Bhardwaj Mridul, Ingole Nishikant
Medical Education, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Pharmacology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Aug 31;14(8):e28639. doi: 10.7759/cureus.28639. eCollection 2022 Aug.
Three technological aspects have a significant impact on the functioning of an optimal stent. The substance it is made up of, model or design, and coating of the surface are important areas for research. To give recognition of an ideal stent, it summarizes some essential breakthroughs that occurred. Encrustation is a regular problem that can happen when a ureteral stent is implanted in the urinary tract, and it may be dangerous. The part of the paper covers the mechanism of encrustation, stent management, and the most recent technologies created to solve this problem. Encrustation has a complicated and diverse mechanism that includes the time it stays inside, patient-specific risk factors, controlled film production, formation of biofilm, and deposition of minerals. A number of high-tech advancements in stent substances and coverings/coatings could help to reduce the danger of encrustation of stents. It's critical to determine the amount of encrustation of a stent so that therapy options can be tailored properly. For the care of ureteral stents, which are encrusted, we offer a unique therapeutic protocol. The duration of stent indwelling time has been repeatedly established to be a critical risk factor for the evolution of encrustation. The period of stent indwelling time has consistently been established to be a critical risk element for the evolution of encrustation. Patients who are predisposed to bacteriuria and urinary lithiasis are also predisposed to encrustation. Repeated urinary tract infections, diabetes, and chronic kidney failure are among the factors that might escalate urine bacterial load, which can lead to stent encrustation. Due to the prevalence of ureteral stents in urology, it's critical to keep up to date on the best ways to prevent stent encrustation, recognize high-risk patients, and remove them using multimodal techniques.
三个技术方面对最佳支架的功能有重大影响。其制作材料、型号或设计以及表面涂层是重要的研究领域。为了认可理想的支架,本文总结了一些已出现的重要突破。结壳是输尿管支架植入尿路时可能出现的常见问题,且可能很危险。本文这部分内容涵盖了结壳的机制、支架管理以及为解决该问题而研发的最新技术。结壳机制复杂多样,包括其在体内停留的时间、患者特定的风险因素、可控薄膜的形成、生物膜的形成以及矿物质的沉积。支架材料和覆盖层/涂层方面的一些高科技进展有助于降低支架结壳的风险。确定支架的结壳程度至关重要,以便能恰当地调整治疗方案。对于已结壳的输尿管支架护理,我们提供一种独特的治疗方案。支架留置时间已反复被确定为结壳发展的关键风险因素。支架留置时间一直被确定为结壳发展的关键风险因素。易患菌尿症和尿路结石的患者也易发生结壳。反复的尿路感染、糖尿病和慢性肾衰竭等因素可能会增加尿液细菌负荷,进而导致支架结壳。由于输尿管支架在泌尿外科的广泛应用,及时了解预防支架结壳的最佳方法、识别高危患者并采用多模式技术将其清除至关重要。