Comparing the mechanical properties of a self‐expandable metallic stent for colorectal obstruction: Proposed measurement method of axial force using a new measurement machine

Objectives Colorectal stenting is widely performed using self‐expandable metallic stents (SEMSs), but the mechanical properties have not been evaluated. Therefore, we conducted an in vitro study to evaluate the mechanical properties of colorectal SEMSs. Methods Eighteen individual types and sizes of...

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Veröffentlicht in:Digestive endoscopy 2021-01, Vol.33 (1), p.170-178
Hauptverfasser: Sasaki, Takashi, Ishibashi, Rei, Yoshida, Shuntaro, Fujisawa, Toshio, Shinagawa, Hiroki, Gon, Chimyon, Nakai, Yousuke, Sasahira, Naoki, Saida, Yoshihisa, Isayama, Hiroyuki
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container_end_page 178
container_issue 1
container_start_page 170
container_title Digestive endoscopy
container_volume 33
creator Sasaki, Takashi
Ishibashi, Rei
Yoshida, Shuntaro
Fujisawa, Toshio
Shinagawa, Hiroki
Gon, Chimyon
Nakai, Yousuke
Sasahira, Naoki
Saida, Yoshihisa
Isayama, Hiroyuki
description Objectives Colorectal stenting is widely performed using self‐expandable metallic stents (SEMSs), but the mechanical properties have not been evaluated. Therefore, we conducted an in vitro study to evaluate the mechanical properties of colorectal SEMSs. Methods Eighteen individual types and sizes of uncovered SEMSs were evaluated for their mechanical properties. Radial force was measured using a measurement machine. Axial force (AF) was measured by two methods: a conventional manual method and a new method using a measurement machine. The correlation of these two methods was evaluated. We also proposed an “AF zero border” that was defined as the angle at which the torque force disappeared. Results Radial force versus diameter curves and AF versus angle curves were influenced by the structure and the size of each stent. There was excellent correlation of AFs measured by the new and conventional manual method (y = 21.434x, R = 0.881, P 
doi_str_mv 10.1111/den.13671
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Therefore, we conducted an in vitro study to evaluate the mechanical properties of colorectal SEMSs. Methods Eighteen individual types and sizes of uncovered SEMSs were evaluated for their mechanical properties. Radial force was measured using a measurement machine. Axial force (AF) was measured by two methods: a conventional manual method and a new method using a measurement machine. The correlation of these two methods was evaluated. We also proposed an “AF zero border” that was defined as the angle at which the torque force disappeared. Results Radial force versus diameter curves and AF versus angle curves were influenced by the structure and the size of each stent. There was excellent correlation of AFs measured by the new and conventional manual method (y = 21.434x, R = 0.881, P &lt; 0.0001). Colorectal SEMSs could be categorized into five subgroups according to the mechanical properties. Most hook‐wired SEMSs had the AF of zero border. Conclusions This is the first report to evaluate the mechanical properties of colorectal SEMSs, and these data may provide useful information for the clinical use and development of colorectal SEMS. Furthermore, the new measurement machine might standardize the measuring method of AF.</description><identifier>ISSN: 0915-5635</identifier><identifier>EISSN: 1443-1661</identifier><identifier>DOI: 10.1111/den.13671</identifier><identifier>PMID: 32196766</identifier><language>eng</language><publisher>Australia</publisher><subject>axial force ; colorectal obstruction ; mechanical property ; radial force ; self‐expandable metallic stent</subject><ispartof>Digestive endoscopy, 2021-01, Vol.33 (1), p.170-178</ispartof><rights>2020 Japan Gastroenterological Endoscopy Society</rights><rights>2020 Japan Gastroenterological Endoscopy Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4151-725805ea291c3040a6083915013198bdbf854779666ec1764040855d4c2d45c33</citedby><cites>FETCH-LOGICAL-c4151-725805ea291c3040a6083915013198bdbf854779666ec1764040855d4c2d45c33</cites><orcidid>0000-0001-7109-9835 ; 0000-0001-7411-1385 ; 0000-0002-9437-9132</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fden.13671$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fden.13671$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32196766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sasaki, Takashi</creatorcontrib><creatorcontrib>Ishibashi, Rei</creatorcontrib><creatorcontrib>Yoshida, Shuntaro</creatorcontrib><creatorcontrib>Fujisawa, Toshio</creatorcontrib><creatorcontrib>Shinagawa, Hiroki</creatorcontrib><creatorcontrib>Gon, Chimyon</creatorcontrib><creatorcontrib>Nakai, Yousuke</creatorcontrib><creatorcontrib>Sasahira, Naoki</creatorcontrib><creatorcontrib>Saida, Yoshihisa</creatorcontrib><creatorcontrib>Isayama, Hiroyuki</creatorcontrib><title>Comparing the mechanical properties of a self‐expandable metallic stent for colorectal obstruction: Proposed measurement method of axial force using a new measurement machine</title><title>Digestive endoscopy</title><addtitle>Dig Endosc</addtitle><description>Objectives Colorectal stenting is widely performed using self‐expandable metallic stents (SEMSs), but the mechanical properties have not been evaluated. Therefore, we conducted an in vitro study to evaluate the mechanical properties of colorectal SEMSs. Methods Eighteen individual types and sizes of uncovered SEMSs were evaluated for their mechanical properties. Radial force was measured using a measurement machine. Axial force (AF) was measured by two methods: a conventional manual method and a new method using a measurement machine. The correlation of these two methods was evaluated. We also proposed an “AF zero border” that was defined as the angle at which the torque force disappeared. Results Radial force versus diameter curves and AF versus angle curves were influenced by the structure and the size of each stent. There was excellent correlation of AFs measured by the new and conventional manual method (y = 21.434x, R = 0.881, P &lt; 0.0001). Colorectal SEMSs could be categorized into five subgroups according to the mechanical properties. Most hook‐wired SEMSs had the AF of zero border. Conclusions This is the first report to evaluate the mechanical properties of colorectal SEMSs, and these data may provide useful information for the clinical use and development of colorectal SEMS. 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Therefore, we conducted an in vitro study to evaluate the mechanical properties of colorectal SEMSs. Methods Eighteen individual types and sizes of uncovered SEMSs were evaluated for their mechanical properties. Radial force was measured using a measurement machine. Axial force (AF) was measured by two methods: a conventional manual method and a new method using a measurement machine. The correlation of these two methods was evaluated. We also proposed an “AF zero border” that was defined as the angle at which the torque force disappeared. Results Radial force versus diameter curves and AF versus angle curves were influenced by the structure and the size of each stent. There was excellent correlation of AFs measured by the new and conventional manual method (y = 21.434x, R = 0.881, P &lt; 0.0001). Colorectal SEMSs could be categorized into five subgroups according to the mechanical properties. Most hook‐wired SEMSs had the AF of zero border. 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source Wiley Online Library Journals Frontfile Complete
subjects axial force
colorectal obstruction
mechanical property
radial force
self‐expandable metallic stent
title Comparing the mechanical properties of a self‐expandable metallic stent for colorectal obstruction: Proposed measurement method of axial force using a new measurement machine
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