Document Detail


Self-expanding stents in the treatment of tracheobronchial obstruction.
MedLine Citation:
PMID:  7517350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The self-expandable stainless steel stents (Gianturco, William Cook, Bjaeverskov, Denmark) used extensively in biliary ducts and the vascular system have recently been modified for use in the tracheobronchial tree. Between March 1991 and September 1992, six patients with unresectable tracheobronchial and mediastinal diseases were treated with the placement of one or more self-expanding stents under direct vision with a fiberoptic bronchoscope. All patients had been intubated for severe respiratory insufficiency. In all cases, immediate relief of respiratory symptoms was achieved and all patients were extubated 1 or 2 days after stent placement. Tolerance of the stents was excellent. No patient complained of pain, discomfort, or foreign body sensation. No infection or obstruction of the stents was observed. The chest roentgenogram and the bronchoscopies performed during follow-up have shown no change in the position of the stents. Our results seem promising since these devices provide effective palliation of airway obstructions and are well tolerated.
Authors:
P Zannini; G Melloni; G Chiesa; A Carretta
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  106     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-08-02     Completed Date:  1994-08-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  86-90     Citation Subset:  AIM; IM    
Affiliation:
Istituto Malattie dell'Apparato Cardiovascolare e Respiratorio, Università degli Studi di Milano, IRCCS, Ospedale San Raffaele, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bronchial Diseases / etiology,  therapy*
Constriction, Pathologic
Humans
Middle Aged
Palliative Care
Stents*
Tracheal Stenosis / etiology,  therapy*

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