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Published on: October 26, 2016
Lumen-Apposing Metal Stents: Which One and Why?
Matthew W Stier1, Irving Waxman2
1Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, 5841 South Maryland Avenue, MC4076, Room M421, Chicago, IL 60637, USA.
Lumen-apposing metal stents (LAMS) are used for pancreatic fluid collections and biliary access. More data are needed to compare LAMS models, but electrocautery aids placement for evolving clinical demands.
Area of Science:
- Gastroenterology and Endoscopy
- Medical Devices
Background:
- Lumen-apposing metal stents (LAMS) are increasingly utilized for transluminal interventions.
- Applications include complex pancreatic fluid collections (PFCs) and challenging biliary access.
Purpose of the Study:
- To review the current landscape of LAMS technology.
- To highlight the need for comparative data on various LAMS models.
- To discuss advancements in LAMS placement techniques.
Main Methods:
- Literature review of LAMS applications and advancements.
- Discussion of procedural techniques, including electrocautery-assisted placement.
- Analysis of current clinical use and future directions.
Main Results:
- Limited high-quality comparative data exist for different LAMS models.
- Electrocautery has streamlined LAMS placement, enabling single-step or 'hot' approaches.
- Operator expertise and device availability influence current LAMS use.
Conclusions:
- LAMS are valuable tools for complex endoscopic procedures.
- Further research is required to guide optimal LAMS selection and utilization.
- Ongoing innovation is essential to meet the expanding clinical applications of LAMS.
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