Top

CardioVascular and Interventional Radiology

Published in:

01-06-2019 | Computed Tomography | Case Report

Combined Y-Shaped Covered Metallic Stents for Gastrobronchial Fistulas Involving the Right Intermediate Bronchus

Authors: Yonghua Bi, Zepeng Yu, Xinwei Han, Gang Wu

Published in: CardioVascular and Interventional Radiology | Issue 6/2019

Abstract

Gastrobronchial fistula that involves the right intermediate bronchus is an extremely rare complication of esophagectomy. In this report, two patients with gastrobronchial fistulas around the secondary right carina were treated by combined Y-shaped covered metallic stents. Four covered stents were inserted successfully at the first attempt with no complications. The gastrobronchial fistula was fully sealed in each patient, and they were able to eat without coughing.

Han X, Wu G, Li Y, Li M. A novel approach: treatment of bronchial stump fistula with a plugged, bullet-shaped, angled stent. Ann Thorac Surg. 2006;81:1867–71.CrossRefPubMed

Han XW, Wu G, Li YD, Zhang QX, Guan S, Ma N, et al. Overcoming the delivery limitation: results of an approach to implanting an integrated self-expanding Y-shaped metallic stent in the carina. J Vasc Interv Radiol. 2008;19:742–7.CrossRefPubMed

Bi Y, Li J, Yu Z, Ren J, Wu G, Han X. Metallic small y stent placement at primary right carina for bronchial disease. BMC Pulm Med. 2018;18:182.CrossRefPubMedPubMedCentral

Turk AE, Karanas YL, Cannon W, Chang J. Staged closure of complicated bronchopleural fistulas. Ann Plast Surg. 2000;45:560–4.CrossRefPubMed

Fernando HC, Sherwood JT, Krimsky W. Endoscopic therapies and stents for benign airway disorders: Where are we, and where are we heading? Ann Thorac Surg. 2010;89:S2183–7.CrossRefPubMed

Murgu SD, Colt HG. Silicone Y stent placement at secondary left carina for malignant central airway obstruction. J Thorac Cardiovasc Surg. 2010;139:494–5.CrossRefPubMed

Dahlqvist C, Ocak S, d’Odemont JP. New bifurcated silicone stent for the treatment of posttransplant bronchus intermedius stenosis: new silicone stent in posttransplant stenosis. Chest. 2014;145:429.CrossRefPubMed

Oki M, Saka H. New dedicated bifurcated silicone stent placement for stenosis around the primary right carina. Chest. 2013;144:450–5.CrossRefPubMed

Oki M, Saka H. Silicone Y-stent placement on the secondary left carina. Respiration. 2015;90:493–8.CrossRefPubMed

Title: Combined Y-Shaped Covered Metallic Stents for Gastrobronchial Fistulas Involving the Right Intermediate Bronchus
Authors: Yonghua Bi
Zepeng Yu
Xinwei Han
Gang Wu
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Computed Tomography
Computed Tomography
Esophagus Resection
Bronchography
Esophagus Resection
Published in: CardioVascular and Interventional Radiology / Issue 6/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-019-02180-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Combined Y-Shaped Covered Metallic Stents for Gastrobronchial Fistulas Involving the Right Intermediate Bronchus

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2019

Recycling in IR, What IR Specialists Can Do to Help

Balloon-Occluded Transcatheter Arterial Chemoembolization (b-TACE) for Hepatocellular Carcinoma Performed with Polyethylene-Glycol Epirubicin-Loaded Drug-Eluting Embolics: Safety and Preliminary Results

Does Drug-Eluting Bead TACE Enhance the Local Effect of IRE? Imaging and Histopathological Evaluation in a Porcine Model

Percutaneous Neurolysis for Pain Management in Oncological Patients

Drug-Eluting Balloon Angioplasty for Juxta-Anastomotic Stenoses in Distal Radiocephalic Hemodialysis Fistulas: Long-Term Patency Results

Patient Reported Outcomes in Interventional Radiology: Time to Measure What We Do