HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Subir Datta Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Madden, B. P. Articles by Charokopos, N. Search for Related Content PubMed PubMed Citation Articles by Madden, B. P. Articles by Charokopos, N. Related Collections Related Article

Ann Thorac Surg 2002;73:938-944
© 2002 The Society of Thoracic Surgeons

---

Original article: general thoracic

Experience with ultraflex expandable metallic stents in the management of endobronchial pathology

^a Department of Cardiothoracic Surgery, St. George’s Hospital, London, England, UK

Accepted for publication November 1, 2001.

* Address reprint requests to Dr Madden, Department of Cardiothoracic Surgery, St. George’s Hospital, Blackshaw Rd, London SW17 0QT, England UK

Background. Experience with Ultraflex expandable metallic stents (Micro-invasive, Boston Scientific, Watertown, MA) in the management of endobronchial pathologies leading to airway compromise is reported.

Methods. Between January 1999 and August 2000, twenty-eight expandable metallic stents were inserted into 25 patients (7 men and 18 women; median age, 65 years) who presented with respiratory distress. Each patient had comorbid medical conditions or end-stage malignancy that precluded formal surgical repair. Seventeen patients had intrinsic airway obstruction, 5 had extrinsic compression, 2 had a tracheal tear, and 1 had a tracheoesophageal fistula. Stents were inserted through a bronchoscope under direct vision. Eighteen patients received tracheal stents alone (1 of these patients received two tracheal stents), and 5 patients received bronchial stents only. Two patients received a tracheal and a bronchial stent. Twenty-one stents were covered and seven were uncovered.

Results. All patients had successful stents with restoration of airway patency and closure of tracheal defects. One patient developed a respiratory infection early after the operation. Follow-up bronchoscopy confirmed satisfactory stent position in each patient. Late complications included sputum retention, halitosis, and granulation tissue formation.

Conclusions. Ultraflex expandable metallic stents should be considered in the management of airway compromise in selected patients for whom formal surgical repair is inappropriate or contraindicated.

Related Article

Invited commentary

Keith S. Naunheim
Ann. Thorac. Surg. 2002 73: 944. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				F.-T. Chung, S.-M. Lin, H.-C. Chen, C.-L. Chou, C.-T. Yu, C.-Y. Liu, C.-H. Wang, H.-C. Lin, C.-D. Huang, and H.-P. Kuo Factors leading to tracheobronchial self-expandable metallic stent fracture. J. Thorac. Cardiovasc. Surg., November 1, 2008; 136(5): 1328 - 1335. [Abstract] [Full Text] [PDF]

				N. Barbetakis, G. Samanidis, D. Paliouras, and C. Tsilikas Tracheal laceration following double-lumen intubation during Ivor Lewis esophagogastrectomy Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 866 - 868. [Abstract] [Full Text] [PDF]

				S-M. Lin, T-Y. Lin, C-L. Chou, H-C. Chen, C-Y. Liu, C-H. Wang, H-C. Lin, C-T. Yu, K-Y. Lee, and H-P. Kuo Metallic stent and flexible bronchoscopy without fluoroscopy for acute respiratory failure Eur. Respir. J., May 1, 2008; 31(5): 1019 - 1023. [Abstract] [Full Text] [PDF]

				J. H. Kim, J. H. Shin, H.-Y. Song, T. S. Shim, G.-Y. Ko, H.-K. Yoon, and K.-B. Sung Tracheobronchial Laceration After Balloon Dilation for Benign Strictures: Incidence and Clinical Significance Chest, April 1, 2007; 131(4): 1114 - 1117. [Abstract] [Full Text] [PDF]

				L. P. Voigt, A. Hmidi, S. M. Pastores, R. G. Maki, D. L. Carlson, M. S. Bains, and N. A. Halpern Management Dilemmas Due to a Paratracheal Follicular Dendritic Cell Tumor Ann. Thorac. Surg., November 1, 2006; 82(5): 1898 - 1900. [Abstract] [Full Text] [PDF]

				R. H. Thornton, R. L. Gordon, R. K. Kerlan, J. M. LaBerge, M. W. Wilson, K. A. Wolanske, M. B. Gotway, G. S. Hastings, and J. A. Golden Outcomes of tracheobronchial stent placement for benign disease. Radiology, July 1, 2006; 240(1): 273 - 282. [Abstract] [Full Text] [PDF]

				Y H Kim, D J Sung, S B Cho, K B Chung, S H Cha, H S Park, and J W Um Deep tracheal laceration after balloon dilation for benign tracheobronchial stenosis: case reports of two patients. Br. J. Radiol., June 1, 2006; 79(942): 529 - 535. [Abstract] [Full Text] [PDF]

				N. Davis, B. P. Madden, A. Sheth, and A. J. Crerar-Gilbert Airway management of patients with tracheobronchial stents Br. J. Anaesth., January 1, 2006; 96(1): 132 - 135. [Abstract] [Full Text] [PDF]

				B. Madden and A. Sheth Reply Ann. Thorac. Surg., December 1, 2005; 80(6): 2419 - 2420. [Full Text] [PDF]

				B. P. Madden, A. Sheth, T. B.L. Ho, G. R. McAnulty, and R. E. Sayer A Novel Approach to the Management of Persistent Postpneumonectomy Bronchopleural Fistula Ann. Thorac. Surg., June 1, 2005; 79(6): 2128 - 2130. [Abstract] [Full Text] [PDF]

				S. Gelsomino, S. Romagnoli, A. Dragotto, M. Cassai, B. Fiorani, C. Sorbara, and P. Stefano Multistep endobronchial-endovascular approach in recurrent acute respiratory failure caused by thoracic aneurysm J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1436 - 1438. [Full Text] [PDF]

				P. Daniel Knott, R. R. Lorenz, I. Eliachar, and S. C. Murthy Reconstruction of a tracheobronchial tree disruption with bovine pericardium Interactive CardioVascular and Thoracic Surgery, December 1, 2004; 3(4): 554 - 556. [Abstract] [Full Text] [PDF]

				B. P. Madden, J. E. S. Park, and A. Sheth Medium-Term Follow-Up After Deployment of Ultraflex Expandable Metallic Stents to Manage Endobronchial Pathology Ann. Thorac. Surg., December 1, 2004; 78(6): 1898 - 1902. [Abstract] [Full Text] [PDF]

				B. P. Madden, A. Sheth, T. B. L. Ho, and G. McAnulty Novel approach to management of a posterior tracheal tear complicating percutaneous tracheostomy Br. J. Anaesth., March 1, 2004; 92(3): 437 - 439. [Abstract] [Full Text] [PDF]

				C. P. Saad, S. Murthy, G. Krizmanich, and A. C. Mehta Self-Expandable Metallic Airway Stents and Flexible Bronchoscopy: Long-term Outcomes Analysis Chest, November 1, 2003; 124(5): 1993 - 1999. [Abstract] [Full Text] [PDF]

				H. A. Gaissert, H. C. Grillo, C. D. Wright, D. M. Donahue, J. C. Wain, and D. J. Mathisen Complication of benign tracheobronchial strictures by self-expanding metal stents J. Thorac. Cardiovasc. Surg., September 1, 2003; 126(3): 744 - 747. [Abstract] [Full Text] [PDF]

				B. R. Beldholm, M. K. Wilson, R. M. Gallagher, D. Caminer, M. J. King, and A. Glanville Reconstruction of the trachea with a tubed radial forearm free flap J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 545 - 550. [Abstract] [Full Text] [PDF]

				A. Dodge-Khatami, H.W.M. Niessen, A. Baidoshvili, T.M. van Gulik, M.G. Klein, L. Eijsman, and B.A.J.M. de Mol Topical vascular endothelial growth factor in rabbit tracheal surgery: comparative effect on healing using various reconstruction materials and intraluminal stents Eur. J. Cardiothorac. Surg., January 1, 2003; 23(1): 6 - 14. [Abstract] [Full Text] [PDF]

				B. Schmidt and C. Witt Ultraflex expandable metallic stents: difficulties in benign tracheal stenoses Ann. Thorac. Surg., January 1, 2003; 75(1): 324 - 324. [Full Text] [PDF]