Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video)

Gitte Aabye Olsen; Palle Nordblad Schmidt; Srdan Novovic; Erik Feldager Hansen; John Gásdal Karstensen

doi:10.1016/j.gie.2023.10.044

Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video)

Gitte Aabye Olsen, Palle Nordblad Schmidt, Srdan Novovic, Erik Feldager Hansen, John Gásdal Karstensen

8 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: EUS-guided drainage and, if required, endoscopic necrosectomy (EN) has become the criterion standard for the treatment of pancreatic walled-off necrosis (WON). A dedicated powered endoscopic debridement system, the EndoRotor (Interscope Inc, Northbridge, Mass, USA), has been introduced as an alternative to snare necrosectomy. This study evaluates the novel EndoRotor catheter, NecroMax 6.0 (Interscope Inc, Whitinsville, Mass, USA), for EN in patients with WON.

METHODS: This single-center retrospective case series included consecutive patients with WON treated with the NecroMax 6.0 catheter. Safety, ability to perform EN, and clinical resolution were evaluated.

RESULTS: Twenty patients underwent 30 EN procedures with the NecroMax 6.0 catheter. One suspected device-related adverse event was observed (3.3%). In 1 procedure, EN could not be performed because of excessive bending of the endoscope. Eighteen patients (90.0%) achieved clinical resolution.

CONCLUSIONS: EN with the NecroMax 6.0 catheter was technically feasible in 96.7% of patients with a low rate of adverse events.

Original language	English
Journal	Gastrointestinal Endoscopy
Volume	99
Issue number	2
Pages (from-to)	267-270
Number of pages	4
ISSN	0016-5107
DOIs	https://doi.org/10.1016/j.gie.2023.10.044
Publication status	Published - Feb 2024

Keywords

Catheters
Debridement/methods
Drainage/methods
Humans
Necrosis/surgery
Pancreatitis, Acute Necrotizing/surgery
Retrospective Studies
Stents/adverse effects
Tertiary Care Centers
Treatment Outcome

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Olsen, G. A., Schmidt, P. N., Novovic, S., Hansen, E. F., & Karstensen, J. G. (2024). Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video). Gastrointestinal Endoscopy, 99(2), 267-270. https://doi.org/10.1016/j.gie.2023.10.044

Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video). / Olsen, Gitte Aabye; Schmidt, Palle Nordblad ; Novovic, Srdan et al.
In: Gastrointestinal Endoscopy, Vol. 99, No. 2, 02.2024, p. 267-270.

Research output: Contribution to journal › Journal article › Research › peer-review

Olsen, GA, Schmidt, PN , Novovic, S, Hansen, EF & Karstensen, JG 2024, 'Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video)', Gastrointestinal Endoscopy, vol. 99, no. 2, pp. 267-270. https://doi.org/10.1016/j.gie.2023.10.044

Olsen GA, Schmidt PN , Novovic S, Hansen EF, Karstensen JG. Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video). Gastrointestinal Endoscopy. 2024 Feb;99(2):267-270. Epub 2023 Oct 19. doi: 10.1016/j.gie.2023.10.044

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title = "Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video)",

abstract = "BACKGROUND AND AIMS: EUS-guided drainage and, if required, endoscopic necrosectomy (EN) has become the criterion standard for the treatment of pancreatic walled-off necrosis (WON). A dedicated powered endoscopic debridement system, the EndoRotor (Interscope Inc, Northbridge, Mass, USA), has been introduced as an alternative to snare necrosectomy. This study evaluates the novel EndoRotor catheter, NecroMax 6.0 (Interscope Inc, Whitinsville, Mass, USA), for EN in patients with WON.METHODS: This single-center retrospective case series included consecutive patients with WON treated with the NecroMax 6.0 catheter. Safety, ability to perform EN, and clinical resolution were evaluated.RESULTS: Twenty patients underwent 30 EN procedures with the NecroMax 6.0 catheter. One suspected device-related adverse event was observed (3.3\%). In 1 procedure, EN could not be performed because of excessive bending of the endoscope. Eighteen patients (90.0\%) achieved clinical resolution.CONCLUSIONS: EN with the NecroMax 6.0 catheter was technically feasible in 96.7\% of patients with a low rate of adverse events.",

keywords = "Catheters, Debridement/methods, Drainage/methods, Humans, Necrosis/surgery, Pancreatitis, Acute Necrotizing/surgery, Retrospective Studies, Stents/adverse effects, Tertiary Care Centers, Treatment Outcome",

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doi = "10.1016/j.gie.2023.10.044",

language = "English",

volume = "99",

pages = "267--270",

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T1 - Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis

T2 - A case series of consecutive patients from a tertiary referral center (with video)

AU - Olsen, Gitte Aabye

AU - Schmidt, Palle Nordblad

AU - Novovic, Srdan

AU - Hansen, Erik Feldager

AU - Karstensen, John Gásdal

PY - 2024/2

Y1 - 2024/2

N2 - BACKGROUND AND AIMS: EUS-guided drainage and, if required, endoscopic necrosectomy (EN) has become the criterion standard for the treatment of pancreatic walled-off necrosis (WON). A dedicated powered endoscopic debridement system, the EndoRotor (Interscope Inc, Northbridge, Mass, USA), has been introduced as an alternative to snare necrosectomy. This study evaluates the novel EndoRotor catheter, NecroMax 6.0 (Interscope Inc, Whitinsville, Mass, USA), for EN in patients with WON.METHODS: This single-center retrospective case series included consecutive patients with WON treated with the NecroMax 6.0 catheter. Safety, ability to perform EN, and clinical resolution were evaluated.RESULTS: Twenty patients underwent 30 EN procedures with the NecroMax 6.0 catheter. One suspected device-related adverse event was observed (3.3%). In 1 procedure, EN could not be performed because of excessive bending of the endoscope. Eighteen patients (90.0%) achieved clinical resolution.CONCLUSIONS: EN with the NecroMax 6.0 catheter was technically feasible in 96.7% of patients with a low rate of adverse events.

AB - BACKGROUND AND AIMS: EUS-guided drainage and, if required, endoscopic necrosectomy (EN) has become the criterion standard for the treatment of pancreatic walled-off necrosis (WON). A dedicated powered endoscopic debridement system, the EndoRotor (Interscope Inc, Northbridge, Mass, USA), has been introduced as an alternative to snare necrosectomy. This study evaluates the novel EndoRotor catheter, NecroMax 6.0 (Interscope Inc, Whitinsville, Mass, USA), for EN in patients with WON.METHODS: This single-center retrospective case series included consecutive patients with WON treated with the NecroMax 6.0 catheter. Safety, ability to perform EN, and clinical resolution were evaluated.RESULTS: Twenty patients underwent 30 EN procedures with the NecroMax 6.0 catheter. One suspected device-related adverse event was observed (3.3%). In 1 procedure, EN could not be performed because of excessive bending of the endoscope. Eighteen patients (90.0%) achieved clinical resolution.CONCLUSIONS: EN with the NecroMax 6.0 catheter was technically feasible in 96.7% of patients with a low rate of adverse events.

KW - Catheters

KW - Debridement/methods

KW - Drainage/methods

KW - Humans

KW - Necrosis/surgery

KW - Pancreatitis, Acute Necrotizing/surgery

KW - Retrospective Studies

KW - Stents/adverse effects

KW - Tertiary Care Centers

KW - Treatment Outcome

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DO - 10.1016/j.gie.2023.10.044

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ER -

Novel powered 5.0 mm endoscopic debridement catheter for endoscopic transmural necrosectomy of pancreatic walled-off necrosis: A case series of consecutive patients from a tertiary referral center (with video)

Abstract

Keywords

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