Comments about the BIOTRONIK PH Papyrus | Which Medical Device
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Interventional Radiology
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Vascular
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Stents (covered)
Cardio-thoracic
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Coronary intervention
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Stents covered
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Comments
Comment by rajbhat84 Commented Jan 18, 2023
Impact factor: 84
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This is designed for use in the Coronary system, delivered on an 0.014 wire with a monorail system.
Its highly trackable and works well in tortuous anatomy in the GI vasculature when you don't want to sacrifice a high vessel with embolisation and comes in smaller sizes of 3 and 4 mm. Lengths are relatively short at 2 cm maximum, so this will work well for peudoaneurysms arising of the SMA, splenic artery and hepatic artery when standard IR stents are either too big or nor easily trackable.
The example provided is treatment of a splenic artery pseudoaneurysm causing bleeding into the pancreatic duct and malaena. The splenic artery was tortuous but maximum diameter of 3.5-4 mm, a 2 overlapping Papyrus stents were used, dilated to 15 atmospheres, which increased the diameter to 4.2 mm and got a good seal.