Knowledge

Stent

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angiography and intravascular ultrasound to assess the blockage in the artery and determine the appropriate size and type of stent. The procedure is typically done in a catheterization clinic, and patients may need to stay overnight for observation. While stenting has been shown to reduce chest pain (angina) and improve survival rates after a heart attack, its effectiveness in stable angina patients has been debated. Studies have found that most heart attacks occur due to plaque rupture rather than an obstructed artery that would benefit from a stent. Statins, along with PCI/stenting and anticoagulant therapies, are considered part of a broader treatment strategy. Some cardiologists believe that coronary stents are overused, but there is evidence of under-use in certain patient groups like the elderly. Ongoing research continues to explore new types of stents with biocompatible coatings or absorbable materials.
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providing drainage for compressed ureters caused by tumors, and preventing spasms and collapse of the ureter after trauma during procedures like stone removal. The thread attached to some stents may cause irritation but allows for easy removal by pulling gently. Stents without threads require cystoscopy for removal. Recent developments have introduced magnetic retrieval systems that eliminate the need for invasive procedures like cystoscopy when removing the stent. The use of magnets enables simple extraction without anesthesia and can be done by primary care physicians or nurses rather than urologists. This method has shown high success rates across different patient groups including adults, children, and kidney transplant patients while reducing costs associated with operating room procedures.
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the urethra to apply constant gentle pressure and hold open sections that obstruct urine flow. They can be placed under anesthesia as an outpatient procedure but have disadvantages such as increased urination, limited incontinence, potential displacement or infection, and limitations on subsequent endoscopic surgical options. On the other hand, temporary stents can be easily inserted with topical anesthesia similar to a Foley catheter and allow patients to retain volitional voiding. However, they may cause discomfort or increased urinary frequency.
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intervention (PCI), a minimally invasive procedure performed via catheter. These stents have shown clear advantages over older bare-metal stents, improving patient outcomes and quality of life for cardiac patients. With over 90% of stents used in PCI procedures being drug-eluting as of 2023, DES have become the standard choice for interventional cardiologists.
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then removed after positioning it properly. The stent is then delivered over the guidewire and expanded to keep open the obstructed section of the colon. Complications associated with colon stents include perforation of the intestinal wall, migration or dislodgment of the stent, bleeding, infection at insertion site, or tissue overgrowth around it.
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palliative treatments for advanced colon and esophageal cancer. Pancreatic and biliary stents provide drainage from the gallbladder, pancreas, and bile ducts to the duodenum in conditions such as obstructing gallstones. There are also different types of bare-metal, drug-eluting, and bioresorbable stents available based on their properties.
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reducing major adverse cardiac events like heart attacks and repeat revascularization procedures. Long-term outcomes are still being studied due to their relatively recent introduction; however, DES have revolutionized the treatment of coronary artery disease by significantly improving patient outcomes and enhancing their quality of life.
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cholangiopancreatography (ERCP) to treat blockages that narrow your bile or pancreatic ducts. In cases of malignant biliary obstruction, endoscopic stent placement is one of the treatment options to relieve the obstruction. Biliary drainage is considered effective, particularly in bile duct conditions that are diagnosed and treated early.
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The placement of a colon stent involves endoscopic techniques similar to esophageal stenting. A thin tube called an endoscope is inserted into the rectum and guided through the colon to locate the blockage. Using fluoroscopy or endoscopic guidance, a guidewire is passed through the narrowed area and
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In the US, there is one temporary prostatic stent that has received FDA approval called The Spanner. It maintains urine flow while allowing natural voluntary urination. Research on permanent stents often focuses on metal coil designs that expand radially to hold open obstructed areas of the urethra.
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Vascular stents are commonly used in angioplasty, a surgical procedure that opens blocked arteries and places a stent to keep the artery open. This is a common treatment for heart attacks and is also used in the prevention and treatment of strokes. Over 2 million people receive a stent each year for
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Drug-eluting stents (DES) are specialized medical devices used to treat coronary artery disease and peripheral artery disease. They release a drug that inhibits cellular growth into the blocked or narrowed arteries, reducing the risk of blockages. DES are commonly placed using percutaneous coronary
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Because vascular stents are designed to expand inside a blocked artery to keep it open, allowing blood to flow freely, the mechanical properties of vascular stents are crucial for their function: they need to be highly elastic to allow for the expansion and contraction of the stent within the blood
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A bioresorbable stent is a tube-like device made from a material that can release a drug to prevent scar tissue growth. It is used to open and widen clogged heart arteries and then dissolves or is absorbed by the body. Unlike traditional metal stents, bioresorbable stents can restore normal vessel
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In the case of gallstone pancreatitis, a gallstone travels from the gallbladder and blocks the opening to the first part of the small intestine (duodenum). This causes a backup of fluid that can travel up both the bile duct and the pancreatic duct. Gallbladder stones can lead to obstruction of the
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A prostatic stent is used to keep the male urethra open and allow for the passage of urine in cases of prostatic obstruction and lower urinary tract symptoms (LUTS). There are two types of prostatic stents: temporary and permanent. Permanent stents, typically made of metal coils, are inserted into
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Metal-based bioresorbable scaffolds include iron, magnesium, zinc, and their alloys. Magnesium-based scaffolds have been approved for use in several countries around the world and show promising clinical results in delivering against the drawbacks of permanent metal stents. However, attention has
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being the most common type. Vascular stents are used for peripheral and cerebrovascular disease, while ureteral stents ensure the patency of a ureter. Prostatic stents can be temporary or permanent and are used to treat conditions like benign prostatic hypertrophy. Colon and esophageal stents are
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DES gradually release drugs that prevent restenosis and thrombosis within the treated arteries, addressing common complications associated with previous treatments. While risks such as clot formation and bleeding exist, studies have demonstrated superior efficacy compared to bare-metal stents in
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In conditions such as ascending cholangitis due to obstructing gallstones, these stents play a crucial role. They help in maintaining the flow of bile and pancreatic juices from the gallbladder, pancreas, and bile ducts to the duodenum1. Biliary stents are often used during endoscopic retrograde
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Colon stenting provides several benefits including prompt relief from bowel obstruction symptoms without invasive surgery in many cases. It allows for faster recovery time compared to surgical interventions while providing palliative care for patients with advanced colorectal cancer by improving
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The majority of coronary stents used today are drug-eluting stents, which release medication to prevent complications such as blood clot formation and restenosis (re-narrowing). Stenting is performed through a procedure called percutaneous coronary intervention (PCI), where the cardiologist uses
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was introduced in 2003. Research has led to general stent design changes and improvements since that time. Bioresorbable scaffolds have also entered the market, though a large-scale clinical trial showed higher acute risks compared to drug-eluding stents. As a result, the FDA issued an official
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A colon stent is typically made of flexible metal mesh that can expand and hold open the blocked area, allowing for the passage of stool. Colon stents are used primarily as a palliative treatment for patients with advanced colorectal cancer who are not candidates for surgery. They help relieve
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Clinical research shows that resorbable scaffolds offer comparable efficacy and safety profiles to traditional drug-eluting stents (DES). The Magmaris resorbable magnesium scaffold has reported favorable safety outcomes similar to thin-strutted DES in patient populations. The Absorb naturally
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An ureteral stent it is typically inserted using a cystoscope, and one or both ends of the stent may be coiled to prevent movement. Ureteral stents are used for various purposes, such as temporary measures to prevent damage to a blocked kidney until a stone removal procedure can be performed,
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vessel, they also need to have high strength and fatigue resistance to withstand the constant physiological load of the arteries, they should have good biocompatibility to reduce the risk of thrombosis and vascular restenosis, and to minimize the body's rejection of the implant.
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The term "stent" originates from Charles Thomas Stent, an English dentist who made advances in denture-making techniques in the 19th century. The use of coronary stents began in 1986 by Jacques Puel and Ulrich Sigwart to prevent vessel closure during coronary surgery.
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These permanent stents are used for conditions like benign prostatic hyperplasia (BPH), recurrent bulbar urethral stricture (RBUS), or detrusor external sphincter dyssynergia (DESD). The Urolume is currently the only FDA-approved permanent prostatic stent.
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quality of life and enabling better nutritional intake. However, there are potential risks associated with complications such as migration or obstruction that may require additional procedures or interventions to address these issues effectively.
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dissolving stent has also shown low rates of major adverse cardiac events when compared to DES. Imaging studies demonstrate that these naturally dissolving stents begin to dissolve between six months to two years after placement in the artery.
641:, a Dutch plastic surgeon who in 1916 used the word to describe a dental impression compound invented in 1856 by Charles Stent, whom Esser employed to craft a form for facial reconstruction. The full account is described in the 629:(1807–1885), notable for his advances in the field of denture-making. He was born in Brighton, England, on October 17, 1807, was a dentist in London, and is most famous for improving and modifying the denture base of the 805: 135:. A shunt is a tube that connects two previously unconnected parts of the body to allow fluid to flow between them. Stents and shunts can be made of similar materials, but perform two different tasks. 1130:"Simultaneous Holmium Laser Enucleation of Prostate with Removal of the Permanent Prostatic Urethral Stent Using the High-Power Holmium Laser: Technique in Two Cases and Review of the Literature" 1494: 1055:
Dabir D, Feisst A, Thomas D, Luetkens JA, Meyer C, Kardulovic A, Menne M, Steinseifer U, Schild HH, Kuetting DLR (2018). "Physical Properties of Venous Stents: An Experimental Comparison".
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ASGE Technology Assessment Committee, Pfau PR, Pleskow DK, Banerjee S, Barth BA, Bhat YM, Desilets DJ, Gottlieb KT, Maple JT, Siddiqui UD, Tokar JL, Wang A, Song LM, Rodriguez SA (2013).
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Dyet JF, Watts WG, Ettles DF, Nicholson AA (2000). "Mechanical properties of metallic stents: How do these properties influence the choice of stent for specific lesions?".
797: 310:. This method is sometimes used as a temporary measure to prevent damage to a kidney caused by a kidney stone until a procedure to remove the stone can be performed. 490:
biliary tree via which gallbladder and pancreas enzymes are secreted into the duodenum, causing emergency events such as acute cholecystitis or acute pancreatitis.
654:), and some believe this to be the origin. According to the Merriam Webster Third New International Dictionary, the noun evolved from the Middle English verb 645:. According to the author, from the use of Stent's compound as a support for facial tissues evolved the use of a stent to hold open various body structures. 1226:
Kim GH, Shin JH, Zeng CH, Park JH (2022). "Recent Updates in Gastrointestinal Stent Placement from the Esophagus to the Colon: A Radiological Perspective".
1837: 715:, who implanted a stent into a patient in Toulouse, France, in 1986. That stent was used as a scaffold to prevent a vessel from closing and to avoid 1498: 1451: 918:
Johnston CR, Lee K, Flewitt J, Moore R, Dobson GM, Thornton GM (2010). "The mechanical properties of endovascular stents: An in vitro assessment".
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coronary artery disease alone. Vascular stents can also be used to prevent the rupture of aneurysms in the brain, aorta, or other blood vessels.
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in coronary surgeryβ€”a condition where scar tissue grows within the stent and interferes with vascular flow. Shortly thereafter, in 1987,
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Palmaz JC, Sibbitt RR, Reuter SR, Tio FO, Rice WJ (July 1985). "Expandable intraluminal graft: a preliminary study. Work in progress".
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A stent graft or covered stent is type of vascular stent with a fabric coating that creates a contained tube but is expandable like a
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with pharmacologic agents or as drug delivery vehicles have been developed as an alternative to decrease the chances of restenosis.
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arteries. Because of the external compression and mechanical forces subjected to these locations, flexible stent materials such as
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Example of a stent/catheter used in the prostate to treat an enlarged prostate and provide relief in cases of obstructed urination
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Chan L, Moster MR, Bicket AK, Sheybani A, Sarkisian SR, Samuelson TW, Ahmed II, Miller-Ellis E, Smith OU, Cui QN (October 2023).
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The verb form "stenting" was used for centuries to describe the process of stiffening garments (a usage long obsolete, per the
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Pancreatic and biliary stents can also be used to treat biliary/pancreatic leaks or to prevent post-ERCP pancreatitis.
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drainage stents are recent developments and have been recently approved in some countries. They are used to reduce
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symptoms such as abdominal pain, constipation, and bowel obstruction caused by tumors or strictures in the colon.
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warning for their use in 2013, and research on the design and performance optimisation of stents is ongoing.
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Beier S, Ormiston J, Webster M, Cater J, Norris S, Medrano-Gracia P, et al. (February 2016).
730:-approved stent in the U.S. was created by Richard Schatz and coworkers. Named the Palmaz-Schatz ( 1428: 582:
function, avoid long-term complications, and enable natural reconstruction of the arterial wall.
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been given to reducing the rate of magnesium corrosion through alloying and coating techniques.
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Gharleghi R, Wright H, Luvio V, Jepson N, Luo Z, Senthurnathan A, et al. (August 2021).
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Though several doctors have been credited with the creation of the stent, the first
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in Lausanne were initially called "Wallstents" after their inventor, Hans WallstΓ©n.
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to describe the placement of such a device, particularly when a disease such as
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The first (self-expanding) "stents" used in medical practice in 1986 by
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There are various types of stents used for different medical purposes.
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refers to the placement of a stent. The word "stent" is also used as a
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This article is about the medical topic. For people named Stent, see
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Banerjee I, Smith NA, Katz JE, Gokhale A, Shah R, Shah HN (2020).
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Cardiovascular and Interventional Radiological Society of Europe
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Vogel TR, Shindelman LE, Nackman GB, Graham AM (December 2003).
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The first use of a coronary stent is typically attributed to
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Endoscopic image of a biliary stent seen protruding from the
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created a balloon-expandable stent that is currently used.
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A balloon-expandable coronary stent on a balloon catheter
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Cobalt Chromium Rapamycin Eluting Coronary Stent System
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at the site of treatment or to inflammation scarring.
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Vascular stents are a common treatment for advanced
194:. The most common use for coronary stents is in the 1651: 1497:. Chalmers University of Technology. Archived from 1004:Selvakumar PP, Rafuse MS, Johnson R, Tan W (2022). 920:
Cardiovascular Engineering (Dordrecht, Netherlands)
737:To further reduce the incidence of restenosis, the 1416: 1652:Puranik AS, Dawson ER, Peppas NA (January 2013). 1849: 1415: 1269: 1267: 1265: 1179:"Endoscopic Decompression in Colonic Distension" 869:"Structural Design of Vascular Stents: A Review" 438: 226:Compressed and expanded peripheral artery stents 1225: 621:is that it derives from the name of an English 370: 306:, which may be compromised, for example, by a 285:Example of a ureteral stent used to alleviate 1617:Journal of the American College of Cardiology 1262: 1010:Frontiers in Bioengineering and Biotechnology 351:to allow drainage of the bladder through the 1219: 1170: 796:Center for Devices and Radiological Health. 666:'to stretch', which in turn came from Latin 512: 100:is a tube usually constructed of a metallic 46:3D rendering of a stent in a coronary artery 1610: 1228:CardioVascular and Interventional Radiology 1121: 1057:CardioVascular and Interventional Radiology 1048: 997: 963:CardioVascular and Interventional Radiology 954: 911: 860: 798:"Cerebral Spinal Fluid (CSF) Shunt Systems" 673: 667: 257:Vascular stents made of metals can lead to 497: 40: 1775: 1726: 1677: 1628: 1409: 1392: 1381:Circulation: Cardiovascular Interventions 1370: 1368: 1348: 1291: 1202: 1153: 1031: 1021: 894: 884: 843: 1654:"Recent advances in drug eluting stents" 866: 617:The current accepted origin of the word 521: 442: 374: 321: 280: 221: 172: 1495:"His invention saves millions of lives" 766: β€“ diagnostic endoscopic procedure 163: 1850: 1658:International Journal of Pharmaceutics 1522:"Hans Wallsten, inventor of the stent" 1374: 1365: 570: 551:. Stent grafts are also used to treat 455:Pancreatic and biliary stents provide 254:are used in many peripheral stents. 104:or a polymer. It is inserted into the 1816:Drug-Eluting Stents β€” Angioplasty.Org 1176: 1109:from the original on 21 November 2023 593: 1449: 1437:participating institution membership 1394:10.1161/CIRCINTERVENTIONS.110.960872 302:are used to ensure the patency of a 1532:from the original on 2 October 2016 1519: 1492: 1456:Journal of the History of Dentistry 1134:Journal of Endourology Case Reports 643:Journal of the History of Dentistry 517: 13: 1611:Garg S, Serruys PW (August 2010). 1587:"Guide to the Julio Palmaz Papers" 317: 14: 1879: 1804: 1613:"Coronary stents: current status" 509:by providing a drainage channel. 276: 217: 168: 1707:Annals of Biomedical Engineering 760: β€“ examination of the bowel 355:. This is sometimes required in 124:narrowed a structure such as an 1743: 1694: 1645: 1604: 1593:from the original on 2020-11-24 1579: 1565:10.1148/radiology.156.1.3159043 1544: 1513: 1486: 1443: 1308: 1276:"Pancreatic and biliary stents" 808:from the original on 2017-11-04 1768:10.1016/j.jbiomech.2021.110575 1091: 819: 789: 158: 1: 1670:10.1016/j.ijpharm.2012.10.029 782: 734:), it was developed in 1987. 543:. Covered stents are used in 439:Pancreatic and biliary stents 384:self-expanding metallic stent 778: β€“ medical subspecialty 612: 549:endovascular aneurysm repair 527:Endovascular aneurysm repair 457:pancreatic and bile drainage 357:benign prostatic hypertrophy 206:, a bioabsorbable stent, a 131:A stent is different from a 7: 867:Pan C, Han Y, Lu J (2021). 832:Journal of Vascular Surgery 745: 451:at the time of duodenoscopy 371:Colon and Esophageal stents 10: 1884: 1630:10.1016/j.jacc.2010.06.007 1333:10.1007/s40123-023-00780-3 1280:Gastrointestinal Endoscopy 1240:10.1007/s00270-022-03067-5 764:esophagogastroduodenoscopy 695: 597: 574: 532: 400: 329: 292: 180: 20: 1838:Stent for Life Initiative 1719:10.1007/s10439-015-1387-3 1424:Oxford English Dictionary 1321:Ophthalmology and Therapy 1317:"New Devices in Glaucoma" 1293:10.1016/j.gie.2012.09.026 1069:10.1007/s00270-018-1916-1 1023:10.3389/fbioe.2022.826807 932:10.1007/s10558-010-9097-9 845:10.1016/j.jvs.2003.09.011 672:, the past participle of 651:Oxford English Dictionary 513:By properties or function 79: 65: 51: 39: 34: 1863:Interventional radiology 1826:The Cardiovascular Forum 776:interventional radiology 529:using large stent grafts 1756:Journal of Biomechanics 1429:Oxford University Press 1375:Roguin A (April 2011). 662: 656: 498:Glaucoma drainage stent 415:treatment for advanced 236:cerebrovascular disease 1146:10.1089/cren.2020.0158 674: 668: 530: 475:in conditions such as 452: 398: 327: 290: 227: 178: 27:Stent (disambiguation) 25:. For other uses, see 16:Type of medical device 1777:1959.4/unsworks_77949 1450:Ring ME (July 2001). 975:10.1007/s002709910007 732:Johnson & Johnson 545:endovascular surgical 525: 477:ascending cholangitis 446: 378: 325: 284: 225: 176: 142:are commonly used in 1105:. 28 November 2022. 627:Charles Thomas Stent 507:intraocular pressure 339:are placed from the 192:coronary angioplasty 190:are placed during a 164:By destination organ 144:coronary angioplasty 1858:Implants (medicine) 1623:(10 Suppl): S1-42. 1427:(Online ed.). 577:Bioresorbable stent 571:Bioresorbable stent 547:procedures such as 479:due to obstructing 263:Drug-eluting stents 148:drug-eluting stents 1831:2019-02-17 at the 1474:on 21 January 2019 886:10.3390/mi12070770 739:drug-eluting stent 678:'to stretch out'. 600:Drug-eluting stent 594:Drug-eluting stent 531: 453: 399: 328: 291: 228: 208:dual-therapy stent 204:drug-eluting stent 179: 1435:(Subscription or 1195:10.1159/000514799 1183:Visceral Medicine 660:, shortened from 421:esophageal cancer 396:esophageal cancer 196:coronary arteries 90: 89: 1875: 1798: 1797: 1779: 1747: 1741: 1740: 1730: 1698: 1692: 1691: 1681: 1664:(1–2): 665–679. 1649: 1643: 1642: 1632: 1608: 1602: 1601: 1599: 1598: 1583: 1577: 1576: 1548: 1542: 1541: 1539: 1537: 1517: 1511: 1510: 1508: 1506: 1501:on 3 August 2017 1490: 1484: 1483: 1481: 1479: 1470:. 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Index

Stent (surname)
Stent (disambiguation)

MeSH
D015607
MedlinePlus
002303
edit on Wikidata
medicine
alloy
lumen
verb
atherosclerosis
pathologically
artery
shunt
Coronary stents
coronary angioplasty
drug-eluting stents

Coronary stent
Coronary stents
coronary angioplasty
coronary arteries
bare-metal stent
drug-eluting stent
dual-therapy stent

peripheral
cerebrovascular disease

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