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| 1 | Randomized trial in malignant biliary obstruction:Plastic vs partially covered metal stents显示文摘AIM:To compare efficacy and complications of par-tially covered self-expandable metal stent(pcSEMS)to plastic stent(PS)in patients treated for malignant,infrahilar biliary obstruction.METHODS:Multicenter prospective randomized clinical trial with treatment allocation to a pcWallstent(SEMS)or a 10 French PS.Palliative patients aged≥18,for infrahilar malignant biliary obstruction and a Karnofsky performance scale index>60%from 6 participating North American university centers.Primary endpoint was time to stent failure,with secondary outcomes of death,adverse events,Karnofsky performance score and short-form-36 scale administered on a three-monthly basis for up to 2 years.Survival analyses were performed for stent failure and death,with Cox proportional hazards regression models to determine significant predictive characteristics.RESULTS:Eighty-five patients were accrued over 37mo,42 were randomized to the SEMS group and 83patients were available for analyses.Time to stent failure was 385.3±52.5 d in the SEMS and 153.3±19.8 d in the PS group,P=0.006.Time to death did not differ between groups(192.3±23.4 d for SEMS vs211.5±28.0 d for PS,P=0.70).The only significant predictor was treatment allocation,relating to the time to stent failure(P=0.01).Amongst other measured outcomes,only cholangitis differed,being more common in the PS group(4.9%vs 24.5%,P=0.029).The small number of patients in follow-up limits longitudinal assessments of performance and quality of life.From an initially planned 120 patients,only 85 patients were recruited.CONCLUSION:Partially covered SEMS result in a longer duration till stent failure without increased complication rates,yet without accompanying measurable benefits in survival,performance,or quality of life. | Peter L Moses Khalid M AlNaamani Alan N Barkun Stuart R Gordon Roger D Mitty M Stanley Branch Thomas E Kowalski Myriam Martel Viviane Adam | 2013 | World Journal of Gastroenterology2013，19，46： | 6 |
| 2 | Randomized trial of endoscopic stenting versus surgical bypass in malignant low bileduct obstruction显示文摘 | Mitty R Cave DR | 1995 | Cast ro intest Endosc1995，42，3： | 1 |
| 3 | Minimally invasive management of an advanced abdominal pregnancy显示文摘 | Rahaman J Berkowitz R Mitty H | 2004 | Obstet Gynecol2004，103，5： | 1 |
| 4 | Enhancing adherence to HAART:A pilot program of modified directly observed therapy显示文摘 | Stenzel MS Mckenzie M Mitty JA | 2001 | AIDS Reader2001，11，： | 1 |
| 5 | Indications,contraindications and an algorithm for the use of M2A video capsule in obscure GI bleeding显示文摘 | Cave DR Wolff R Mitty R | 2002 | Gastrointest Endosc2002，55，5： | 1 |
| 6 | Renal angiography显示文摘 | MITTY H A | 1999 | JVIR1999，10，： | 1 |
| 7 | Obsteric embolotherapy: effect or treat large uterine fibroids显示文摘 | Stancato PA Mitty HA Richard HM | 1998 | Br J Obstet Gynaecol1998，105，2： | 1 |
| 8 | Comparison of unterine artery embolization for fibroids using gelatin and polyvinyl alcohol显示文摘 | Katz RN Mitty HA Stanczta-Basik A | 1998 | In Annual Meeting SCVIR San Francisco1998，，： | 1 |
| 9 | Mesenteric angiography in the diagnosis of volvulus显示文摘 | Falk A Mitty HA FirestoneM | 2000 | J Vasc Interv Radiol2000，11，7： | 1 |
| 10 | Infection control practices in assisted living communities 显示文摘 | Mitty E | 2009 | Geriatr Nurs2009，30，6： | 1 |
| 11 | Mesenteric angiography in the diagnosis of volvulus显示文摘 | Falk A Mitty HA Firestone M | 2001 | J Vasc Interv Radiol2001，11，： | 1 |
| 12 | Obstetric embolotherapy: effect on mense sand pregnancy 显示文摘 | Stancato- Pasik A Mitty HA Rschard HM | 1997 | Radoilogy1997，204，： | 1 |
| 13 | Obstetric hemorrhage:prophylactic and emergency arterial catheterization and embolo therapy显示文摘 | Mitty HA Sterling KM Alvarez M | 1993 | Radiology1993，188，1： | 1 |
| 14 | Obstetric hemorrhage: Prophylactic and emergency arterial catheterization and embolotherapy 显示文摘 | Sterling KM Alvarez M | 1993 | Radiology1993，188，： | 1 |
| 15 | Complex regnlalion of the cyclin-dependent kinase inhibitor p27kipl in thyroid cancer cells by the PIJK/AKT pathway:regulatim of p27kipI expression and localization显示文摘 | Mitti ML Calfano D Troncone G | 2005 | Am J Pathol2005，166，： | 1 |
| 16 | Obstetric embolotherapy:effect on menses and pregnancy显示文摘 | Stancato PA Mitty HA Richard HM | 1996 | Radiology1996，201，17： | 1 |
| 17 | Randomized trial of endoscopic stenting versus surgical bypass in malignant low bileduct obstruction 显示文摘 | Mitty R Cave DR | 1995 | Gastrointest Enclosc1995，42，3： | 1 |
| 18 | Minimally In- vasive management of an advanced abdominal pregnancy 显示文摘 | Rahaman J Berkowits R Mitty H | 2004 | Obstet Gynecol2004，103，52： | 1 |
| 19 | Obstetric hemorrhage : prophylactic and emergency arterial catheterization and embolotherapy显示文摘 | Mitty HA Sterling KM Alvarez M | 1993 | Radiology1993，188，： | 1 |
| 20 | Obstetric embolotherapy: effect on menses and pregnancy显示文摘 | Stancato-Pasik A Mitty HA Richard HM | 1996 | Radiology1996，，： | 1 |
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