Document Detail


Self-expanding metal stents for the management of bronchial stenosis and bronchomalacia after lung transplantation.
MedLine Citation:
PMID:  9707249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Airway stenosis or malacia after lung transplantation, usually as a result of anastomotic ischemia, remains a major problem. METHODS: The authors report their experience with the Gianturco expandable stent for the management of 23 bronchial stenoses in 18 patients following lung transplantation. Stent placement occurred an average of 5.6 months after transplantation. RESULTS: Stents were well tolerated and produced immediate symptomatic and functional improvement. The mean follow-up after implantation was 21 months (range, 4 to 48 mo). The authors removed five stents by endoscopy and replaced them, and removed one stent entirely. Laser resection was used to control granulomas or partial fibrosis stenosis that occurred in four stents (14.3%) after an average of 4 months. One stent broke but was still in place and effective 32 months later. One patient died of hemorrhage 4 months after stenting. CONCLUSION: Although it can still be improved, this expandable metal stent is suitable for the treatment of posttransplantation proximal bronchial stenosis.
Authors:
G Bolot; M Poupart; J C Pignat; M Bertocchi; T Wiesendanger; F Thevenet; J P Gamondes; J F Mornex
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  108     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-08-27     Completed Date:  1998-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1230-3     Citation Subset:  IM    
Affiliation:
Division of Otorhinolaryngology-Head and Neck Surgery, Hôpital de la Croix-Rousse, Lyon, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bronchial Diseases / etiology,  physiopathology,  therapy*
Cartilage / pathology
Constriction, Pathologic
Female
Forced Expiratory Volume
Humans
Lung Transplantation / adverse effects*
Male
Metals
Middle Aged
Stents*
Vital Capacity
Chemical
Reg. No./Substance:
0/Metals

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


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