The Use of Novel Over-The-Scope-Clip to Prevent Esophageal Stent Migration
NCT05899504 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 108
Last updated 2023-06-12
Summary
New endoscopic clipping device called the over-the-scope-clip (OTSC) system (Ovesco Endoscopy, Tübingen, Germany) has become available for the closure of perforations, anastomotic leaks, and fistulas. The OTSC system has a stronger closing force than the through-the-scope hemostatic clip. Therefore, some researchers have reported esophageal SEMS fixation with an OTSC to prevent migration.
Conditions
- Migration of Implant
Interventions
- DEVICE
-
Over-The-Scope-Clip (OTSC) Stent Fix
A stent that of at least 4 cm longer than the stricture will be used to allow at least a 2-cm extension above and below the proximal and distal tumor margins. The stent positioned over a guidewire and deployed under fluoroscopy guidance and, in some cases, also under endoscopy guidance. Subsequently, the OTSC system will be loaded onto the scope and part of the upper rim of the stent will be suctioned into the transparent cap before releasing the OTSC, grasping both the SEMS and esophageal wall. We will avoid deploying the OTSC in areas of pulsations to prevent potential grasping of the vasculature structure
Sponsors & Collaborators
-
Ovesco Endoscopy AG
collaborator INDUSTRY -
Asian Institute of Gastroenterology, India
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-01
- Primary Completion
- 2024-01-01
- Completion
- 2024-01-01
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