Tracheobronchial stenting for the treatment of airway obstruction

Filler, Robert M.; Forte, Vito; Chait, Peter

doi:10.1016/s0022-3468(98)90452-3

Cited by 193 publications

(130 citation statements)

References 13 publications

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“…Although stent implantation is a well established therapy for the treatment of central airway obstruction in adults [2], there is only limited experience in the pediatric age group [3,5,6]. This is due to the fact that the indication for palliative stenting is much more frequent in adults due to the rarity of bronchial malignancies in children.…”

Section: Discussionmentioning

confidence: 99%

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Cryorecanalization of an Obstructed Bronchial Stent in a 12-Year-Old Boy

Hetzel¹,

Kumpf

Hetzel

et al. 2011

Respiration

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We report a 12-year-old boy who underwent stent implantation into the left main bronchus at the age of 9.5 years for palliation of severe bronchial stenosis. He had developed complete obstruction of the stent by granulation tissue resulting in respiratory deterioration and the requirement of mechanical ventilation. The stent obstruction was treated at the age of 11.5 years by cryorecanalization. In this technique, cooling of the tip of the cryoprobe is used to induce adherence of the obstructing tissue allowing the subsequent removal of tissue particles by retraction of the probe. Under general anesthesia, a miniaturized cryoprobe was advanced via the working channel of a flexible bronchoscope. Repeat maneuvers of freezing and retraction resulted in complete recanalization of the stent. Repeat bronchoscopies 4 and 12 weeks later revealed recurrent formation of some granulation tissue which was removed by repeat cryorecanalization. Seven months after the initial procedure there was a complete patency of the stent. According to our experience, cryorecanalization is a safe and effective alternative for the treatment of stent obstruction by granulation tissue. Due to the introduction of a miniaturized probe, this method is well applicable in children since it can be performed via the working channel of a flexible pediatric bronchoscope.

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Section: Discussionmentioning

confidence: 99%

“…Bronchial obstruction, although rare in infants and children, is associated with significant morbidity and mortality [1,2,3,4,5,6,7]. Stenting of the major airways is a therapeutic option for significant symptomatic bronchial stenosis.…”

Section: Introductionmentioning

confidence: 99%

Cryorecanalization of an Obstructed Bronchial Stent in a 12-Year-Old Boy

Hetzel¹,

Kumpf

Hetzel

et al. 2011

Respiration

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“…Tracheal resection and reconstruction is a major undertaking which should only be used as a last resort. Endotracheal stenting is a more attractive option due to its reduced invasiveness, but the rate of success is variable and the long-term success in benign disease is yet to be established [9, 10]. The wider dimensions of the Gianturco stent makes it better suited for the treatment of tracheomalacia, although the choice of stent is less important than the indication itself [11].…”

Section: Discussionmentioning

confidence: 99%

Double Aortic Arch Masquerading as Asthma for Thirty Years

Stoica

Lockowandt²,

Coulden³

et al. 2002

Respiration

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A case of a 30-year-old woman with a double-barrelled aorta misdiagnosed as asthma is presented. The patient was significantly improved after surgical treatment but a degree of airway symptoms persisted. She was further investigated and diagnosed with tracheomalacia. The paediatric experience with managing tracheomalacia is briefly reviewed and recommendations for the treatment of the rare adult cases are made. Our report emphasises the importance of early diagnosis and treatment of aortic arch abnormalities.

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“…Deep IV anesthesia with flexible bronchoscopy or general anesthesia with neuromuscular blockage can be preferred to placement of stents. This procedure is performed for both extrinsic compression and intraluminal stenosis in adult and pediatric patients without pain (53,54).…”

Section: Bronchus Tumorsmentioning

confidence: 99%

The anesthesia of trachea and bronchus surgery

2016

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The trachea and bronchus surgery is generally performed due to stenosis, traumatic injury, foreign body and tumors. Preoperative evaluation and anesthesia management are very important issues because of higher mortality and morbidity rates. Patients may be asymptomatic, but airway difficulties, hypoxia, stridor, cough, hemoptysis are common conditions in these patient population. The collaboration between the surgeon and the anesthesiologist is very substantial and necessary. Anesthetic techniques include various applications such as one lung ventilation, fiberoptic intubation, jet ventilation, and apneic oxygenation, general anesthesia with or without neuromuscular blockade. In this review, anesthesia management of the trachea and bronchus surgery is evaluated in the light of new knowledge.

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Tracheobronchial stenting for the treatment of airway obstruction

Cited by 193 publications

References 13 publications

Cryorecanalization of an Obstructed Bronchial Stent in a 12-Year-Old Boy

Cryorecanalization of an Obstructed Bronchial Stent in a 12-Year-Old Boy

Double Aortic Arch Masquerading as Asthma for Thirty Years

The anesthesia of trachea and bronchus surgery

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