Document Detail


Bronchoscopic balloon dilatation in the combined management of postintubation stenosis of the trachea in adults.
MedLine Citation:
PMID:  9377935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bronchoscopic balloon dilatation (BBD) using angioplasty balloon catheters has been employed successfully in the treatment of tracheobronchial stenoses in children and has worked with variable success in adults with bronchial stenosis. In adults with tracheal stenosis, BBD only has been reported anecdotally. In this study, experience with BBD using a valvuloplasty balloon catheter in the combined treatment (with Nd-YAG laser photoresection and stenting) of severe benign postintubation tracheal stenoses in three adults is delineated. BBD was particularly successful in establishing tracheal patency when laser photoresection was contraindicated or was too dangerous; BBD allowed easy insertion of tracheal stents and the "opening" of folded silicone stents. BBD is a simple, inexpensive, safe, and efficient adjunct in the combined treatment of severe postintubation rigid tracheal stenosis in selected adults.
Authors:
M Noppen; M Schlesser; M Meysman; J D'Haese; R Peche; W Vincken
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  112     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-11-10     Completed Date:  1997-11-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1136-40     Citation Subset:  AIM; IM    
Affiliation:
Respiratory Division, Academic Hospital AZ-VUB, Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aluminum Silicates
Angioplasty, Balloon / instrumentation
Balloon Dilatation* / instrumentation
Bronchoscopy*
Combined Modality Therapy
Equipment Design
Foreign-Body Migration / therapy
Humans
Intubation, Intratracheal / adverse effects*
Laser Therapy
Male
Neodymium
Recurrence
Respiration, Artificial / adverse effects
Silicones
Stents
Tracheal Stenosis / etiology,  surgery,  therapy*
Tracheostomy / adverse effects
Yttrium
Chemical
Reg. No./Substance:
0/Aluminum Silicates; 0/Silicones; 7440-00-8/Neodymium; 7440-65-5/Yttrium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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