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Polymer based stents have a larger crossing profile and require a larger sheath for delivery compared to metal stents [ 9].
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To achieve the necessary strength, polymer based stents have more bulk than metal stents, containing struts that are at least 150 μm (microns) thick [ 9].
Current cardiac stents have a big drawback.
Since, covered stents have a considerable advantage over bare stents with a lower dysfunction rate for the treatment of BCS patients [ 40], covered stents should be preferred.
Stents have an Achilles' heel, however.
It can be seen that Absorb stents had a radial strength comparable to that of common metallic stents (Fig. 9).
one patient with a left bronchial stent had a non-symptomatic compression due to the esophageal stent.
One patient (patient no. 15) with a common iliac stent had a normal pregnancy without any damage to the stent.
Stents made from biocorrodable metal tend to have greater strength and are lower profile compared to polymer based stents.
In this way, they are very similar to traditional bare metal stents and present less of an engineering challenge compared to polymer based stents.
CONCLUSIONS: Failure rates with a metallic stent are similar to those historically observed with traditional polyurethane based stents in malignant ureteral obstruction.
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