Source: Annual Congress 2002 - Chest trauma, airways and miscellaneous
Disease area: Airway diseases

Abstract

Background
Experience with Ultraflex(c) expandable metallic stents in the management of patients with airway compromise secondary to a variety of endobronchial pathologies is reported.
Methods:
Between 1999 and 2002, 35 Ultraflex(c) expandable metallic stents were deployed in 30 patients (10 male, 20 female, median age 66 years) who presented with respiratory distress. Formal surgical intervention was inappropriate for each patient because of comorbid illness or extent of malignancy. Stents were deployed broncoscopically under direct vision.21 patients had intrinsic airway obstruction, five extrinsic airway obstruction, two had tracheal tear, one had malignant tracheobronchial fistula and one patient had combined intrinsic and extrinsic obstruction.22 patients had a tracheal stent alone and one of these patients had two tracheal stents. Five patients received bronchial stents. Three patients received both tracheal and bronchial stents. One of these patients had two tracheal stents.27 stents were covered, eight were uncovered.
Results:
All patients were successfully stented with restoration of airway patency and closure of tracheal defects. Satisfactory stent position was confirmed with follow up bronchoscopy in all. Late complications included halitosis (n=2), sputum retention (n=4) and formation of granulation tissue (n=1).
Conclusion
Ultraflex(c) expandable metallic stents should be considered in the management of airway compromise in selected patients.

Rating:

Share or cite this content

Citations should be made in the following way:
B. P. Madden, A. C. Sheth (London, United Kingdom). Experience with Ultraflex(c) expandable metallic stents in the management of endobronchial pathology. Eur Respir J 2002; 20: Suppl. 38, 981

Member's Comments

No comment yet.

Related content which might interest you: Early experience of a new nitinol expandable stent in tracheobronchial diseases Source: Annual Congress 2006 - Stents and stunts : what's new in airway desobstruction? Year: 2006 Do expandable metallic stents have a role in the management of patients with benign tracheobronchial disease Source: Annual Congress 2006 - Stents and stunts : what's new in airway desobstruction? Year: 2006 Removal of self-expandable metallic airway stents in benign disorders. Indications, technique and outcomes Source: Annual Congress 2004 - New developments in endobronchial treatment Year: 2004 Long term follow up post ultraflex expandable metallic stent deployment in the management of endobronchial pathology Source: Eur Respir J 2004; 24: Suppl. 48, 700s Year: 2004 Clinical experience with a new self-expandable metal stent, SILMET, in tracheo-bronchial stenosis Source: Annual Congress 2012 - From the laser through the stent to the valve: the broad spectrum of interventional pneumology Year: 2012 A simplified technique for self-expandable metallic Y-shaped airway stent deployment without use of rigid bronchoscope or fluoroscopic guidance Source: International Congress 2019 – Interventional pulmonology: re-sculpting the airway Year: 2019 Unusual complication of silicone expandable tracheal stent Source: Annual Congress 2009 - Interventional pneumology Year: 2009 Ultrathin-bronchoscopy-guided deployment of self-expanding metallic stents without fluoroscopy in the management of critical airway narrowing in critically ill patients Source: Annual Congress 2008 - Trends in interventional pulmonology Year: 2008 Use of expandable metal stents inserted under local anaesthesia in nonmalignant large airway obstruction Source: Eur Respir J 2001; 18: Suppl. 33, 215s Year: 2001 Evaluation of bronchoscopic placement of tracheobronchial silicone stents: Initial Egyptian experience Source: International Congress 2015 – Advances in therapeutic bronchoscopy Year: 2015 Preliminary experience with a removable expandable metal stent Source: Annual Congress 2007 - Interventional bronchoscopy Year: 2007 Comparison of silicon and metallic bifurcated stents in patients with malignant airway lesions Source: International Congress 2018 – Use of stents for tracheal stenosis Year: 2018 Palliative care for patients with endobronchial carcinoma using electrocautery and stent placement Source: Annual Congress 2009 - Stents, needles and sedation Year: 2009 Silicone stents and metal stents Source: Annual Congress 2008 - PG22 - Interventional bronchoscopy: theory and practice Year: 2008 Potential advantages of nitinol (Ultraflex) stents for tracheobronchial malignant stenoses Source: Eur Respir J 2002; 20: Suppl. 38, 436s Year: 2002 Two-year experience with the use of fully covered self-expandable metal stents Source: International Congress 2015 – Advances in therapeutic bronchoscopy Year: 2015 Silicone stents, bifurcated stents Source: Hands-on Course 2012 - Interventional Bronchoscopy - developing essential skills Year: 2012 Silicone stents, bifurcated stents Source: School Course 2013 - Hands-on Course on Interventional Bronchoscopy Year: 2013 Use of studded polyflex stents in patients with neoplastic obstructions of the central airways Source: Eur Respir J 2002; 20: Suppl. 38, 405s Year: 2002