Lumen-Apposing Metal Stents: Which One and Why?

Matthew W Stier; Irving Waxman

doi:10.1016/j.giec.2017.11.008

Lumen-Apposing Metal Stents: Which One and Why?

Gastrointest Endosc Clin N Am. 2018 Apr;28(2):207-217. doi: 10.1016/j.giec.2017.11.008. Epub 2018 Feb 3.

Authors

Matthew W Stier¹, Irving Waxman²

Affiliations

¹ Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, 5841 South Maryland Avenue, MC4076, Room M421, Chicago, IL 60637, USA.
² Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, 5700 South Maryland Avenue, MC 8043, Chicago, IL 60637, USA. Electronic address: iwaxman@medicine.bsd.uchicago.edu.

PMID: 29519333
DOI: 10.1016/j.giec.2017.11.008

Abstract

Numerous lumen-apposing metal stents (LAMS) have been designed for transluminal applications, including complex pancreatic fluid collections (PFCs) and difficult biliary access. Limited high-quality data exist directly comparing the various LAMS models, and their use remains largely dependent on availability and operator expertise. LAMS placement has been streamlined by the addition of electrocautery, allowing for single-step or modified "hot" approach, if desired. Therapeutic endoscopists continue to explore the application of this technology in a variety of clinical scenarios, and future innovations will be needed to meet these evolving clinical demands.

Keywords: EUS-guided biliary access; EUS-guided gallbladder access; Endoscopic ultrasonography; Lumen-apposing metal stents; Pancreatic fluid collections; Transluminal stenting.

Publication types

Review

MeSH terms

Anastomosis, Surgical / instrumentation*
Digestive System Surgical Procedures / instrumentation*
Digestive System Surgical Procedures / methods
Drainage / instrumentation
Drainage / methods
Endosonography
Humans
Metals
Stents
Ultrasonography, Interventional

Substances

Metals