Name of the Procedure:

Stent, Non-Coronary, Temporary, Without Delivery System (C2617)

Summary

This procedure involves the placement of a temporary, non-coronary stent without the use of a delivery system. A stent is a small tube that helps keep a passageway, such as an artery or duct, open.

Purpose

The primary purpose of this procedure is to address blockages or obstructions in non-coronary vessels. The stent helps to keep these passageways open to ensure proper blood flow or fluid drainage, alleviate symptoms, and prevent further complications.

Indications

• Narrowing or blockage of non-coronary arteries or ducts.
• Swelling or inflammation causing obstruction.
• Conditions like strictures, aneurysms, or traumatic injuries.

Patient candidates typically have:

• Symptoms such as pain, swelling, or reduced function of the affected area.
• Diagnostic evidence suggesting the need for mechanical support to keep the passageway open.

Preparation

• Patients may need to fast for several hours before the procedure.
• Medication adjustments, particularly blood thinners, might be necessary.
• Pre-procedure diagnostic tests include imaging studies like a CT scan, MRI, or ultrasound.

Procedure Description

1. Anesthesia: The patient is given local or general anesthesia, depending on the procedure's complexity and location.
2. Access: A small incision might be made to access the affected vessel.
3. Placement: Using imaging guidance, the stent is positioned at the desired site.
4. Expansion: The stent is expanded to fit within the vessel, ensuring it remains open.
5. Confirmation: Imaging tools confirm the stent is correctly placed and functioning.
6. Closure: The incision is closed, and the patient is moved to recovery.

Duration

The procedure typically takes around 1 to 2 hours, but this can vary based on complexity and patient-specific factors.

Setting

This procedure is usually performed in a hospital, outpatient clinic, or specialized surgical center.

Personnel

• Interventional radiologist or vascular surgeon.
• Nurses and technicians.
• Anesthesiologist, if general anesthesia is used.

Risks and Complications

• Common risks: Infection, bleeding, and discomfort at the incision site.
• Rare risks: Stent migration, vessel damage, allergic reactions to materials, and re-blockage of the vessel.

Management of complications involves immediate medical attention, potentially requiring further intervention or use of medications.

Benefits

• Immediate relief from symptoms caused by the blockage.
• Improved blood flow or drainage in the affected area.
• Prevention of complications related to the obstruction.

Benefits are often realized immediately after the procedure, with improvement continuing over the following weeks.

Recovery

• Monitoring for a few hours to a day post-procedure.
• Instructions on wound care, activity restrictions, and medications.
• Follow-up appointments for imaging tests to ensure the stent remains in place and functional.
• Recovery time varies, but most patients resume normal activities within a week.

Alternatives

• Medication management to deal with underlying conditions.
• Other surgical options such as bypass surgery.
• Lifestyle changes or physical therapy for non-critical cases.

Each alternative has distinct pros and cons compared to stenting, often balancing effectiveness, invasiveness, and recovery time.

Patient Experience

During the procedure, the patient might feel local discomfort or pressure, especially under local anesthesia.

Post-procedure, there may be some pain at the incision site, managed with prescribed pain relievers. Most patients can return home the same day or after a short hospital stay, depending on overall health and specific factors related to the stent placement.