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Temporary tracheal stenting using endovascular prosthesis in the management of severe refractory stenosis following slide tracheoplasty

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Abstract

Objectives

To evaluate the role of endovascular stents in temporary tracheal stenting and endoscopic treatment strategy for patients with severe refractory tracheal stenosis following slide tracheoplasty.

Methods

Two patients had severe tracheal stenosis after slide tracheoplasty for long segment congenital tracheal stenosis. Both these patients were managed endoscopically and an endovascular prosthesis was used to temporarily stent the trachea. Short and long term results were evaluated clinically and with repeated endoscopies.

Results

The 2 patients had an excellent recovery immediately after the stent placement and continue to have an optimal, age-appropriate stable tracheal diameter after stent removal.

Conclusion

Endovascular stents can be temporarily used to stent the trachea in the endoscopic treatment strategy to correct refractory severe tracheal stenosis following slide tracheoplasty.

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References

  1. Elliott M, Hartley BE, Wallis C, Roebuck D (2008) Slide tracheoplasty. Curr OpinOtolaryngol Head Neck Surg 16:75–82

    Article  Google Scholar 

  2. Herrera P, Caldarone C, Forte V, Campisi P, Holtby H, Chait P et al (2007) The current state of congenital tracheal stenosis. Pediatr Surg Int 23:1033–1044

    Article  CAS  PubMed  Google Scholar 

  3. Backer CL, Mavroudis C, Gerber ME, Holinger LD (2001) Tracheal surgery in children: an 18-year review of four techniques. Eur J Cardiothorac Surg 19:777–784

    Article  CAS  PubMed  Google Scholar 

  4. Kocyildirim E, Kanani M, Roebuck D, Wallis C, McLaren C, Noctor C et al (2004) Long-segment tracheal stenosis: slide tracheoplasty and a multidisciplinary approach improve outcomes and reduce costs. J Thorac Cardiovasc Surg 128:876–882

    Article  PubMed  Google Scholar 

  5. Juan L, Anton-Pacheco, Daniel Cabezalı, Raquel Tejedor, Marıa Lopez, Carmen Luna., Juan V. Comas, Eduardo de Miguel. The role of airway stenting in pediatric tracheobronchial obstruction. Eur J Cardiothorac Surg 33 (2008) 1069—1075

  6. Butler CR, Speggiorin S, Rijnberg FM, Roebuck DJ, Muthialu N, Hewitt RJ, Elliott MJ (2014) Outcomes of slide tracheoplasty in 101 children: a 17-year single-center experience. Thorac Cardiovasc Surg 147:1783–1790

    Article  Google Scholar 

  7. Fernandez BS, Akindipe O, Kulkarni V, Swafford W, Baz M, Jantz MA (2009) Clinical experience with a new removable tracheobronchial stent in the management of airway complications after lung transplantation. J Heart Lung Transplant 28(7):683–688

    Article  Google Scholar 

  8. Fruchter O, Raviv Y, Kramer B. D. F. (2010) Removal of metallic tracheobronchial stents in lung transplantation with flexible bronchoscopy. J Cardiothorac Surg 12(5):72

    Article  Google Scholar 

  9. Tsugawa C, Nishijima E, Muraji T, Yoshimura M, Tsubota N, Asano H (1997) A shape memory stent for tracheobronchomalacia in children: an experimental and clinical study. J Pediatr Surg 32:50—3

    PubMed  Google Scholar 

  10. Freitag L (2000) Tracheobronchial stents. In: Bolliger Mathur (ed) Interventional bronchoscopy. Karger AG. pp 171–186

  11. Dumon F (1990) A dedicated tracheobronchial stent. Chest 97:328–332

    Article  CAS  PubMed  Google Scholar 

  12. Dasgupta A, Dolmatch BL (1998) A. C. Mehta. Self-expandable metallic airway stent insertion employing flexible bronchoscopy: preliminary results. Chest 114(1):106–109

    Article  CAS  PubMed  Google Scholar 

  13. Sztanó B, Kiss G, Márai K, Rácz G, Szegesdi I, Rácz K, Katona G (2016 Dec) Rovó L.Biodegradable airway stents in infants—potential life-threatening pitfalls. Int J Pediatr Otorhinolaryngol 91:86–89

    Article  PubMed  Google Scholar 

  14. Monnier Y, Chollet-Rivier M, Gonzalez M, Nicod L, Simon C, Lovis A (2014 Jun) Use of combined suspension laryngoscopy and jet ventilation for Y-shaped airway stents delivery. Ann Thorac Surg 97(6):2208–2210

    Article  PubMed  Google Scholar 

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Correspondence to Kishore Sandu.

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Informed consent was obtained from the parents of children included in the study.

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Sandu, K., Reinhard, A., Lambercy, K. et al. Temporary tracheal stenting using endovascular prosthesis in the management of severe refractory stenosis following slide tracheoplasty. Eur Arch Otorhinolaryngol 275, 275–280 (2018). https://doi.org/10.1007/s00405-017-4792-4

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  • DOI: https://doi.org/10.1007/s00405-017-4792-4

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