Contraindications
Contraindications associated with the use of trans-hepatic biliary stents include:
• Stenting of a perforated duct where leakage from the duct could be aggravated by the prosthesis.
• Patients with uncorrected bleeding disorders.
• Patients with severe ascites.
• Patients with extensive hepatic metastases precluding a percutaneous transhepatic approach.
• Patients with impossibility of intraductal sounding.
Precautions
• The device is intended for use by physicians who have received appropriate training.
• The delivery system is not designed for use with power injection systems.
• Recrossing a partially or fully deployed stent with adjunct devices must be performed with caution.
• Prior to stent deployment, remove slack from the delivery system catheter outside the patient.
• Store in a cool, dark, dry place.
• Do not attempt to break, damage or disrupt the stent after placement.