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Titolo:
Nasolacrimal stents in the management of epiphora: Medium-term results of a multicenter prospective study
Autore:
Lanciego, C; De Miguel, S; Perea, M; Cano, C; Garcia, IR; Davila, J; Ibarburen, C; Toledano, N; Rodriguez-Merlo, R; Garcia, LG;
Indirizzi:
Hosp Virgen Salud, Unit Intervent Radiol, Toledo 45005, Spain Hosp Virgen Salud Toledo Spain 45005 tervent Radiol, Toledo 45005, Spain Hosp Virgen Salud, Ophthalmol Serv, Toledo, Spain Hosp Virgen Salud Toledo Spain en Salud, Ophthalmol Serv, Toledo, Spain Hosp Virgen De La Salud, Serv Anat Pathol, Toledo, Spain Hosp Virgen De LaSalud Toledo Spain d, Serv Anat Pathol, Toledo, Spain Hosp Gen Yague, Unit Intervent Radiol, Burgos, Spain Hosp Gen Yague Burgos Spain Yague, Unit Intervent Radiol, Burgos, Spain Hosp Gen Yague, Ophthalmol Serv, Burgos, Spain Hosp Gen Yague Burgos Spain p Gen Yague, Ophthalmol Serv, Burgos, Spain Hosp Gen Mostoles, Unit Intervent Radiol, Madrid, Spain Hosp Gen MostolesMadrid Spain es, Unit Intervent Radiol, Madrid, Spain Hosp Gen Mostoles, Ophthalmol Serv, Madrid, Spain Hosp Gen Mostoles Madrid Spain Mostoles, Ophthalmol Serv, Madrid, Spain
Titolo Testata:
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
fascicolo: 6, volume: 12, anno: 2001,
pagine: 701 - 710
SICI:
1051-0443(200106)12:6<701:NSITMO>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDONASAL LASER DACRYOCYSTORHINOSTOMY; BALLOON CATHETER DILATION; DUCT OBSTRUCTION; DRAINAGE APPARATUS; POLYURETHANE STENT; SYSTEM; DACRYOCYSTOPLASTY; ADULTS; CT;
Keywords:
epiphora; lacrimal gland and duct, stenosis or obstruction stents and prostheses;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Lanciego, C Hosp Virgen Salud, Unit Intervent Radiol, Avda Barber S-N, Toledo 45005, Spain Hosp Virgen Salud Avda Barber S-N Toledo Spain 45005 5, Spain
Citazione:
C. Lanciego et al., "Nasolacrimal stents in the management of epiphora: Medium-term results of a multicenter prospective study", J VAS INT R, 12(6), 2001, pp. 701-710

Abstract

PURPOSE: To evaluate in a prospective multicenter setting the clinical utility of polyurethane stents in the percutaneous management of epiphora. MATERIALS AND METHODS: Patients (N = 163; age range = 22-85 y, mean = 52 y; 29 men, 134 women) with severe epiphora had stents (n = 183) inserted under fluoroscopic guidance in 180 lacrimal systems (unilateral = 146; bilateral = 17) to treat complete (n = 172) or partial (n = 8) obstruction of the nasolacrimal duct or sac. The junction between sac and duct was the most frequent location (n = 102), followed by the sac alone (n = 48), and the ductalone (n = 30). The etiology of the obstruction was idiopathic in 113 cases (63%) and chronic dacryocystitis in 67 (37%). The set designed by Song was used in all patients and the original technique was slightly modified by the authors. All patients were treated on an outpatient basis. Average timeof the procedure was 14 minutes (range = 3-70 min). RESULTS: Initial technical success rate of stent placement was 97%. Resolution of epiphora was complete in 175 eyes and partial in five. On follow-up(mean = 450 d; range = 8-730 d), 157 of 183 stents remained patent (85.8%). Of the 24 obstructed, 19 were easily withdrawn and 17 of these patients remained asymptomatic for a mean of 15 months (secondary patency rate = 89.5%). CONCLUSIONS: The procedure is simple and safe. It can be performed on an outpatient basis and the original technique could be improved with some technical modifications. It is well tolerated by patients and may be consideredas a valid alternative technique for the resolution of epiphora.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 21:00:34