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Palliative airway stenting performed under radiological guidance and local anesthesia

Butterfly 添加于 2010-7-13 15:29 | 1956 次阅读 | 0 个评论

作者
Profili S, Manca A, Feo CF, Padua G, Ortu R, Canalis GC, Meloni GB
摘要
PURPOSE: To assess the effectiveness of airway stenting performed exclusively under radiological guidance for the palliation of malignant tracheobronchial strictures. METHODS: We report our experience in 16 patients with malignant tracheobronchial stricture treated by insertion of 20 Ultraflex self-expandable metal stents performed under fluoroscopic guidance only. Three patients presented dysphagia grade IV due to esophageal malignant infiltration; they therefore underwent combined airway and esophageal stenting. All the procedures were performed under conscious sedation in the radiological room; average procedure time was around 10 min, but the airway impediment never lasted more than 40 sec. RESULTS: We obtained an overall technical success in 16 cases (100%) and clinical success in 14 patients (88%). All prostheses were successfully placed without procedural complications. Rapid clinical improvement with symptom relief and normalization of respiratory function was obtained in 14 cases. Two patients died within 48 hr from causes unrelated to stent placement. Two cases (13%) of migration were observed; they were successfully treated with another stent. Tumor overgrowth developed in other 2 patients (13%); however, no further treatment was possible because of extensive laryngeal infiltration. CONCLUSIONS: Tracheobronchial recanalization with self-expandable metal stents is a safe and effective palliative treatment for malignant strictures. Airway stenting performed exclusively under fluoroscopic view was rapid and well tolerated.
详细资料
- 关键词: Aged; Aged, 80 and over; Anesthesia, Local/*methods; Bronchial Diseases/*surgery; Conscious Sedation/methods; Esophagus/radiography/surgery; Female; Humans; Imaging, Three-Dimensional/methods; Male; Middle Aged; Palliative Care/*methods; *Stents/adverse effects; Tomography, X-Ray Computed/methods; Trachea/*radiography; Tracheal Stenosis/*surgery; Treatment Outcome
- 文献种类:期刊
- 期刊名称: Cardiovascular and Interventional Radiology
- 期刊缩写: Cardiovasc Intervent Radiol
- 期卷页: 2007年第30卷第1期 74-78页
- 地址: Department of Radiology, University of Sassari, Sassari, Italy
- ISBN: 0174-1551
- 备注:PMID:17031728
标签

stents
相关链接 DOI URL