A novel rescue maneuver for a distal dislodged lumen-apposing metal stent (LAMS): "LAMS-in-LAMS" technique

the appearance of the lumen-apposing metal stent (LAMS) has meant an authentic revolution. To date, the results are promising but it is necessary to note the technical incidents and LAMS-related complications. an EUS-transmural guided drainage using a HotAXIOS was planned for a 36-year-old man with...

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Veröffentlicht in:	Revista española de enfermedades digestivas 2019-03, Vol.111 (3), p.243
Hauptverfasser:	Curieses Luengo, Maria, Consiglieri, Claudia F, Puga, Manuel, Gornals, Joan B
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Adult Drainage - instrumentation Drainage - methods Duodenal Obstruction - therapy Duodenum - pathology Humans Intestinal Atresia - therapy Male Necrosis - complications Pancreatic Juice Pancreatitis - complications Salvage Therapy - methods Stents
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container_title	Revista española de enfermedades digestivas
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creator	Curieses Luengo, Maria Consiglieri, Claudia F Puga, Manuel Gornals, Joan B
description	the appearance of the lumen-apposing metal stent (LAMS) has meant an authentic revolution. To date, the results are promising but it is necessary to note the technical incidents and LAMS-related complications. an EUS-transmural guided drainage using a HotAXIOS was planned for a 36-year-old man with oral intolerance due to a voluminous walled-off necrosis. The distal flange was left in the collection, but a total distal malposition occurred during the proximal flange delivery, despite correct apposition with visualization of the black mark. A rescue technique was performed inserting a second LAMS over-the-guidewire salvaging the initial failed transmural drainage. This case is a reminder that in similar scenarios, extreme tension of the echoendoscope can cause a malfunction of the AXIOS stent delivery system, and lead to a total distal malposition. This "LAMS-in-LAMS" technique is feasible, effective, and a very helpful rescue technique in cases of dislodged LAMS.
doi_str_mv	10.17235/reed.2019.5924/2018
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This "LAMS-in-LAMS" technique is feasible, effective, and a very helpful rescue technique in cases of dislodged LAMS.</abstract><cop>Spain</cop><pub>Sociedad Espanola de Patologia Digestivas</pub><pmid>30746951</pmid><doi>10.17235/reed.2019.5924/2018</doi><oa>free_for_read</oa></addata></record>
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source	MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals
subjects	Acute Disease Adult Drainage - instrumentation Drainage - methods Duodenal Obstruction - therapy Duodenum - pathology Humans Intestinal Atresia - therapy Male Necrosis - complications Pancreatic Juice Pancreatitis - complications Salvage Therapy - methods Stents
title	A novel rescue maneuver for a distal dislodged lumen-apposing metal stent (LAMS): "LAMS-in-LAMS" technique
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