DV stent bronchial compression
DV Stent Bronchial
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DV Stent Bronchial
Basic description
DV Stent Bronchial is a worldwide unique self-expanding biodegradable stent intended for use in the bronchial tree. 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.
The product is currently available as a custom-made device.
CE mark pending
Indication
DV Stent Bronchial is intended for patients over 18 years and is indicated for the treatment of benign bronchial strictures or bronchomalacia.
Features / Benefits
DV Stent Bronchial 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
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 bronchoscopic and/or fluoroscopic guidance, and for proper positioning, the use of a 0.035″ (0.89 mm) guidewire is recommended.
Available sizes
| REF | Nominal stent body diameter [mm] | Nominal stent length [mm] | Delivery system |
|---|---|---|---|
| 019-IU-08-020-DV | 8 | 20 | 11,8 F / 60 cm |
| 019-IU-08-030-DV | 30 | ||
| 019-IU-08-035-DV | 35 | ||
| 019-IU-10-020-DV | 10 | 20 | |
| 019-IU-10-025-DV | 25 | ||
| 019-IU-10-030-DV | 30 | ||
| 019-IU-10-035-DV | 35 | ||
| 019-IU-12-020-DV | 12 | 20 | 15 F / 60 cm |
| 019-IU-12-025-DV | 25 | ||
| 019-IU-12-030-DV | 30 | ||
| 019-IU-12-035-DV | 35 | ||
| 019-IU-12-040-DV | 40 | ||
| 019-IU-12-045-DV | 45 | ||
| 019-IU-14-020-DV | 14 | 20 | 18 F / 60 cm |
| 019-IU-14-030-DV | 30 | ||
| 019-IU-14-035-DV | 35 | ||
| 019-IU-14-040-DV | 40 | ||
| 019-IU-14-045-DV | 45 |
Publications
Lung transplant airway complications treated with biodegradable airway stents: The Dutch multi-center experience
van Pel R, Gan T, Daniels JMA, Ruigrok D, Hellemons ME, Klooster K, Slebos DJ
Clin Transplant. 2024 Mar;38(3):e15289. doi: 10.1111/ctr.15289. PMID: 38486062.
Management and outcome of obstructive airway complications after lung transplantation - a 12-year retrospective cohort study.
Gottlieb J, Fuehner T, Zardo P.
Ther Adv Respir Dis. 2023 Jan-Dec;17:17534666231181541. doi: 10.1177/17534666231181541. PMID: 37526226; PMCID: PMC10395170.
Novel biodegradable stents in the treatment of bronchial stenosis after lung transplantation.
Lischke R, Pozniak J, Vondrys D, Elliott MJ.
Eur J Cardiothorac Surg. 2011 Sep;40(3):619-24. doi: 10.1016/j.ejcts.2010.12.047. Epub 2011 Feb 21. PMID: 21334911.
Single-center review on safety of biodegradable airway stenting in pediatric population
Federico Minen, Andrew Durward, Paul James, Athanasios Diamantopoulos, Haran Jogeesvaran, Gareth J Morgan, Andrew Nyman
Pediatr Pulmonol. 2023;1‐10., DOI: 10.1002/ppul.26670, PMID: 37728230
Further experience with polydioxanone airway stents in children
Rocío Morante-Valverde, María López Díaz, Mª Carmen Luna-Paredes, Sara Proaño, Cecilia Castellano, Mª Dolores Méndez, Victoria Ramos, Juan L Antón-Pacheco
Pediatr Pulmonol. 2024 Oct;59(10):2517-2522. doi: 10.1002/ppul.27056. Epub 2024 May 9. PMID: 38721899
First experience with biodegradable airway stents in children
Vondrys D, Elliott MJ, McLaren CA, Noctor C, Roebuck DJ
Ann Thorac Surg. 2011 Nov;92(5):1870-4. doi: 10.1016/j.athoracsur.2011.07.042. Epub 2011 Oct 31. PMID: 22051281