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Performance of Fully Covered Self-Expanding Metallic Stents in Benign Airway Strictures

Butterfly 添加于 2010-7-8 14:39 | 2466 次阅读 | 0 个评论

作者
Dooms C, De Keukeleire T, Janssens A, Carron K
摘要
Background: Airway stenting has become a common technique in inoperable benign strictures. An ideal stent does not yet exist for these conditions. Recently, fully covered self-expandable metallic stents (SEMS) have been commercialized with potential use in benign airway strictures. Objective: We retrospectively reviewed the clinical effectiveness of fully covered SEMS in the management of benign strictures. Methods: A total of 17 patients received 20 stents: 7 Silmet (R), 8 Taewoong (R) and 5 Alveolus (R) stents. Ten stents were deployed in a structural postintubation tracheal stenosis. Other indications were multinodular goiter, anastomotic stricture, endobronchial posttuberculosis scar, damaged cartilage and relapsing polychondritis. Results: In our series, the short-term (<12 weeks after stent deployment) complication rate was 75%, requiring stent removal in 60%. Overall, stent migration was observed in 65%, stent fracture in 15%, shriveling of the stent in 10% and granulation formation in 10%. Conclusion: The use of fully covered SEMS for the treatment of benign airway strictures is associated with a high short-term complication rate requiring stent removal. We have abandoned in our clinical practice the use of fully covered SEMS for benign airway strictures. Copyright (C) 2009 S. Karger AG, Basel
详细资料
- 关键词: Airway; Benign disorder; Complications; Interventional bronchoscopy; Tracheobronchial stenting
- 文献种类:期刊
- 期刊名称: RESPIRATION
- 期卷页: 2009年第77卷第4期 420-426页
- 出版社: KARGER, ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND
- 地址: 1. Univ Hosp Leuven, Dept Pulmonol, BE-3000 Louvain, Belgium 2. Univ Hosp Brussel, Dept Pulmonol, Brussels, Belgium 3. Univ Antwerp Hosp, Dept Pulmonol, Antwerp, Belgium 4. Reg Hosp Roeselare, Dept Pulmonol, Roeselare, Belgium
- ISBN: 0025-7931
标签

Airway Strictures
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