Balloon-expandable metallic stents in the management of tracheomalacia in neonates

Santoro, Giuseppe; Picardo, Sergio; Testa, Genni; Formigari, Roberto; Marianeschi, Stefano; Catena, G.; Ballerini, Luigi

doi:10.1016/s0022-5223(05)80188-6

Cited by 35 publications

(16 citation statements)

References 6 publications

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“…[13][14][15][16] Metallic balloon-expandable angioplasty stents have the advantages of small size, accurate placement, and precise luminal diameter. [17][18][19] In this series, the stents were particularly applicable in the treatment of tracheomalacia, which may occur after tracheoplasty. The severity of airway obstruction in our patients and the absence of a reasonable alternative led us to consider endobronchial stenting.…”

Section: Commentmentioning

confidence: 97%

“…Similar to the selfexpanding metallic stents, the wire mesh design of the metallic balloon-expandable angioplasty stents was found to preserve mucociliary clearance and hinder migration of the stent. [17][18][19] Also, the metallic balloonexpandable stents can be placed over a bronchial orifice (such as a right upper lobe bronchus), with no apparent untoward effects. No children in our series have experienced pneumonia or bronchiectasis after stent placement.…”

Section: Commentmentioning

confidence: 99%

“…17,18 In the largest series reported (to our knowledge), Filler et al 19 treated 16 patients with such stents for tracheomalacia, bronchomalacia, stenosis, and airway compression, and successful relief of airway obstruction was achieved in 13 of them. Herein, we present our experience with the use of balloon-expandable stents at Children's Memorial Hospital, Chicago, Ill.…”

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confidence: 99%

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The Use of Balloon-Expandable Metallic Stents in the Treatment of Pediatric Tracheomalacia and Bronchomalacia

Furman

Backer

Dunham³

et al. 1999

Arch Otolaryngol Head Neck Surg

144

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Section: Commentmentioning

confidence: 97%

Section: Commentmentioning

confidence: 99%

mentioning

confidence: 99%

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The Use of Balloon-Expandable Metallic Stents in the Treatment of Pediatric Tracheomalacia and Bronchomalacia

Furman

Backer

Dunham³

et al. 1999

Arch Otolaryngol Head Neck Surg

144

View full text Add to dashboard Cite

show abstract

“…Santoro felt that the infective problems in their series were not related to stent implantation. More aggressive management of tracheomalacia by earlier stent implantation instead, might have avoided prolonged assisted ventilation and lessened the likelihood of secondary infections [44]. This concept could lower the eventual morbidity and mortality.…”

Section: Infectionmentioning

confidence: 99%

Review of pediatric airway malacia and its management, with emphasis on stenting

Pillai¹,

Smith²,

Hasan³

et al. 2005

European Journal of Cardio-Thoracic Surgery

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Malacia of the pediatric airway presents itself in a variety of clinical circumstances. Pediatric airway stenting is a more recent treatment modality. Complications may necessitate stent removal. This is usually performed bronchoscopically. We were forced to surgically remove a complicated airway stent. The Palmaz stent had been inserted for bronchomalacia presenting after interrupted aortic arch surgery in a 4-month old child with DiGeorge syndrome. This prompted us to review pediatric airway malacia, its management options and long-term outcomes, in an attempt to crystallize the current status of this relatively uncommon and difficult issue. The role of stents is analysed.

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“…The intimate anatomic relationship between cardiovascular and airway structures plays an important role in this phenomenon [7]. Critical airway stenosis usually requires aggressive intervention, including stenting [9], rerouting the surrounding vessels [3], and tracheoplasty [2,10]. We report an infant with ventricular septal defect (VSD) and pulmonary atresia (PA), whose left main bronchus was compressed by his anomalously oriented ascending aorta.…”

Section: Introductionmentioning

confidence: 99%

Anomalous ascending aorta causing severe compression of the left bronchus in an infant with ventricular septal defect and pulmonary atresia

Chen

Chiu

et al. 2008

Eur J Pediatr

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Tracheobronchial compression by cardiovascular structures complicates the course after surgery of congenital heart disease. A 2-month-old boy with ventricular septal defect, pulmonary atresia, and velocardiofacial syndrome had severe left main bronchus obstruction due to external compression by an anomalously oriented ascending aorta. The patient's hypoxemic episodes necessitated extracorporeal membrane oxygenation. We inserted a stent in the left bronchus to open the airway, but the stent was crushed by the anomalous aorta. We later surgically rerouted the aorta and finally restored the patency of the left main bronchus. However, the patient died of fungemia, without being weaned from extracorporeal membrane oxygenation. We conclude that surgery is necessary instead of stent implantation to relieve the external compression of the left bronchus from a vessel with systemic arterial pressure.

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Balloon-expandable metallic stents in the management of tracheomalacia in neonates

Cited by 35 publications

References 6 publications

The Use of Balloon-Expandable Metallic Stents in the Treatment of Pediatric Tracheomalacia and Bronchomalacia

The Use of Balloon-Expandable Metallic Stents in the Treatment of Pediatric Tracheomalacia and Bronchomalacia

Review of pediatric airway malacia and its management, with emphasis on stenting

Anomalous ascending aorta causing severe compression of the left bronchus in an infant with ventricular septal defect and pulmonary atresia

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