Lumen-apposing metal stents (Axios Stent and Delivery System; Boston Scientific.) for management of pancreatic pseudocysts and walled-off necrosis
HAYES, Inc
Record ID 32017000075
English
Authors' objectives:
Pancreatic fluid collections (PFCs) commonly arise in acute pancreatitis episodes and are most commonly due to gallstones, alcohol or drug abuse, pancreatic malignancy or surgery, chronic obstruction of the pancreatic duct, or abdominal trauma. Estimates suggest that of pancreatic episodes, 5% to 15% are complicated by pseudocysts and approximately 15% are complicated by necrosis. Delayed PFCs include pseudocysts and walled-off necrosis (WON) (also referred to as walled-off pancreatic necrosis). Pseudocysts and WON usually occur over 4 weeks after the onset of pancreatitis, differentiating them from acute PFCs.
Description of Technology: This health technology assessment focuses on the use of the Axios Stent and Delivery System and Axios Stent and Electrocautery Enhanced Delivery System for the treatment of symptomatic pancreatic pseudocysts and WON. The 2-part Axios system is a lumen-apposing metal stent placed via a catheter-based delivery system under endoscopic ultrasound. The stent is anchored to create a
transluminal conduit for drainage between the wall of the gastrointestinal tract and the PFC.
Patient Population: The Axios system is indicated for use in patients with symptomatic pancreatic pseudocysts or WON >= 6 centimeters in size, with >= 70% fluid content, that are adherent to the gastric or bowel wall to facilitate transgastric or transduodenal endoscopic drainage.
Clinical Alternatives: Clinical alternatives to endoscopic drainage for the management of symptomatic
pancreatic pseudocysts include conservative management, surgery, and percutaneous drainage. Clinical alternatives to endoscopic drainage for WON include laparoscopic surgical necrosectomy, or by direct endoscopic necrosectomy and percutaneous drainage.
Details
Project Status:
Completed
Year Published:
2016
URL for published report:
The report may be purchased from:
http://www.hayesinc.com/hayes/crd/?crd=53606
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Humans
- Drainage
- Metals
- Necrosis
- Pancreatic Pseudocyst
- Stents
Contact
Organisation Name:
HAYES, Inc.
Contact Address:
157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218
Contact Name:
saleinfo@hayesinc.com
Contact Email:
saleinfo@hayesinc.com
Copyright:
Winifred S. Hayes, Inc
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.