A case of relapsing polychondritis involving placement of an expandable metallic stent

Nobukiyo, Shigenori; Iwatake, Hiroya; Watanabe, Shôji; Akao, Ichiro; Tomisawa, Hideo; Koizuka, Izumi

doi:10.1016/s0385-8146(02)00133-5

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Overall, from 1965 to 2021, a total of 178 articles were found and screened with 64 studies yielding 121 patients from 18 case series and 46 case reports (Figure 1). 19-82…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Mortality Associations in Patients who Develop Tracheoinnominate Artery Fistula Following Tracheostomy

Ward,

Hinchman-Dominguez,

Stokes

et al. 2024

The American Surgeon™

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Objective Tracheoinnominate artery fistulas (TIFs) are a rare but deadly complication of tracheostomy. Tracheoinnominate artery fistula cases in the literature were summarized in order to understand mortality associations. Methods MEDLINE was searched for studies reporting individual characteristics of patients with TIFs after tracheostomy, excluding cases without tracheostomy or with additional procedures at the tracheostomy site. This study followed PRISMA guidelines. Results 121 TIF patients from 18 case series and 46 case reports were included. The median age was 40 years, and 52.9% were male. The overall mortality rate was 64.5%. There were differences in mortality between cases that presented initially with vs without sentinel bleeding (odds ratio [OR] .34; CI [confidence interval] .16-.73; P = .006). The mortality rate also differed in whether or not the tracheostomy cuff was over-inflated for temporary hemostasis during resuscitation (OR 3.57 (CI 1.57-8.09); P = .002). Treatment compared to no treatment had lower mortality rates (OR .11 (CI 0.04-.32); P < .001); no differences were found if treatment was endovascular vs open surgical. Conclusions Mortality is a major concern after detection of a TIF and resuscitation paired with endovascular or open surgical intervention is imperative. Rapidly investigating sentinel bleeds and intervening upon hemorrhage with temporary cuff over inflation may lead to improved outcomes.

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“…Overall, from 1965 to 2021, a total of 178 articles were found and screened with 64 studies yielding 121 patients from 18 case series and 46 case reports (Figure 1). 19-82…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Mortality Associations in Patients who Develop Tracheoinnominate Artery Fistula Following Tracheostomy

Ward,

Hinchman-Dominguez,

Stokes

et al. 2024

The American Surgeon™

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“…Other observed serious complications of metallic stents include airway perforation with mediastinal stent migration, aorto and tracheopulmonary artery fistula, and a case of fatal hemorrhage with tracheo-innominate fistulization [27,32,37,38].…”

Section: Complications and The Fda Advisorymentioning

confidence: 99%

Metallic stents in the airway: should we continue to use them and can we remove them?

Michaud

2012

Curr Respir Care Rep

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Metallic stents have proven to be valuable tools for the management of both malignant and benign airway obstruction. Their use has become popular worldwide as has our knowledge of their long-term effects on the airway. It is essential to understand the implications of placing a metallic stent since they are not devoid of potentially significant complications. It is also important to acknowledge that metallic stents are not always easily removed and a lack of familiarity with the complexities of their removal can have serious consequences. In general, their use should be reserved for malignant airway obstruction or in rare cases of benign disease where all other options have been ruled out.

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A Case of Relapsing Polychyondritis that Colchicine was Effective for Improvement of Inflammation

et al. 2011

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Relapsing polychyondritis (RP) is a comparatively rare systemic diseases that is manifested by relapses of painful inflammation to the cartilage tissue of the whole body, especially pinna, the nose and the trachea. It is suspected to be an autoimmune disease because various autologous such as type 2 collagen are admitted although details of the etiology are uncertain.We report a case of 26-year-old woman who had severe subglottic stenosis due to relapsing polychondritis. The stenosis was getting so severe that we had to perform a tracheostomy. At the time of inflammation exacerbation, we had to increase the steroid dosage. It was considered that we should be able to reduce the increase in steroid dosage by treating the RP with colchine.

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A case of relapsing polychondritis involving placement of an expandable metallic stent

Cited by 4 publications

References 10 publications

A Systematic Review of Mortality Associations in Patients who Develop Tracheoinnominate Artery Fistula Following Tracheostomy

A Systematic Review of Mortality Associations in Patients who Develop Tracheoinnominate Artery Fistula Following Tracheostomy

Metallic stents in the airway: should we continue to use them and can we remove them?

A Case of Relapsing Polychyondritis that Colchicine was Effective for Improvement of Inflammation

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