< Perspectives
‘Horses for courses’ - key considerations in oesophageal stenting
with Prof. Hans-Ulrich Laasch
For our debut Perspectives interview, we sat down with Prof. Hans-Ulrich Laasch to discuss all things oesophageal stenting...
- from what considerations clinicians should be making when choosing which stent to use, to stent robustness, the complexity of stent revisions, using clips to prevent migration and so much more.
What we talk about:
• How palliative patient cohorts have changed in the last 20 years
• How disease aetiology should inform stent selection
• What should be the main considerations when choosing which stent to place?
• Challenges when stenting across the GOJ
• The issue of acid & reflux
• Knitted vs. braided – which to use when
• Stent corrosion and the technical challenges with removing a fractured stent
• Trans-nasal stent deployment
• The mechanics of stent migration
• Are clips a good solution for preventing stent migration?
• Communication between clinical teams for the good of the patient
• How palliative patient cohorts have changed in the last 20 years
• How disease aetiology should inform stent selection
• What should be the main considerations when choosing which stent to place?
• Challenges when stenting across the GOJ
• The issue of acid & reflux
• Knitted vs. braided – which to use when
• Stent corrosion and the technical challenges with removing a fractured stent
• Trans-nasal stent deployment
• The mechanics of stent migration
• Are clips a good solution for preventing stent migration?
• Communication between clinical teams for the good of the patient
Who is Prof. Hans-Ulrich Laasch?
Senior Interventional Radiology Consultant
Clinical Director at Minnova Medical Foundation
Manchester, UK
After graduating with a “magna cum laude” doctorate in medicine from the Albert-Einstein University in Ulm, Germany, Hans-Ulrich trained as a physician in the UK. After board certification in general medicine (MRCP) in 1995 he trained in radiology in Manchester and was board certified in radiology (FRCR) in 1999, after which he undertook a 4-year fellowship in GI intervention including interventional endoscopy and ERCP.
Prof. Hans-Ulrich Laasch is well-known when it comes to GI intervention. In 2005 he was appointed Head of Interventional Radiology at The Christie, one of the largest cancer centres in Europe. He served as Clinical Director of Radiology from 2006 – 2009, and still works at The Christie where he specialises in GI procedures (oesophageal, small bowel, large bowel, biliary). Approximately 50% of his stent procedures now consist of revisions for stent failures.
Hans-Ulrich is on a mission to better understand why many stents fail, and has been conducting research into an array of issues affecting SEMS – the latest focus being on corrosion rates of nitinol stents. He is widely published on interventional devices and procedures and is a faculty member of several national and international societies.
Clinical Director at Minnova Medical Foundation
Manchester, UK
After graduating with a “magna cum laude” doctorate in medicine from the Albert-Einstein University in Ulm, Germany, Hans-Ulrich trained as a physician in the UK. After board certification in general medicine (MRCP) in 1995 he trained in radiology in Manchester and was board certified in radiology (FRCR) in 1999, after which he undertook a 4-year fellowship in GI intervention including interventional endoscopy and ERCP.
Prof. Hans-Ulrich Laasch is well-known when it comes to GI intervention. In 2005 he was appointed Head of Interventional Radiology at The Christie, one of the largest cancer centres in Europe. He served as Clinical Director of Radiology from 2006 – 2009, and still works at The Christie where he specialises in GI procedures (oesophageal, small bowel, large bowel, biliary). Approximately 50% of his stent procedures now consist of revisions for stent failures.
Hans-Ulrich is on a mission to better understand why many stents fail, and has been conducting research into an array of issues affecting SEMS – the latest focus being on corrosion rates of nitinol stents. He is widely published on interventional devices and procedures and is a faculty member of several national and international societies.
