Healthcare Resources Utilization and Costs of Endoscopic Removal of Metallic Airway Stents

Alazemi, Saleh; Majid, Adnan; Berkowitz, David M.; Michaud, Gaetane; Lunn, William; Ernst, Armin

doi:10.1378/chest.136.4_meetingabstracts.27s-f

Cited by 2 publications

(3 citation statements)

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“…Furthermore, uncovered SEMS, ostensibly due to tissue ingrowth, can be extremely difficult to remove, and extraction is associated with a high rate of complications. 13,16 Conversely, fully covered SEMS are considered effective and are safe and easy to remove. 14,17 Nevertheless, other investigators have found fully covered SEMS also problematic for benign airway stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…11 Furthermore, due to tissue ingrowth, uncovered SEMS can be extremely difficult to remove, and their removal has been associated with significant and potentially severe complications, cost, and health care utilization. 12,13 Conversely, fully covered SEMS are considered to be easily removable 14 and have a complication rate comparable to that of other airway stents. 10 To our knowledge, we report the first successful use of retrievable, fully covered SEMS (Merit Medical Endotek; South Jordan, UT) as a bridge to surgery for a patient with kyphoscoliosis-associated complete central-airway extrinsic compression.…”

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confidence: 99%

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Temporary Endobronchial Stent as a Bridge to Corrective Surgery For Severe Kyphoscoliosis-associated Central-Airway Extrinsic Compression

Sriratanaviriyakul¹,

Nguyen

Ismail

et al. 2016

Journal of Bronchology &Amp; Interventional Pulmonology

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Kyphoscoliosis is known to compromise lung function, with the primary mechanism being reduced chest wall compliance with a resultant restrictive pulmonary physiology. Severe scoliosis can also cause extrinsic compression of the central airways, leading to recurrent respiratory infections, lobar atelectasis, and potentially acute respiratory failure. Definitive therapy is corrective surgery of the spine. However, patients with severe scoliosis are at a potentially high risk of perioperative pulmonary complications. To our knowledge, we report the first successful use of retrievable endobronchial stents as a bridge to corrective surgery for kyphoscoliosis-associated complete central-airway extrinsic compression in a patient who was considered as too high risk for surgical correction due to her respiratory status. After surgery, the stents were removed and our patient experienced sustained improvement in pulmonary function and the clinical respiratory status.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Temporary Endobronchial Stent as a Bridge to Corrective Surgery For Severe Kyphoscoliosis-associated Central-Airway Extrinsic Compression

Sriratanaviriyakul¹,

Nguyen

Ismail

et al. 2016

Journal of Bronchology &Amp; Interventional Pulmonology

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“…1 However, some patients develop indications for stent removal (granulation formation, stent fracture or failure, or accomplishment of treatment). Alazemi and colleagues 2 retrospectively analyzed 46 cases and concluded that EMS removal was feasible but associated with significant complications and costs. Several approaches are available to retrieve EMS.…”

Section: Discussionmentioning

confidence: 99%