Airway stent current practices evaluation: Survey among French bronchoscopy practitioners

Virot, Edouard; Marcot, Christophe; Vergnon, J.-M.; Matau, C.; Porzio, Michele; Kessler, Romain

doi:10.1016/j.resmer.2020.02.003

Cited by 3 publications

(5 citation statements)

References 27 publications

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“…The reported use of medication and surveillance bronchoscopy in this survey was consistent with the limited prior literature on the subject [5–8]. In our study, 76% of respondents prescribe at least one medication to prevent stent-related complications, which is similar to a 2008 survey of AABIP members regarding stent practices for malignant central airway obstruction (where 85% prescribed at least one medication [6]).…”

Section: Discussionsupporting

confidence: 88%

“…In our study, 76% of respondents prescribe at least one medication to prevent stentrelated complications, which is similar to a 2008 survey of AABIP members regarding stent practices for malignant central airway obstruction (where 85% prescribed at least one medication [6]). Likewise, use of surveillance bronchoscopy among our cohort (54%) is similar to that among French bronchoscopists placing airway stents (64%) [8] and to what was reported by AABIP members for management of stents for malignant central airway obstruction (52%) [6].…”

Section: Discussionsupporting

confidence: 83%

“…As many as 33% of patients who undergo airway stent placement experience a stent-related complication [1,2]. High-quality evidence on practices to prevent stentrelated complications is lacking [1,[3][4][5] and the available literature suggests stent practitioners may vary [5][6][7][8] in their use of surveillance bronchoscopy [1,3], mucolytic agents, and nebulized treatments to prevent post-stent complications [4,9].…”

Section: Introductionmentioning

confidence: 99%

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Current Practices in Airway Stent Management: A National Survey of US Practitioners

et al. 2023

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Background: Despite a growing number of tracheobronchial stent types and indications, complications remain frequent, and high-quality evidence on practices to prevent stent-related complications is lacking. Understanding current management practice is a first step to designing prospective studies to assess whether specific practices aimed at mitigating stent-related complications improve patient-centered outcomes. Objectives: In this study, we aimed to understand current management strategies following tracheobronchial stenting. Method: We performed a nationwide survey of members of the American Association of Bronchology and Interventional Pulmonology (AABIP) and the General Thoracic Surgical Club (GTSC) who place airway stents. The electronic survey captured data on practitioners’ demographics, practice setting, airway stent volume, and standard post-stent practices (if any) including the use of medications, mucus clearance devices, surveillance imaging, and surveillance bronchoscopy. Results: One hundred thirty-eight physicians completed the survey. Respondents were majority male (75.4%) and had diverse training (50.0% completed interventional pulmonary fellowship; 18.1% thoracic surgery; 31.9% other stent training). Post-stent management strategies varied markedly across respondents; 75.4% prescribe at least one medication to prevent post-stent complications, 52.9% perform routine surveillance bronchoscopy in asymptomatic patients, 26.1% prescribe mucus clearance regimens, 16.7% obtain routine computed tomography scans in asymptomatic patients, and 8.3% routinely replace their stents prior to stent failure. Conclusions: In this national survey of practitioners who place airway stents, there was marked heterogeneity in post-stent management approaches. Further studies are needed to identify which, if any, of these strategies improve patient-centered outcomes.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Current Practices in Airway Stent Management: A National Survey of US Practitioners

et al. 2023

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“…Importantly, studies continue to show wide variability in provider recommendations and management practices for patients following stent placement [50,54,55]. In the United States, Wayne et al [50] showed that 74% of providers prescribed medications after stent placement, 50% performed surveillance bronchoscopy, but fewer than 20% performed CT scans in routine follow-ups.…”

Section: Stent Managementmentioning

confidence: 99%

“…In the United States, Wayne et al [50] showed that 74% of providers prescribed medications after stent placement, 50% performed surveillance bronchoscopy, but fewer than 20% performed CT scans in routine follow-ups. In Europe, Virot et al [55] showed that 70% of providers prescribed saline nebulizers, and nearly two-thirds performed at least one surveillance bronchoscopy. Interestingly, 30% of practitioners in this survey reported performing routine stent replacement at variable times during follow-ups.…”

Section: Stent Managementmentioning

confidence: 99%

Airway Stents in Interventional Pulmonology

Bashour,

Lazarus

2024

JoR

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Airway stents, first developed in the 1980s, have become fundamental in managing a multitude of airway pathologies and complications within the field of interventional pulmonology. The primary function of an airway stent is to re-establish airway patency and integrity when obstruction, stenosis, anastomotic dehiscence, or fistulae develop as a result of various malignant or benign conditions. Nevertheless, airway stents are foreign bodies that can result in complications. In this review article, we will discuss airway stents and their ongoing role in the management of several malignant and benign diseases. We will describe indications for airway stenting and review the elements that must be taken into consideration for optimal patient and stent selection. Given the prevalence of data regarding therapeutic bronchoscopy and airway stenting in malignant airway obstruction, much of the discussion in this review will focus on stent placement for that indication. We will also review the data as it pertains to safety, efficacy, and complications after stent placement, and conclude with a discussion of the future applications and research avenues related to airway stents.

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