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Self-Expandable Metallic Biliary Stents with Permanent Access

Chia Sing Ho1,2 and Maurice David Voss1,3

1 Department of Medical Imaging, University of Toronto, University Health Network and Mt. Sinai Hospital University, 200 Elizabeth St., Toronto, ON, Canada M5G 2N2.
2 Toronto General Hospital, 200 Elizabeth St., Toronto, ON, Canada M5G 2C4.
3 Department of Radiology, St. Joseph Health Care, Hamilton, ON, Canada L8N 4A6.



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  		Fig. 1. —52-year-old man with obstruction of distal common bile duct from enlarged peripancreatic lymph nodes due to metastatic esophageal carcinoma. Abdominal radiograph was obtained after insertion of metallic Wallstent (Boston Scientific) through left percutaneous biliary drainage. 4-French catheter (Kumpe, Cook) is seen traversing stent.

 


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  		Fig. 2A. —66-year-old man with obstruction of distal common bile duct due to pancreatic carcinoma. Photograph shows low-profile catheter fixation device (Medi-inn) transfixed to catheter and applied flush to skin.

 


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  		Fig. 2B. —66-year-old man with obstruction of distal common bile duct due to pancreatic carcinoma. Photograph shows low-profile device is covered by Elastoplast bandage (Beiersdorf AG) which maintains it flush to skin.

 


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  		Fig. 3A. —Kaplan-Meier curves show duration of patient survival from diagnosis and from metallic stent placement and duration of metallic stent patency. Dotted lines represent 95% confidence intervals. Graphs show Kaplan-Meier curves for patient survival from diagnosis (A), patient survival from metallic stent placement (B), and metallic stent patency (C).

 


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  		Fig. 3B. —Kaplan-Meier curves show duration of patient survival from diagnosis and from metallic stent placement and duration of metallic stent patency. Dotted lines represent 95% confidence intervals. Graphs show Kaplan-Meier curves for patient survival from diagnosis (A), patient survival from metallic stent placement (B), and metallic stent patency (C).

 


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  		Fig. 3C. —Kaplan-Meier curves show duration of patient survival from diagnosis and from metallic stent placement and duration of metallic stent patency. Dotted lines represent 95% confidence intervals. Graphs show Kaplan-Meier curves for patient survival from diagnosis (A), patient survival from metallic stent placement (B), and metallic stent patency (C).

 

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