Literature DB >> 24918272

Comparison of efficacy and safety between a segmental thermo-expandable metal alloy spiral stent (Memokath 051) and a self-expandable covered metallic stent (UVENTA) in the management of ureteral obstructions.

Kang Sup Kim1, SaeWoong Choi, Yong Sun Choi, Woong Jin Bae, Sung-Hoo Hong, Ji Youl Lee, Sae Woong Kim, Tae-Kon Hwang, Hyuk Jin Cho.   

Abstract

OBJECTIVE: To determine the efficacy and safety of the Memokath 051™ (PNN Medical, Glostrup, Denmark) and UVENTA™ (Taewoong Medical, Seoul, Korea) metal stents, we reviewed our experience with these two metallic ureteral stents for treating benign and malignant ureteral obstructions. SUBJECTS AND METHODS: Twenty-seven patients who received treatment with metallic ureteral stents (Memokath 051, 10 patients; UVENTA, 17 patients) from November 2011 to May 2013 at our institution were identified and analyzed. We conducted a comparative analysis of the causes of obstruction, technical/clinical success rate, cause of failure, and complications.
RESULTS: No difference was observed between the two metallic stents for the causes of benign and malignant ureteral obstructions (P=.073). The Memokath 051 and the UVENTA were inserted successfully in all ureters using a retrograde technique. The mean follow-up was 13.6 months for Memokath 051 and 12 months for UVENTA (P=.244). The clinical success rate of the UVENTA was higher than that of Memokath 051 (82.4% versus 42.9%; P=.031). The causes of failure were obstruction by tumor progression (n=2) and stent migration (n=6) in cases that received Memokath 051 and stent migration (n=1) and obstruction by mucosal hyperplasia (n=2) in UVENTA. The complications caused by Memokath 051 were intermittent flank pain (n=1) and acute pyelonephritis (n=1), whereas those of UVENTA were intermittent flank pain (n=1), gross hematuria (n=1), and acute pyelonephritis (n=1).
CONCLUSIONS: The UVENTA achieved a higher clinical success rate than the Memokath 051. Our study demonstrated that the UVENTA is safe and effective in the management of benign and malignant ureteral obstruction. The complications were similar between the two metallic stents.

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Year:  2014        PMID: 24918272     DOI: 10.1089/lap.2014.0056

Source DB:  PubMed          Journal:  J Laparoendosc Adv Surg Tech A        ISSN: 1092-6429            Impact factor:   1.878


  6 in total

1.  Comparison of single and tandem ureteral stenting for malignant ureteral obstruction: a prospective study of 104 patients.

Authors:  Kao-Lang Liu; Bo-Ching Lee; Jian-De Ye; Yu-Hsuan Chang; Chin-Chen Chang; Kuo-How Huang; Yuan-Ju Lee; Yeun-Chung Chang
Journal:  Eur Radiol       Date:  2018-07-04       Impact factor: 5.315

Review 2.  The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review.

Authors:  Panagiotis Kallidonis; Dimitrios Kotsiris; Francesco Sanguedolce; Panteleimon Ntasiotis; Evangelos Liatsikos; Athanasios Papatsoris
Journal:  Arab J Urol       Date:  2017-10-16

3.  Long-term outcomes of two types of metal stent for chronic benign ureteral strictures.

Authors:  Joongwon Choi; Kyung Jin Chung; Seol Ho Choo; Deok Hyun Han
Journal:  BMC Urol       Date:  2019-05-06       Impact factor: 2.264

Review 4.  Stents for malignant ureteral obstruction.

Authors:  Kristina Pavlovic; Dirk Lange; Ben H Chew
Journal:  Asian J Urol       Date:  2016-05-13

Review 5.  The Memokath-051 Stent for the Treatment of Ureteric Obstruction: A NICE Medical Technology Guidance.

Authors:  Emily Eaton Turner; Michelle Jenks; Rachael McCool; Chris Marshall; Liesl Millar; Hannah Wood; Alison Peel; Joyce Craig; Andrew J Sims
Journal:  Appl Health Econ Health Policy       Date:  2018-08       Impact factor: 2.561

6.  A Prospective Randomized Comparison of a Covered Metallic Ureteral Stent and a Double-J Stent for Malignant Ureteral Obstruction.

Authors:  Jong Woo Kim; Bumsik Hong; Ji Hoon Shin; Jihong Park; Jin Hyoun Kim; Dong Il Gwon; Min-Hee Ryu; Baek-Yeol Ryoo
Journal:  Korean J Radiol       Date:  2018-06-14       Impact factor: 3.500

  6 in total

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