|
Title
|
|
|
|
Performance of fully covered self-expanding metallic stents in benign airway strictures
| |
|
Author
|
|
|
|
| |
|
Abstract
|
|
|
|
| Background: Airway stenting has become a common technique in inoperable benign strictures. An ideal stent does not yet exist for these conditions. Recently, fully covered self-expandable metallic stents (SEMS) have been commercialized with potential use in benign airway strictures. Objective: We retrospectively reviewed the clinical effectiveness of fully covered SEMS in the management of benign strictures. Methods: A total of 17 patients received 20 stents: 7 Silmet (R), 8 Taewoong (R) and 5 Alveolus (R) stents. Ten stents were deployed in a structural postintubation tracheal stenosis. Other indications were multinodular goiter, anastomotic stricture, endobronchial posttuberculosis scar, damaged cartilage and relapsing polychondritis. Results: In our series, the short-term (<12 weeks after stent deployment) complication rate was 75%, requiring stent removal in 60%. Overall, stent migration was observed in 65%, stent fracture in 15%, shriveling of the stent in 10% and granulation formation in 10%. Conclusion: The use of fully covered SEMS for the treatment of benign airway strictures is associated with a high short-term complication rate requiring stent removal. We have abandoned in our clinical practice the use of fully covered SEMS for benign airway strictures. Copyright (C) 2009 S. Karger AG, Basel |
| |
|
Language
|
|
|
|
English
| |
|
Source (journal)
|
|
|
|
Respiration. - Basel
| |
|
Publication
|
|
|
|
Basel
:
2009
| |
|
ISSN
|
|
|
|
0025-7931
| |
|
DOI
|
|
|
|
10.1159/000203364
| |
|
Volume/pages
|
|
|
|
77
:4
(2009)
, p. 420-426
| |
|
ISI
|
|
|
|
000267087200009
| |
|
Full text (Publisher's DOI)
|
|
|
|
| |
|
Full text (publisher's version - intranet only)
|
|
|
|
| |
|