Use of a newly designed multifunctional coil catheter for stent placement in the upper gastrointestinal tract.
OBJECTIVE
To evaluate the usefulness of a newly designed multifunctional coil catheter for stent placement in patients with upper gastrointestinal tract strictures.


METHODS
Constructed in our research laboratory, the coil catheter was used in 202 consecutive patients with malignant (n = 191) or corrosive (n = 11) upper gastrointestinal tract strictures. The coil catheter was made of a stainless-steel coil (1.3-mm inner diameter, 1.8-mm outer diameter), a 0.4-mm nitinol wire, a polyolefin tube, and a hemostasis valve. Usefulness of the coil catheter was evaluated based on whether the coil catheter could pass the stricture over a guide wire and whether measurement of the stricture length was possible while the guide wire was in place.


RESULTS
The passage of the coil catheter over a guide wire beyond the stricture was technically successful and well tolerated in 199 of 202 patients (99%). Negotiation of a guide wire or a coil catheter through the stricture of the stomach (n = 2) or duodenum (n = 1) under fluoroscopic guidance failed in three patients. In two of these three patients, it was possible to negotiate a guide wire and a coil catheter under combined endoscopic and fluoroscopic guidance; it was not possible in the third. There were no procedure-related complications.


CONCLUSIONS
The newly designed multifunctional coil catheter is useful in stent placement in patients with upper gastrointestinal tract strictures.
Song
Ho-Young
HY
Departments of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-dong, Songpa-gu, Seoul, Korea. hysong@amc.seoul.kr
Shin
Ji Hoon
JH
Lim
Jin-Oh
JO
Kim
Tae-Hyung
TH
Lee
Gin Hyug
GH
Lee
Sung-Koo
SK
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002408:Catheters, Indwelling; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery; D020878:Device Removal; D016099:Endoscopy, Gastrointestinal; D004867:Equipment Design / Q000295:instrumentation; D004940:Esophageal Stenosis / Q000150:complications / Q000601:surgery; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome; D041742:Upper Gastrointestinal Tract / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*