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

Objective: To review the literature on the effectiveness, safety and long-term patency of ureteric metal mesh stents (MSs), as a variety of MSs have been used for managing malignant ureteric obstruction over the last three decades. Materials and methods: A systematic review using the search string;...

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Autores principales:	Panagiotis Kallidonis, Dimitrios Kotsiris, Francesco Sanguedolce, Panteleimon Ntasiotis, Evangelos Liatsikos, Athanasios Papatsoris
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/7f639de544dc4f40a269e89ba1cf1629
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spelling	oai:doaj.org-article:7f639de544dc4f40a269e89ba1cf16292021-12-02T08:22:58ZThe effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review2090-598X10.1016/j.aju.2017.08.004https://doaj.org/article/7f639de544dc4f40a269e89ba1cf16292017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X1730102Xhttps://doaj.org/toc/2090-598XObjective: To review the literature on the effectiveness, safety and long-term patency of ureteric metal mesh stents (MSs), as a variety of MSs have been used for managing malignant ureteric obstruction over the last three decades. Materials and methods: A systematic review using the search string; Ureterâ AND (stent OR endoprosthesis) AND metalâ was conducted on PubMed, Scopus, Web of science and Cochrane Library online databases in May 2016. Prospective, retrospective, and comparative studies including MSs were included. The primary endpoint was the patency rate and the secondary endpoint was complications. Results: In all, 324 publications were screened and 31 articles were included in the systematic review; 21 prospective and 10 retrospective studies. These studies reported the effectiveness of specific MSs in population studies, in comparative studies among different MSs, as well as among MSs and JJ stents. It should be noted that all comparative studies were retrospective. Conclusion: The experiences with vascular MSs, such as the Wallstentâ¢ (Boston Scientific/Microvasive, Natick, MA, USA), were related to high occlusion rates, due to endoluminal hyperplasia, and long-term disappointing patency. The use of covered MSs designed for the vascular system was also unfavourable. The Memokath 051â¢ (PNN Medical A/S, Kvistgaard, Denmark) had better patency rates, but also higher migration rates. The long-term results were acceptable and rendered the Memokath 051 as a viable option for the management of malignant ureteric obstruction. The Uventaâ¢ (Taewoong Medical, Seoul, Korea) and Alliumâ¢ (Allium Medical Solutions Ltd, Caesarea, Israel) MSs, specifically designed for ureteric placement, provided promising results. Nevertheless, the wide acceptance of these MSs would require well-designed clinical studies and long-term follow-up. Keywords: Stent, Metal stent, Ureteric obstruction, MalignantPanagiotis KallidonisDimitrios KotsirisFrancesco SanguedolcePanteleimon NtasiotisEvangelos LiatsikosAthanasios PapatsorisTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 4, Pp 280-288 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Panagiotis Kallidonis Dimitrios Kotsiris Francesco Sanguedolce Panteleimon Ntasiotis Evangelos Liatsikos Athanasios Papatsoris The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
description	Objective: To review the literature on the effectiveness, safety and long-term patency of ureteric metal mesh stents (MSs), as a variety of MSs have been used for managing malignant ureteric obstruction over the last three decades. Materials and methods: A systematic review using the search string; Ureterâ AND (stent OR endoprosthesis) AND metalâ was conducted on PubMed, Scopus, Web of science and Cochrane Library online databases in May 2016. Prospective, retrospective, and comparative studies including MSs were included. The primary endpoint was the patency rate and the secondary endpoint was complications. Results: In all, 324 publications were screened and 31 articles were included in the systematic review; 21 prospective and 10 retrospective studies. These studies reported the effectiveness of specific MSs in population studies, in comparative studies among different MSs, as well as among MSs and JJ stents. It should be noted that all comparative studies were retrospective. Conclusion: The experiences with vascular MSs, such as the Wallstentâ¢ (Boston Scientific/Microvasive, Natick, MA, USA), were related to high occlusion rates, due to endoluminal hyperplasia, and long-term disappointing patency. The use of covered MSs designed for the vascular system was also unfavourable. The Memokath 051â¢ (PNN Medical A/S, Kvistgaard, Denmark) had better patency rates, but also higher migration rates. The long-term results were acceptable and rendered the Memokath 051 as a viable option for the management of malignant ureteric obstruction. The Uventaâ¢ (Taewoong Medical, Seoul, Korea) and Alliumâ¢ (Allium Medical Solutions Ltd, Caesarea, Israel) MSs, specifically designed for ureteric placement, provided promising results. Nevertheless, the wide acceptance of these MSs would require well-designed clinical studies and long-term follow-up. Keywords: Stent, Metal stent, Ureteric obstruction, Malignant
format	article
author	Panagiotis Kallidonis Dimitrios Kotsiris Francesco Sanguedolce Panteleimon Ntasiotis Evangelos Liatsikos Athanasios Papatsoris
author_facet	Panagiotis Kallidonis Dimitrios Kotsiris Francesco Sanguedolce Panteleimon Ntasiotis Evangelos Liatsikos Athanasios Papatsoris
author_sort	Panagiotis Kallidonis
title	The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
title_short	The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
title_full	The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
title_fullStr	The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
title_full_unstemmed	The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
title_sort	effectiveness of ureteric metal stents in malignant ureteric obstructions: a systematic review
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/7f639de544dc4f40a269e89ba1cf1629
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The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review

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