Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesionsReport as inadecuate




Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions - Download this document for free, or read online. Document in PDF available to download.

Multidisciplinary Respiratory Medicine

, 11:15

First Online: 30 April 2016Received: 06 January 2016Accepted: 19 February 2016

Abstract

BackgroundSelf-expandable metallic stents SEMS can be used to treat malignant obstructions and fistulas of the central airways. SEMS can be placed using different methods. Recently, a rigid bronchoscope has been used for stent placement without the need for fluoroscopy. We retrospectively evaluated patients for whom SEMS were placed using a rigid bronchoscope, without employing guidewires or fluoroscopy. We describe the intra- and post-procedural complications of the method.

MethodsData collected between January 2014 and July 2015 were retrospectively evaluated by reference to hospital records.

ResultsThe mean patient age was 58.14 ± 8.48 years 44–72 years and 13 out of the 14 patients were male. Twelve had lung cancer, one a thyroid papillary carcinoma with a bronchomediastinal fistula, and one an esophageal carcinoma with a tracheoesophageal fistula. Covered metallic Y-shaped stents were placed in all patients. Before placement, argon plasma coagulation was performed on two patients, diode laser treatment on four, and de-obstruction on nine. No procedure-related mortality was noted. Only two patients required follow-up in the intensive care unit; they were moved to a regular ward after two days. No patient required stent replacement or repositioning. The most common early complication was mucus plugs.

ConclusionEndobronchial placement of covered self-expandable metallic stents was safe and readily performed in patients with airway obstructions. Neither fluoroscopic nor guidewire guidance was required. Neither patients nor staff were exposed to radiation, and costly guidewire guidance was not necessary. The procedure is cost-effective.

KeywordsMetallic stents Bronchoscopy Central airways  Download fulltext PDF



Author: Cengiz Özdemir - Sinem Nedime Sökücü - Levent Karasulu - Seda Tural Önür - Levent Dalar

Source: https://link.springer.com/







Related documents