Stent

The word "stent" is also used as a verb to describe the placement of such a device, particularly when a disease such as atherosclerosis has pathologically narrowed a structure such as an artery.

Pancreatic and biliary stents provide drainage from the gallbladder, pancreas, and bile ducts to the duodenum in conditions such as obstructing gallstones.

Studies have found that most heart attacks occur due to plaque rupture rather than an obstructed artery that would benefit from a stent.

Drug-eluting stents with pharmacologic agents or as drug delivery vehicles have been developed as an alternative to decrease the chances of restenosis.

[medical citation needed] 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 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.

Recent developments have introduced magnetic retrieval systems that eliminate the need for invasive procedures like cystoscopy when removing the stent.

Permanent stents, typically made of metal coils, are inserted into the urethra to apply constant gentle pressure and hold open sections that obstruct urine flow.

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.

[8] Research on permanent stents often focuses on metal coil designs that expand radially to hold open obstructed areas of the urethra.

These permanent stents are used for conditions like benign prostatic hyperplasia (BPH), recurrent bulbar urethral stricture (RBUS), or detrusor external sphincter dyssynergia (DESD).

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.

[10] 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 quality of life and enabling better nutritional intake.

A bioresorbable stent is a tube-like device made from a material that can release a drug to prevent scar tissue growth.

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.

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 dissolving stent has also shown low rates of major adverse cardiac events when compared to DES.

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 reducing major adverse cardiac events like heart attacks and repeat revascularization procedures.

[14][15] 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 gutta-percha, creating the stent's compounding that made it practical as a material for dental impressions.

The verb form "stenting" was used for centuries to describe the process of stiffening garments (a usage long obsolete, per the Oxford English Dictionary), and some[who?]

The first (self-expanding) "stents" used in medical practice in 1986 by Ulrich Sigwart in Lausanne were initially called "Wallstents" after their inventor, Hans Wallstén.

[23] Bioresorbable scaffolds have also entered the market, though a large-scale clinical trial showed higher acute risks compared to drug-eluding stents.

A balloon-expandable coronary stent on a balloon catheter
Compressed and expanded peripheral artery stents
Example of a ureteral stent used to alleviate hydronephrosis of the kidney
Example of a stent/catheter used in the prostate to treat an enlarged prostate and provide relief in cases of obstructed urination
Endoscopic image of a biliary stent seen protruding from the ampulla of Vater at the time of duodenoscopy
Endovascular aneurysm repair using large stent grafts