Danis Stent
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Danis Stent
Personal references
Dra. Maria Àngels Escorsell Mañosa
Director of Digestive Pathology, Hospital de la Santa Creu i Sant Pau
“SX-ELLA Danis Stent could be a bridge to more definitive treatment like covered TIPS.”
Basic description
The Danis Stent is a worldwide unique self-expandable covered esophageal stent that is the only one officially indicated to stop bleeding from esophageal varices.
Its dimensions and high expansion force represent a very effective and easy solution for patient stabilization.
The delivery system has been developed to allow the stent to be implanted in an acute situation without endoscopic and X-ray control.
Recommended by several international procedures and guidelines for the treatment of esophageal varices.
Indication
The Danis Stent is intended for patients aged 16 and older and is indicated to stop acute and/or refractory bleeding from esophageal varices.
Features / Benefits
The open lumen of the esophagus allows the physician to perform other endoscopic procedures and allows the patient to eat.
The unique design of braiding of this stent is adapted to esophageal peristalsis and reduces the risk of migration.
Clinical and technical efficacy of the stent is in the range of 95 to 100%.
Patient stabilization and hemostasis for 7 days after implantation.
Compatibility with the ELLA Extractor ensures atraumatic stent removal, which significantly reduces recurrence of bleeding.
MRI compatibility – “MR Conditional”, compatible with 1.5 Tesla and 3 Tesla static magnetic field.
Patent protected
Implantation
Easy implantation in 7 steps.
The delivery system is equipped with a scale and a balloon for precise stent placement.
Special indication balloon to prevent potential complications.
The stent is delivered sterile compressed in a delivery system. The 0.035 ”(0.89 mm) / 260 cm ultra stiff guidewire included in the package is used for insertion, as well as a 50 ml syringe.
Available sizes
Danis Procedure Pack | |||||
---|---|---|---|---|---|
REF | SX-ELLA Stent Danis | Delivery system | |||
Stent flares diameter [mm] | Stent body diameter [mm] | Nominal length [mm] | Active length [cm] | Outer diameter [F] | |
019-08S-25-135 | 30 | 25 | 135 | 60 | 28 / 20 |
Danis Procedure Pack Basic | |||||
---|---|---|---|---|---|
REF | SX-ELLA Stent Danis | Delivery system | |||
Stent flares diameter [mm] | Stent body diameter [mm] | Nominal length [mm] | Active length [cm] | Outer diameter [F] | |
019-08S-25-135-B | 30 | 25 | 135 | 60 | 28 / 20 |
Danis Procedure Pack: Stent preloaded in the delivery system, guidewire, plastic syringes, bite block, paper emesis basin, paper slobber cloth, plastic clip, plastic waste bag.
Danis Procedure Pack Basic: Stent preloaded in the delivery system, guidewire, plastic syringe
Leaflets
DANIS STENT
(PDF)
DANIS REFERENCE
(PDF)
GUIDELINES
(PDF)
QUICK GUIDE DPP
(PDF)
QUICK GUIDE DANIS BASIC
(PDF)
DANIS BOOK
(PDF)
Publications
Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.
Spaander MC, Baron TH, Siersema PD, Fuccio L, Schumacher B, Escorsell À, Garcia-Pagán JC, Dumonceau JM, Conio M, de Ceglie A, Skowronek J, Nordsmark M, Seufferlein T, Van Gossum A, Hassan C, Repici A, Bruno MJ.
Endoscopy. 2016 Oct;48(10):939-48. doi: 10.1055/s-0042-114210. Epub 2016 Sep 14.
Variceal Bleeding Study Group. Esophageal balloon tamponade versus esophageal stent in controlling acute refractory variceal bleeding: A multicenter randomized, controlled trial.
Escorsell À, Pavel O, Cárdenas A, Morillas R, Llop E, Villanueva C, Garcia-Pagán JC, Bosch J;
Hepatology. 2016 Jun;63(6):1957-67. doi: 10.1002/hep.28360. Epub 2016 Jan 14.
SX-Ella Stent Danis Effectively Controls Refractory Variceal Bleed in Patients with Acute-on-Chronic Liver Failure
Maiwall R, Jamwal KD, Bhardwaj A, Bhadoria AS, Maras JS, Kumar G, Jindal A, Choudhury A, Anand L, Sahney A, Kumar A, Sharma MK, Sharma BC, Sarin SK
Dig Dis Sci. 2018 Feb;63(2):493-501. doi: 10.1007/s10620-017-4686-8. Epub 2017 Aug 5.
Use of self-expanding metal stents for difficult variceal bleed
Goenka MK, Goenka U, Tiwary IK, Rai V.
Indian J Gastroenterol. 2017 Nov;36(6):468-473. doi: 10.1007/s12664-017-0800-2. Epub 2018 Jan 24.
A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center
Wright G, Lewis H, Hogan B, Burroughs A, Patch D, O’Beirne J
Gastrointest Endosc. 2010 Jan;71(1):71-8. doi: 10.1016/j.gie.2009.07.028. Epub 2009 Oct 30.
Treatment of esophageal variceal hemorrhage with self-expanding metal stents as a rescue maneuver in a swiss multicentric cohort
Fierz FC, Kistler W, Stenz V, Gubler C.
Case Rep Gastroenterol. 2013 Mar 7;7(1):97-105.
Self-Expanding Metal Stent (SEMS): an innovative rescue therapy for refractory acute variceal bleeding
Changela K, Ona MA, Anand S, Duddempudi S.
Endosc Int Open. 2014 Dec;2(4):E244-51. doi: 10.1055/s-0034-1377980. Epub 2014 Oct 24.
Acute management of refractory variceal bleeding in liver cirrhosis by self-expanding metal stents
Dechêne A, El Fouly AH, Bechmann LP, Jochum C, Saner FH, Gerken G, Canbay A.
Digestion. 2012;85(3):185-91. doi: 10.1159/000335081. Epub 2012 Jan 20.
Results of a new method to stop acute bleeding from esophageal varices: implantation of a self-expanding stent
Zehetner J, Shamiyeh A, Wayand W, Hubmann R.
Surg Endosc. 2008 Oct;22(10):2149-52. doi: 10.1007/s00464-008-0009-7. Epub 2008 Jul 12.