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Ann Thorac Surg 1999;67:1448-1450
© 1999 The Society of Thoracic Surgeons
a Division of Pneumology, Department of Internal Medicine I, Medical School Charité, Humboldt University, Berlin, Germany
b Division of Oncology/Hematology, Department of Internal Medicine II, Medical School Charité, Humboldt University, Berlin, Germany
Accepted for publication November 16, 1998.
Address reprint requests to Dr Witt, Division of Pneumology, Department of Internal Medicine I, Medical School Charité, Humboldt University, Schumannstr 20/21, D-10117 Berlin, Germany
Background. Temporary stenting is a new strategy in the treatment of malignant airway stenoses. Patients receive stents as primary palliation followed by tumor-specific therapy in order to reduce the stenosis and subsequently remove the stent.
Methods. We investigated this strategy of temporary airway stenting in 5 consecutive patients with malignant lymphoma (Non-Hodgkin’s lymphoma, n = 3; Hodgkin’s lymphoma, n = 2) who presented with severe dyspnoea. Nine stents (six Strecker, three Dumon stents) were implanted into the trachea or main bronchi. After stenting, patients underwent tumor-specific therapy (chemotherapy, n = 4; percutaneous radiotherapy, n = 1).
Results. Clinical improvement of dyspnoea and stridor was observed in each patient after stent implantation. In 4 patients (80%), stents could easily be removed after successful tumor-specific therapy, which led to reduction of stenosis after a mean interval of 26 days (14 to 52 days). One patient died during chemotherapy 6 days after stenting.
Conclusions. The results show that temporary stenting is a valuable strategy in chemo- and radiosensitive malignancies, as it ameliorates the patients’ respiratory condition until tumor-specific therapy is effective, and prevents poststenotic complications. It integrates stent implantation in a multi-therapy concept.
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