BD Stent
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BD Stent
personal references
Truls Hauge MD, PhD, Associate Professor
Dept. of Gastroenterology, Oslo University Hospital - Ullevål, Norway
Prof. Pier Alberto Testoni
Head of Gastroenterology and digestive endoscopy, Ospedale San Raffaelle di Milano, Italy
Basic description
BD Stent is a worldwide unique self-expanding biodegradable stent intended for use in the esophagus. It typically degrades in the human body within 3–4 months after implantation. This property makes it suitable for temporary use in benign indications where subsequent removal is not necessary, unlike stents made of non-degradable materials.
Indications
BD stent is intended for patients over 18 years and is indicated for the treatment of benign esophageal strictures resistant to standard therapy.
Features / Benefits
BD stent typically degrades in the human body within 3–4 months, which reduces the number of medical interventions and hospital visits. The stent is made of polydioxanone, a biodegradable polymer used in medicine for more than 30 years in the form of surgical suture material.
The integrity and radial force of the stent are maintained for 6–8 weeks after implantation; thereafter, the radial force gradually decreases until the material fully degrades within 3–4 months.
The pH value affects the stent degradation process. In the human body, degradation tends to be slower under neutral pH but accelerates in acidic pH.
Low migration is ensured by the uncovered stent design.
Polydioxanone is not visible under X-ray imaging; therefore, gold radiopaque markers are placed at both ends of the stent. The stent is MRI-compatible (“MR Conditional”) at static magnetic field strengths of 1.5 Tesla and 3 Tesla.
IMPLANTATION PROCEDURE
The stent is supplied sterile. The package includes a delivery system, compressing tool, and the stent packed in a protective foil. Immediately before implantation, the stent must be manually compressed into the delivery system. The stent is implanted under endoscopic and/or fluoroscopic guidance, and for proper positioning, the use of a 0.035″ (0.89 mm) guidewire is recommended.
available sizes
| REF No. | Nominal stent body diameter [mm] | Nominal stent flares diameter [mm] | Nominal stent length [mm] |
Delivery system |
|---|---|---|---|---|
| 019-10A-23/18/23-060 | 18 | 23 | 60 | 28 F / 18 F 75 cm |
| 019-10A-23/18/23-080 | 80 | |||
| 019-10A-23/18/23-100 | 100 | |||
| 019-10A-25/20/25-060 | 20 | 25 | 60 | |
| 019-10A-25/20/25-080 | 80 | |||
| 019-10A-25/20/25-100 | 100 | |||
| 019-10A-28/23/28-060 | 23 | 28 | 60 | |
| 019-10A-28/23/28-080 | 80 | |||
| 019-10A-28/23/28-100 | 100 | |||
| 019-10A-31/25/31-060 | 25 | 31 | 60 | |
| 019-10A-31/25/31-080 | 80 | |||
| 019-10A-31/25/31-100 | 100 | |||
| 019-10A-31/25/31-135 | 135 |
PUBLIcations
Dilation or biodegradable stent placement for recurrent benign esophageal strictures: a randomized controlled trial
Daisy Walter, Maarten W. Van Den Berg, Meike M. Hirdes, Frank P. Vleggaar, Alessandro Repici, Pierre H. Deprez, Laurence Lovat, Bartolomé L. Viedma, Bas L. Weusten, Raf Bisschops, Renan Haidry, Elisa Ferrara, Keith J. Sanborn, Erin E. O’Leary, Jeanin E. Van Hooft, Peter D. Siersema
Endoscopy. 2018 Mar. Georg Thieme Verlag KG Stuttgart. New York, ISSN 0013-726X
The use of reabsorbable ELLA stent in the treatment of benign stenosis
D. Esposito, F. Calabrese, L. Fanti, E. Viale, P.A. Testoni
Abstracts of the 24th National Congress of Digestive Diseases / Digestive and Liver Disease 50/S2 (2018) e63–e238
Endoscopically placed stents: a useful alternative for the management of refractory benign cervical esophageal stenosis
Nogales Óscar, Clemente Ana, Caballero-Marcos Aránzazu, García-Lledó Javier, Pérez-Carazo Leticia, Merino Beatriz, López-Ibáñez María, Pérez Valderas María Dolores, Bañares Rafael, González-Asanza Cecilia
Single and sequential biodegradable stent placement for refractory benign esophageal strictures: a prospective follow-up study
M. M. C. Hirdes, P. D. Siersema, P. G. A. van Boeckel, F. P. Vleggaar
Endoscopy. 2012 Jul;44(7):649-54.