Skip to main content
Top
Published in: European Archives of Oto-Rhino-Laryngology 1/2018

01-01-2018 | Miscellaneous

Temporary tracheal stenting using endovascular prosthesis in the management of severe refractory stenosis following slide tracheoplasty

Authors: Kishore Sandu, Antoine Reinhard, Karma Lambercy, Rene Pretre, Francois Gorostidi

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2018

Login to get access

Abstract

Objectives

To evaluate the role of endovascular stents in temporary tracheal stenting and endoscopic treatment strategy for patients with severe refractory tracheal stenosis following slide tracheoplasty.

Methods

Two patients had severe tracheal stenosis after slide tracheoplasty for long segment congenital tracheal stenosis. Both these patients were managed endoscopically and an endovascular prosthesis was used to temporarily stent the trachea. Short and long term results were evaluated clinically and with repeated endoscopies.

Results

The 2 patients had an excellent recovery immediately after the stent placement and continue to have an optimal, age-appropriate stable tracheal diameter after stent removal.

Conclusion

Endovascular stents can be temporarily used to stent the trachea in the endoscopic treatment strategy to correct refractory severe tracheal stenosis following slide tracheoplasty.
Literature
1.
go back to reference Elliott M, Hartley BE, Wallis C, Roebuck D (2008) Slide tracheoplasty. Curr OpinOtolaryngol Head Neck Surg 16:75–82CrossRef Elliott M, Hartley BE, Wallis C, Roebuck D (2008) Slide tracheoplasty. Curr OpinOtolaryngol Head Neck Surg 16:75–82CrossRef
2.
go back to reference Herrera P, Caldarone C, Forte V, Campisi P, Holtby H, Chait P et al (2007) The current state of congenital tracheal stenosis. Pediatr Surg Int 23:1033–1044CrossRefPubMed Herrera P, Caldarone C, Forte V, Campisi P, Holtby H, Chait P et al (2007) The current state of congenital tracheal stenosis. Pediatr Surg Int 23:1033–1044CrossRefPubMed
3.
go back to reference Backer CL, Mavroudis C, Gerber ME, Holinger LD (2001) Tracheal surgery in children: an 18-year review of four techniques. Eur J Cardiothorac Surg 19:777–784CrossRefPubMed Backer CL, Mavroudis C, Gerber ME, Holinger LD (2001) Tracheal surgery in children: an 18-year review of four techniques. Eur J Cardiothorac Surg 19:777–784CrossRefPubMed
4.
go back to reference Kocyildirim E, Kanani M, Roebuck D, Wallis C, McLaren C, Noctor C et al (2004) Long-segment tracheal stenosis: slide tracheoplasty and a multidisciplinary approach improve outcomes and reduce costs. J Thorac Cardiovasc Surg 128:876–882CrossRefPubMed Kocyildirim E, Kanani M, Roebuck D, Wallis C, McLaren C, Noctor C et al (2004) Long-segment tracheal stenosis: slide tracheoplasty and a multidisciplinary approach improve outcomes and reduce costs. J Thorac Cardiovasc Surg 128:876–882CrossRefPubMed
5.
go back to reference Juan L, Anton-Pacheco, Daniel Cabezalı, Raquel Tejedor, Marıa Lopez, Carmen Luna., Juan V. Comas, Eduardo de Miguel. The role of airway stenting in pediatric tracheobronchial obstruction. Eur J Cardiothorac Surg 33 (2008) 1069—1075 Juan L, Anton-Pacheco, Daniel Cabezalı, Raquel Tejedor, Marıa Lopez, Carmen Luna., Juan V. Comas, Eduardo de Miguel. The role of airway stenting in pediatric tracheobronchial obstruction. Eur J Cardiothorac Surg 33 (2008) 1069—1075
6.
go back to reference Butler CR, Speggiorin S, Rijnberg FM, Roebuck DJ, Muthialu N, Hewitt RJ, Elliott MJ (2014) Outcomes of slide tracheoplasty in 101 children: a 17-year single-center experience. Thorac Cardiovasc Surg 147:1783–1790CrossRef Butler CR, Speggiorin S, Rijnberg FM, Roebuck DJ, Muthialu N, Hewitt RJ, Elliott MJ (2014) Outcomes of slide tracheoplasty in 101 children: a 17-year single-center experience. Thorac Cardiovasc Surg 147:1783–1790CrossRef
7.
go back to reference Fernandez BS, Akindipe O, Kulkarni V, Swafford W, Baz M, Jantz MA (2009) Clinical experience with a new removable tracheobronchial stent in the management of airway complications after lung transplantation. J Heart Lung Transplant 28(7):683–688CrossRef Fernandez BS, Akindipe O, Kulkarni V, Swafford W, Baz M, Jantz MA (2009) Clinical experience with a new removable tracheobronchial stent in the management of airway complications after lung transplantation. J Heart Lung Transplant 28(7):683–688CrossRef
8.
go back to reference Fruchter O, Raviv Y, Kramer B. D. F. (2010) Removal of metallic tracheobronchial stents in lung transplantation with flexible bronchoscopy. J Cardiothorac Surg 12(5):72CrossRef Fruchter O, Raviv Y, Kramer B. D. F. (2010) Removal of metallic tracheobronchial stents in lung transplantation with flexible bronchoscopy. J Cardiothorac Surg 12(5):72CrossRef
9.
go back to reference Tsugawa C, Nishijima E, Muraji T, Yoshimura M, Tsubota N, Asano H (1997) A shape memory stent for tracheobronchomalacia in children: an experimental and clinical study. J Pediatr Surg 32:50—3PubMed Tsugawa C, Nishijima E, Muraji T, Yoshimura M, Tsubota N, Asano H (1997) A shape memory stent for tracheobronchomalacia in children: an experimental and clinical study. J Pediatr Surg 32:50—3PubMed
10.
go back to reference Freitag L (2000) Tracheobronchial stents. In: Bolliger Mathur (ed) Interventional bronchoscopy. Karger AG. pp 171–186 Freitag L (2000) Tracheobronchial stents. In: Bolliger Mathur (ed) Interventional bronchoscopy. Karger AG. pp 171–186
12.
go back to reference Dasgupta A, Dolmatch BL (1998) A. C. Mehta. Self-expandable metallic airway stent insertion employing flexible bronchoscopy: preliminary results. Chest 114(1):106–109CrossRefPubMed Dasgupta A, Dolmatch BL (1998) A. C. Mehta. Self-expandable metallic airway stent insertion employing flexible bronchoscopy: preliminary results. Chest 114(1):106–109CrossRefPubMed
13.
go back to reference Sztanó B, Kiss G, Márai K, Rácz G, Szegesdi I, Rácz K, Katona G (2016 Dec) Rovó L.Biodegradable airway stents in infants—potential life-threatening pitfalls. Int J Pediatr Otorhinolaryngol 91:86–89CrossRefPubMed Sztanó B, Kiss G, Márai K, Rácz G, Szegesdi I, Rácz K, Katona G (2016 Dec) Rovó L.Biodegradable airway stents in infants—potential life-threatening pitfalls. Int J Pediatr Otorhinolaryngol 91:86–89CrossRefPubMed
14.
go back to reference Monnier Y, Chollet-Rivier M, Gonzalez M, Nicod L, Simon C, Lovis A (2014 Jun) Use of combined suspension laryngoscopy and jet ventilation for Y-shaped airway stents delivery. Ann Thorac Surg 97(6):2208–2210CrossRefPubMed Monnier Y, Chollet-Rivier M, Gonzalez M, Nicod L, Simon C, Lovis A (2014 Jun) Use of combined suspension laryngoscopy and jet ventilation for Y-shaped airway stents delivery. Ann Thorac Surg 97(6):2208–2210CrossRefPubMed
Metadata
Title
Temporary tracheal stenting using endovascular prosthesis in the management of severe refractory stenosis following slide tracheoplasty
Authors
Kishore Sandu
Antoine Reinhard
Karma Lambercy
Rene Pretre
Francois Gorostidi
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 1/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-017-4792-4

Other articles of this Issue 1/2018

European Archives of Oto-Rhino-Laryngology 1/2018 Go to the issue