Efficient tack retrieval and placement using the X-Tack endoscopic system

Abstract Text The X-Tack endoscopic HeliX tacking system (Boston Scientific, Massachusetts, USA) is a new through-the-scope (TTS), suture-based device, for the closure of large tissue defects.

It consists of four 5-mm surgical steel helix tacks strung on a 3-0 polypropylene suture. To achieve appropriate tissue apposition, the tacks are independently placed into the healthy tissue adjacent to a tissue defect, preferably perpendicularly.

If the tack is erroneously placed, it can be recaptured with the pusher to “screw” it deeper into the tissue. After verifying a new appropriate point, we reattach it; if the vision is lost, the tack can be rotated in the opposite direction.

The remaining tacks are then deployed using the same technique. Finally, they are cinched to secure the suture in place [1] [2].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/bb13adb1-50e4-4b31-b7ae-dae5628efa54/Uploads/16849_Recuperaci%C3%B3n_X%20tack%20comprimido.mp4

 

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Conflicts of Interest

Hugo Uchima collaborates as proctor with Erbe Spain and Olympus Iberia. Has received congress registration from Casen Recordati

• References

• 1 Mohapatra S, Fukami N.. Follow-up outcomes of mucosal defect closures after endoscopic resection using a helix tacking system and endoclips. VideoGIE 2022; 7 (7): 268-272 PMID: 35815167; PMCID: PMC9263876
• 2 Canakis A, Dawod SM, Dawod E. et al. Efficacy, Feasibility, and Safety of the X-Tack Endoscopic HeliX Tacking System: A Multicenter Experience J Clin Gastroenterol. 2024; doi:10.1097/MCG.0000000000001977. Epub ahead of print. PMID: 38277501.

Publication History

Article published online:
27 March 2025