Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis

Introduction. We herein report our experience with new fully covered self-expanding metallic stents in the setting of inoperable recurrent benign tracheobronchial stenosis. Methods. Between May 2010 and July 2014, 21 Micro-Tech® FC-SEMS (Nanjing Co., Republic of Korea) were placed in our hospital in...

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Main Authors: Caroline Dahlqvist, Sebahat Ocak, Maximilien Gourdin, Anne Sophie Dincq, Laurie Putz, Jean-Paul d’Odémont
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2016/8085216
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author Caroline Dahlqvist
Sebahat Ocak
Maximilien Gourdin
Anne Sophie Dincq
Laurie Putz
Jean-Paul d’Odémont
author_facet Caroline Dahlqvist
Sebahat Ocak
Maximilien Gourdin
Anne Sophie Dincq
Laurie Putz
Jean-Paul d’Odémont
author_sort Caroline Dahlqvist
collection DOAJ
description Introduction. We herein report our experience with new fully covered self-expanding metallic stents in the setting of inoperable recurrent benign tracheobronchial stenosis. Methods. Between May 2010 and July 2014, 21 Micro-Tech® FC-SEMS (Nanjing Co., Republic of Korea) were placed in our hospital in 16 patients for inoperable, recurrent (after dilatation), and symptomatic benign airway stenosis. Their medical files were retrospectively reviewed in December 2014, with focus on stent’s tolerance and durability data. Results. Twenty-one stents were inserted: 13 for posttransplant left main bronchus anastomotic stricture, seven for postintubation tracheal stenosis, and one for postlobectomy anastomotic stricture. Positioning was easy for all of them. Stents were in place for a mean duration of 282 days. The most common complications were granulation tissue development (35%), migration (30%), and sputum retention (15%). Fifty-five % of the stents (11/20) had to be removed because of various complications, without difficulty for all of them. None of the patients had life-threatening complications. Conclusion. Micro-Tech FC-SEMS were easy to position and to remove. While the rate of complications requiring stent removal was significant, no life-threatening complication occurred. Further studies are needed to better define their efficacy and safety in the treatment of benign airway disease.
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institution Kabale University
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spelling doaj-art-9914a9cfc1354278b5fa23ab28285e232025-02-03T01:26:52ZengWileyCanadian Respiratory Journal1198-22411916-72452016-01-01201610.1155/2016/80852168085216Fully Covered Metallic Stents for the Treatment of Benign Airway StenosisCaroline Dahlqvist0Sebahat Ocak1Maximilien Gourdin2Anne Sophie Dincq3Laurie Putz4Jean-Paul d’Odémont5Division of Pulmonology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, BelgiumDivision of Pulmonology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, BelgiumDepartment of Anaesthesiology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, BelgiumDepartment of Anaesthesiology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, BelgiumDepartment of Anaesthesiology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, BelgiumDivision of Pulmonology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, BelgiumIntroduction. We herein report our experience with new fully covered self-expanding metallic stents in the setting of inoperable recurrent benign tracheobronchial stenosis. Methods. Between May 2010 and July 2014, 21 Micro-Tech® FC-SEMS (Nanjing Co., Republic of Korea) were placed in our hospital in 16 patients for inoperable, recurrent (after dilatation), and symptomatic benign airway stenosis. Their medical files were retrospectively reviewed in December 2014, with focus on stent’s tolerance and durability data. Results. Twenty-one stents were inserted: 13 for posttransplant left main bronchus anastomotic stricture, seven for postintubation tracheal stenosis, and one for postlobectomy anastomotic stricture. Positioning was easy for all of them. Stents were in place for a mean duration of 282 days. The most common complications were granulation tissue development (35%), migration (30%), and sputum retention (15%). Fifty-five % of the stents (11/20) had to be removed because of various complications, without difficulty for all of them. None of the patients had life-threatening complications. Conclusion. Micro-Tech FC-SEMS were easy to position and to remove. While the rate of complications requiring stent removal was significant, no life-threatening complication occurred. Further studies are needed to better define their efficacy and safety in the treatment of benign airway disease.http://dx.doi.org/10.1155/2016/8085216
spellingShingle Caroline Dahlqvist
Sebahat Ocak
Maximilien Gourdin
Anne Sophie Dincq
Laurie Putz
Jean-Paul d’Odémont
Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis
Canadian Respiratory Journal
title Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis
title_full Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis
title_fullStr Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis
title_full_unstemmed Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis
title_short Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis
title_sort fully covered metallic stents for the treatment of benign airway stenosis
url http://dx.doi.org/10.1155/2016/8085216
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