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Removal of Self-Expanding Metallic Stents
Shiwan K Shah1, Jeffrey H Jennings, Javier I Diaz-Mendoza
1*Division of Pulmonary and Critical Care Medicine, University of Texas Medical Branch, Galveston, TX †Division of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Detroit, MI.
Journal of Bronchology & Interventional Pulmonology
|October 21, 2016
Summary
Removing self-expanding metallic stents (SEMS) is safe. Postoperative care can be individualized, and patients without severe lung disease may be discharged promptly if no immediate complications arise.
Area of Science:
- Medical Devices
- Gastroenterology
- Pulmonology
Background:
- Self-expanding metallic stents (SEMS) present removal challenges despite a favorable safety profile.
- Henry Ford Hospital has accumulated experience in SEMS removal.
Purpose of the Study:
- To evaluate the safety and outcomes of self-expanding metallic stent removal.
- To identify factors influencing complication rates during SEMS removal.
Main Methods:
- Retrospective chart review of patients undergoing SEMS removal from 2003-2013.
- Data collected included demographics, indications for placement/removal, time to removal, procedure details, and complications.
Main Results:
- 19 SEMS were removed in 14 patients; 62.5% of procedures had no complications.
- Complications were infrequent and often related to underlying conditions, not the removal itself.
- Outpatient procedures were common, with 70% of outpatients discharged immediately.
Conclusions:
- Self-expanding metallic stent removal can be performed safely.
- Routine intensive care unit monitoring and ventilation are often unnecessary.
- Discharge planning can be tailored based on patient stability and absence of immediate post-procedure complications.
