The ‘buoy’ stent: evaluation of a prototype indwelling ureteric stent in a porcine model

Autor: Farhan Khan, Robert Edwards, Alfred Krebs, Corollos S. Abdelshehid, Ralph V. Clayman, Leslie A. Deane, Leandro G. Sala, Elspeth M. McDougall, James F. Borin
Rok vydání: 2009
Předmět:
Zdroj: BJU International. 104:88-92
ISSN: 1464-410X
1464-4096
DOI: 10.1111/j.1464-410x.2008.08338.x
Popis: OBJECTIVE To assess a prototype ureteric ‘buoy’ stent with a 10 F upper body tapering to a 3F tail, developed to potentially reduce stent-related irritative symptoms while providing an adequate mould for healing after endopyelotomy. MATERIALS AND METHODS Eighteen Yucatan minipigs had the stent placed either into the intact ureter (phase I) or after Acucise proximal endoureterotomy (phase II). Buoy stents were compared to 10/7 F endopyelotomy stents and to standard 7 F stents in phases I and II, respectively. The pigs were assessed for vesico-ureteric reflux, hydronephrosis and infection, before stent insertion and at harvest. Stents were weighed before and after placement and the removal force was measured. Pressure/flow studies, antegrade nephrostograms and specimens for histopathology from the renal pelvis, ureter and vesico-ureteric junction (VUJ) were obtained at harvest. RESULTS Thirteen minipigs survived the entire study. Ureteric flow with the stents in situ was better for buoy stents than for 10/7 F stents (P
Databáze: OpenAIRE