Document Detail


Decannulation in tracheal stenosis deemed inoperable is possible after long-term airway stenting.
MedLine Citation:
PMID:  23201102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Decannulation is the ultimate therapeutic goal for patients who undergo stenting because of inoperable benign tracheal stenosis. In this study, our objectives were to evaluate whether long-term airway stenting allows decannulation in patients with benign tracheal stenosis who were deemed inoperable and to identify possible predictive factors for successful decannulation (SD).
METHODS: Retrospective cohort study including all patients with inoperable benign tracheal stenosis who underwent tracheal stenting in our tertiary-care university-based institution from 1998 to 2008. For benign stenosis, we use only silicone stents (T tubes, Dumon stents, and Y stents). The main outcome was SD, which was defined as removal of the tracheal stent followed by absence of respiratory symptoms and no requirement for new dilation procedures for at least 6 months. A Kaplan-Meier curve was built to evaluate SD in 5 years, and we used a Cox model to evaluate predictors for a SD.
RESULTS: Ninety-two patients were included, and during the study period 21 were decannulated. However, 2 of them had to undergo new airway procedures and were considered to represent failure. Therefore, 19 patients were successfully decannulated. According to the Kaplan-Meier estimate, the SD rate in 5 years was 27.5%. The mean follow-up time after SD was 34.3 ± 33.9 months (range, 6 to 108 months). Cox regression showed only 1 significant factor: tracheostomy before stent insertion caused a threefold increase in the likelihood of the patient remaining with a tracheal stent (p = 0.048).
CONCLUSIONS: Tracheal stenting may be considered a curative therapeutic approach in as many as 27.5% of patients with inoperable benign tracheal stenosis.
Authors:
Ricardo Mingarini Terra; Benoit Jacques Bibas; Helio Minamoto; Daniel Reis Waisberg; Mauro Federico Luis Tamagno; Miguel Lia Tedde; Paulo Manuel Pêgo-Fernandes; Fabio Biscegli Jatene
Publication Detail:
Type:  Journal Article     Date:  2012-11-30
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  95     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-22     Completed Date:  2013-03-26     Revised Date:  2014-08-03    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  440-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization
Cohort Studies
Device Removal*
Female
Humans
Male
Retrospective Studies
Stents*
Time Factors
Tracheal Stenosis / surgery*
Comments/Corrections
Comment In:
Semin Thorac Cardiovasc Surg. 2014 Spring;26(1):71-5   [PMID:  24952760 ]

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


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