Balloon dilatation of the lobar bronchi for symptomatic lobar bronchial stenosis

Morales, Leonardo Fabio; Rovira, Josep María Puig; Rottermann, M.; Parri, Francisco José; Sancho, M. A.; Tardio, E.; Cruz, M

doi:10.1007/bf00169663

Cited by 2 publications

(3 citation statements)

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“…Various reports have confirmed the efficacy of these catheters in treating congenital and acquired tracheobronchial segmental narrowing using radiologic or endoscopic techniques. 1,2,[6][7][8][9][10][11][12][13] More recently, Bagwell et al 14 have proposed the use of pneumatic balloons in long congenital tracheal stenosis (CTS) as an alternative method to a surgical approach. In a previous paper, we advocated the utilization of such catheters to split posteriorly the nearly complete cartilagineous rings of CTS in premature children in whom the clinical state prohibits major surgery.…”

Section: Discussionmentioning

confidence: 99%

“…15 In all these reports the balloons were introduced into the tracheobronchial tree via a ventilating bronchoscope or under radiologic control. 1,2,[6][7][8][9][10][11][12][13][14][15] We report here a novel technique in which the balloons are introduced into the tracheobronchial tree of apneic children under guidance of a thin telescope. This technique allows correct positioning of the catheters in the narrowed lumen.…”

Section: Discussionmentioning

confidence: 99%

“…An increasing number of premature babies survive aggressive neonatal respiratory treatment, but later many develop different degrees of tracheobronchial obstructions. 1 The extensive use of bronchoscopy has revealed that patients with bronchopulmonary dysplasia (BPD) could have lesions in the central airways in addition to the peripheral manifestations of the disease. 2 These tracheobronchial stenoses (TBS) are the result of tracheal intubation, high mechanical airway pressures, deep suctioning, and high levels of inspired oxygen.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic dilation of acquired tracheobronchial stenosis in infants

et al. 1997

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Acquired tracheobronchial strictures in infants are associated with significant morbidity. Their treatment requires different types of therapeutic procedures depending on the severity and location of the stenosis. We successfully dilated five children (ages between 1 and 23 months) with acquired tracheobronchial (stenoses two carinal and three of the mainstem bronchi) using a new technique. Gruentzig balloon catheters of different caliber were introduced into the tracheal lumen of apneic children under endoscopic vision. Three infants required four dilations and in the other two cases only two procedures were necessary. One complication occurred during dilation and resulted in a pneumothorax caused by a partial bronchial disruption. At follow‐up (range, 18–36 months; mean, 23.4 months) all five children were clinically improved. In the four cases without complications the chest x‐rays were normal and the last bronchoscopy showed tracheobronchial trees with normal calibers. The child who developed a pneumothorax during attempted dilation recovered. In this child, dilation of the right upper lobe bronchus was unsuccessful. Dilation was attempted without visualization of the bronchus and the stricture. Our limited experience confirms that pneumatic balloon catheters can successfully treat acquired tracheobronchial stenoses in infants. To avoid complications, strict criteria need to be applied in the selection of cases with tracheobronchial stenoses. Pediatr Pulmonol. 1997; 23:101–104. © 1997 Wiley‐Liss, Inc.

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