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Preliminary experience of the use of a self-expanding nititol stent in refractory variceal bleeding: a real-world
María Desirée García García1, Teresa Valdés Delgado1, Paula Fernández Álvarez1
1Gastroenterology and Digestive Endoscopy Unit, Hospital Universitario Virgen Macarena, España.
Background And Aims:
The fully-covered self-expanding metal stent (SEMS) has a role in the management of refractory acute variceal haemorrhage. The aim of this study was to evaluate its effectiveness and complications in real-world practice.
Patients And Methods:
An observational, descriptive, multicenter study was carried out. Eight patients with clinically significant portal hypertension who underwent a SEMS were included.
Results:
SEMS placement controlled acute bleeding in 7 patients with technical success. Stents were removed after a median of 8 days. Rescue transjugular intrahepatic portosystemic shunt was performed around 48 hours after SEMS placement. Four patients survived after successful SEMS removal. The most common adverse event was stent loop in 2 patients.
Conclusions:
In our experience, SEMS was highly effective in controlling acute refractory variceal bleeding. Bleeding-related mortality rate was probably due to impossibility of TIPS implantation. Stent loop was a common limiting factor.
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