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The Annals of Thoracic Surgery, Vol 54, 937-940, Copyright © 1992 by The Society of Thoracic Surgeons
SA Nashef, C Dromer, JF Velly, L Labrousse and L Couraud
Prosthetic tracheobronchial stents provide palliative treatment for
narrowed airways where surgical resection is inadvisable. Over a 1-year
period, 28 Gianturco expanding wire stents were used in 15 patients for
nonneoplastic indications: pure fibrous airway stenosis (6),
fibroinflammatory stenosis (4), and tracheobronchial malacia (5). Insertion
was technically straightforward. A satisfactory airway lumen with immediate
improvement in ventilatory function was obtained in all patients. After
insertion all patients had an irritation-type cough that either subsided
spontaneously (10 patients) or was successfully suppressed with inhaled
corticosteroid therapy (5 patients). The most common complication (12
patients) was granuloma formation leading to stent removal in 3 patients
with fibroinflammatory stenosis. Other complications were dysphagia (1),
suction catheter entrapment (1), and fatal massive hemoptysis (1). At a
mean follow-up of 13 months (range, 3 to 19 months) all remaining stents
are functioning well with no displacement or infection. Overall results
were satisfactory in pure fibrous stenoses and tracheobronchial malacia but
poor in the presence of inflammation. Tracheobronchial wire stents can be
successfully used in selected patients.
ARTICLES
Expanding wire stents in benign tracheobronchial disease: indications and complications
Department of Thoracic Surgery, Xavier Arnozan Hospital, Pessac, France.
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H. C. Grillo, D. M. Donahue, D. J. Mathisen, J. C. Wain, and C. D. Wright Postintubation tracheal stenosisTreatment and results J. Thorac. Cardiovasc. Surg., March 1, 1995; 109(3): 486 - 493. [Abstract] [Full Text]
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H. A. Gaissert, H. C. Grillo, D. J. Mathisen, and J. C. Wain Temporary and permanent restoration of airway continuity with the tracheal T-tube J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 600 - 606. [Abstract] [Full Text]
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