,Kütting M,Marzelle J,Becquemin JP,Schmitz-Rode T,Steinseifer U

    更新日期:2016-01-01 00:00:00

  • Carotid angioplasty and stenting under protection: advantages and drawbacks.

    abstract::Carotid stenosis is responsible for approximately 30% of strokes, and carotid endarterectomy is considered to be the gold-standard treatment. Carotid angioplasty and stenting (CAS) has been proposed as an alternative to surgery but the risk of neurological complications and brain embolism remains the major drawback to...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.5.5.591

    authors: Henry M,Polydorou A,Henry I,Polydorou AD,Hugel M

    更新日期:2008-09-01 00:00:00

  • Holmium:YAG laser system for transmyocardial revascularization.

    abstract::Transmyocardial revascularization, using the US FDA-approved holmium: yttrium-aluminum-garnet (Ho:YAG) laser system, is a surgical option for patients with debilitating angina caused by diffuse coronary artery disease in areas of the heart not amenable to complete revascularization using conventional treatments. Incre...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.3.2.137

    authors: Allen KB

    更新日期:2006-03-01 00:00:00

  • Neural machine interfaces for controlling multifunctional powered upper-limb prostheses.

    abstract::This article investigates various neural machine interfaces for voluntary control of externally powered upper-limb prostheses. Epidemiology of upper limb amputation, as well as prescription and follow-up studies of externally powered upper-limb prostheses are discussed. The use of electromyographic interfaces and peri...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.1.43

    authors: Ohnishi K,Weir RF,Kuiken TA

    更新日期:2007-01-01 00:00:00

  • Shortening hospital stay for thyroid surgery.

    abstract::The number of outpatient surgical procedures performed in hospitals, increases daily. In some countries, such as Italy, outpatient operations outnumber inpatient operations. The incidence of thyroid disorders and, in particular, the cancer forms, has been increasing sharply for many years in several countries. Even if...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.5.1.85

    authors: Dionigi G,Bacuzzi A,Rovera F,Boni L,Piantanida E,Tanda ML,Castano P,Annoni M,Bartalena L,Dionigi R

    更新日期:2008-01-01 00:00:00

  • Continuous-flow left ventricular assist device implantation in patients with preexisting mechanical mitral valves: a systematic review.

    abstract::Introduction: A preexisting mechanical mitral valve (MMV) is thought to be a thrombogenic risk factor after continuous-flow left ventricular assist device (CF-LVAD) implantation. We sought to evaluate the management and outcomes of preexisting MMVs in patients following CF-LVAD implantation.Areas covered: An electroni...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2020.1754190

    authors: Gordon JS,O'Malley TJ,Maynes EJ,Wood CT,Kalantri N,Morris RJ,Samuels LE,Massey HT,Tchantchaleishvili V

    更新日期:2020-05-01 00:00:00

  • Bicomponent electrospun scaffolds to design extracellular matrix tissue analogs.

    abstract::In the last decade, bicomponent fibers have been proposed to fabricate bio-inspired systems for tissue repair, regenerative medicine, medical healthcare and clinical applications. In comparison with monocomponent fibers, key advantage concerns their ability of self-adapting to the physiological conditions through an e...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1126505

    authors: Guarino V,Cirillo V,Ambrosio L

    更新日期:2016-01-01 00:00:00

  • How prosthetic design influences knee kinematics: a narrative review of tibiofemoral kinematics of healthy and joint-replaced knees.

    abstract:INTRODUCTION:To improve the total knee arthroplasty (TKA) prosthesis design, it is essential to study the kinematics of the tibiofemoral joint. Many studies have been conducted in this area; however, conflicting results and incomparable testing methods make it difficult to draw definitive conclusions or compare researc...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1564037

    authors: Meng F,Jaeger S,Sonntag R,Schroeder S,Smith-Romanski S,Kretzer JP

    更新日期:2019-02-01 00:00:00

  • Use of Amplatzer occluders for treatment of aorto-pulmonary fistulas - case and review of the literature.

    abstract:INTRODUCTION:the use of amplatzer occluder family in daily clinical practice has already overcome on-label indications, with growing clinical experience and the technological evolution of devices. Areas covered: We present the case of a patient with a very rare complication following proximal aortic surgery treated usi...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2017.1389636

    authors: Toušek P,Kočka V,Petr R,Ulman J,Hlavička J,Kolesár M

    更新日期:2017-11-01 00:00:00

  • Does the novel delivery system for the STENTYS self-apposing coronary stent increase the risk of stent edge dissections? Optical coherence tomography post stent findings.

    abstract:BACKGROUND:With optical coherence tomography (OCT), details of arterial injuries during percutaneous coronary intervention can be assessed accurately. There might be an increased risk of stent edge dissections with the novel delivery system for the STENTYS stent. We evaluated the prevalence of stent edge dissections us...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1421942

    authors: Lu H,Kalkman DN,Grundeken MJ,Tijssen JGP,Wykrzykowska JJ,de Winter RJ,Koch KT

    更新日期:2018-02-01 00:00:00

  • Systematic review of various laser intervention strategies for proliferative diabetic retinopathy.

    abstract::Diabetic retinopathy (DR) is a common complication of diabetes. DR obstructs blood supply to the retina and has serious and long-lasting detrimental effects on quality of life. Panretinal photocoagulation, a laser surgical intervention, is advocated for early treatment of DR to prevent visual loss; however, results fr...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.953057

    authors: Luo D,Zheng Z,Xu X,Fan Y,Zhu B,Liu K,Wang F,Sun X,Zou H,Xia X

    更新日期:2015-01-01 00:00:00

  • Top 100 cited noninvasive neuromodulation clinical trials.

    abstract:INTRODUCTION:Introduction: Transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS) are noninvasive neuromodulation techniques used as therapeutic and research tools for several neuropsychiatric conditions. Given the exponential scientific growth of this field, we aimed to systematical...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1615440

    authors: Lucena MFG,Teixeira PEP,Bonin Pinto C,Fregni F

    更新日期:2019-06-01 00:00:00

  • From portable dialysis to a bioengineered kidney.

    abstract:INTRODUCTION:Since the advent of peritoneal dialysis (PD) in the 1970s, the principles of dialysis have changed little. In the coming decades, several major breakthroughs are expected. AREAS COVERED:Novel wearable and portable dialysis devices for both hemodialysis (HD) and PD are expected first. The HD devices could ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2018.1462697

    authors: van Gelder MK,Mihaila SM,Jansen J,Wester M,Verhaar MC,Joles JA,Stamatialis D,Masereeuw R,Gerritsen KGF

    更新日期:2018-05-01 00:00:00

  • Drug-eluting stents: from evidence to policy.

    abstract::Drug-eluting stents are a major breakthrough in cardiology, with the Cypher (Cordis Corporation) and Taxus (Boston Scientific) stents preventing 60-70% of repeat coronary revascularizations, compared with bare metal stents. Both evidence- and risk-based application of drug-eluting stents is expected to create relevant...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.1.1.49

    authors: Marchetti M

    更新日期:2004-09-01 00:00:00

  • Remote-controlled internal lengthening plate for distraction osteogenesis in pediatric patients.

    abstract:OBJECTIVES:Limb lengthening by distraction osteogenesis is a technique widely used to treat limb length discrepancy resulting from trauma, congenital limb defects and long bone non-union. For decades, patients have resorted to the Ilizarov apparatus, prone to pin tract infections and scarring. Although implantable leng...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2019.1599283

    authors: Gaudreau J,Mekhail M,Hamdy R,Villemure I

    更新日期:2019-04-01 00:00:00

  • Innovative developments of the heart valves designed for use in ventricular assist devices.

    abstract::Prosthetic heart valves are routinely used for replacing diseased natural heart valves. Even today, after five decades of prosthetic heart valve development, in the authors opinion the main problem associated with these valves is the risk of thromboembolic complications caused by unnatural hemodynamics. Further growin...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.1.61

    authors: Goubergrits L,Affeld K,Kertzscher U

    更新日期:2005-01-01 00:00:00

  • Is there an optimal interventional device for the salvage of thrombosed native angioaccess for hemodialysis?

    abstract::The rescue of autogenous angioaccess for hemodialysis can be performed surgically or radiologically. For the latter, there is current debate as to whether a mechanical hydrodynamic device confers a clinical advantage over a rotational thrombectomy. The evaluated article describes a single center retrospective cohort s...

    journal_title:Expert review of medical devices

    pub_type: 评论,杂志文章

    doi:10.1586/erd.12.75

    authors: Hossain MA,Chung R,Frampton AE,Chemla ES

    更新日期:2013-01-01 00:00:00

  • Intrasaccular flow-diversion for treatment of intracranial aneurysms: the Woven EndoBridge.

    abstract::Endovascular approach is now the first option for the treatment of most intracranial aneurysms (IA). However, remaining limitations are the suboptimal stability of aneurysm occlusion and the treatment of complex IA. The use of conventional and flow diverter stents has partially addressed these limitations. Nevertheles...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.907741

    authors: Mine B,Pierot L,Lubicz B

    更新日期:2014-05-01 00:00:00

  • Advances in temporary mechanical support for treatment of cardiogenic shock.

    abstract::Mechanical circulatory support devices are the mainstay of treatment for severe cardiogenic shock refractory to pharmacologic therapy. Their evolution over the past few decades has been remarkable with a common theme of developing reliable, less bulky and more easily percutaneously implantable devices. The goal of thi...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.1086265

    authors: Koprivanac M,Kelava M,Soltesz E,Smedira N,Kapadia S,Brzezinski A,Alansari S,Moazami N

    更新日期:2015-01-01 00:00:00

  • Device safety and effectiveness in the pediatric population: a US FDA perspective.

    abstract::The US FDA recognizes that there are many challenges to ensuring that medical devices are used responsibly and safely in the pediatric population. Education plays a key role, and manufacturers and healthcare providers must be informed of medical device issues unique to the pediatric population. Healthcare workers and ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.6.2.131

    authors: Samuels-Reid J,Cope JU,Morrison AE

    更新日期:2009-03-01 00:00:00

  • Autofluorescence imaging videobronchoscopy in the detection of lung cancer: from research tool to everyday procedure.

    abstract::Autofluorescence imaging videobronchoscopy (AFI) is one of the new systems of autofluorescence bronchoscopy designed for thorough examination of bronchial mucosa. The integration of autofluorescence and videobronchoscopy provides clear images of normal and pathologically altered bronchial mucosa. Major indications for...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/erd.10.92

    authors: Zaric B,Perin B,Becker HD,Herth FF,Eberhardt R,Djuric M,Djuric D,Matijasevic J,Kopitovic I,Stanic J

    更新日期:2011-03-01 00:00:00

  • Abdominal wall reconstruction using biological tissue grafts: present status and future opportunities.

    abstract::Surgeons often encounter the challenge of treating acquired abdominal wall defects following abdominal surgery. The current standard of practice is to repair most defects using permanent synthetic mesh material. Mesh augments the strength of the weakened abdominal wall fascia and enables the hernia repair to be perfor...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.3.5.657

    authors: Bellows CF,Alder A,Helton WS

    更新日期:2006-09-01 00:00:00

  • Diagnosis of small-bowel diseases in the era of capsule endoscopy.

    abstract::Capsule endoscopy is a major breakthrough in gastrointestinal endoscopy and is a first-line tool to detect abnormalities of the small bowel, in up to 50% of patients, intestinal disorders are not associated with any physical findings or positive tests. Indications, yield and impact on patient management of this method...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.5.587

    authors: Pennazio M

    更新日期:2005-09-01 00:00:00

  • Is there an alternative to systemic anticoagulation, as related to interventional biomedical devices?

    abstract::To reduce the toxic effects, related clinical problems and complications such as bleeding disorders associated with systemic anticoagulation, it has been hypothesized that by coating the surfaces of medical devices, such as stents, bypass grafts, extracorporeal circuits, guide wires and catheters, there will be a sign...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.3.2.245

    authors: Conn G,Kidane AG,Punshon G,Kannan RY,Hamilton G,Seifalian AM

    更新日期:2006-03-01 00:00:00

  • Mechanical circulatory support devices: methods to optimize hemodynamics during use.

    abstract:INTRODUCTION:Mechanical circulatory support (MCS) is an increasingly utilized mode of therapy in the management of advanced heart failure, both as bridge to heart transplantation and destination therapy. As MCS becomes more prevalent, it is ever more important to understand the complex hemodynamics of these devices, as...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2017.1324292

    authors: Chung BB,Sayer G,Uriel N

    更新日期:2017-05-01 00:00:00

  • Safety considerations for deep brain stimulation: review and analysis.

    abstract::Deep brain stimulation has emerged rapidly as an effective therapy for movement disorders. Deep brain stimulation includes an implanted brain electrode and a pacemaker-like implanted pulse generator. The clinical application of deep brain stimulation proceeded in the absence of clear understandings of its mechanisms o...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.4.409

    authors: Grill WM

    更新日期:2005-07-01 00:00:00