How to do itExternal Fixation of Proximal Tracheal Airway Stents: A Modified Technique
Section snippets
Technique
After Institutional Review Board approval at Beth Israel Deaconess Medical Center, we conducted a retrospective review of medical records of patients undergoing rigid bronchoscopy and stent placement with external fixation from February 2007 to August 2010. Records were reviewed, and age, sex, comorbidities, presenting symptoms, indications, characteristics of airway lesion (location, length, type), type of stent used, signs and symptoms after the intervention, complications, and time to
Comment
We describe a simple and effective technique of securing endoluminal stents deployed in the proximal trachea and report the results in 9 consecutive patients. We also describe a low incidence of reversible complications. Our cohort included patients with multiple cardiovascular, pulmonary, and systemic comorbidities that precluded them from undergoing a surgical intervention.
Silicone stents are an attractive therapeutic option because they preserve laryngeal function and do not require the
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Cited by (28)
Novel Technique for Fixing Tracheal Stents
2022, Annals of Thoracic SurgeryNovel Designed V-shaped Silicone Stent for the Treatment of Unilateral Main Bronchial Stenosis
2022, Annals of Thoracic SurgeryCitation Excerpt :Ryu and associates7 reported the percentage of stent migration and restenosis as reaching up to 51% and 40%, respectively, in patients mainly with main bronchial posttuberculosis stenosis, which required repeated bronchoscopic surveillance and further therapeutic interventions. Several external fixation methods for proximal tracheal silicone have previously been reported to alleviate the complication.8 However those methods are inapplicable for main bronchial stenosis.
A simplified insertion technique for tracheal T-tube
2018, Journal of Thoracic and Cardiovascular SurgeryCitation Excerpt :However, it should be applied with appropriate cautions. Despite the fact that sutures have previously been used for the external fixation of silicone stents without damaging them,5 we recommend using a small needle to prevent to making a large puncture on the stent wall. Then, from a technical point of view, dilation of the stenosis is needed before inserting the T-tube to minimize the risk of tearing the proximal end of the T-tube by pulling on the suture too hard.
Non-malignant central airway obstruction
2014, Archivos de BronconeumologiaCitation Excerpt :In these cases, external percutaneous fixation may be considered. Potential complications include skin infections around the external button.46,47 Re-stenosis as a result of the repair process itself and stent obstruction are the main reasons for re-intervention.23,39
External Fixation of Upper Tracheal Stents in Complex Stenosis: Revising the “Hitch Stitch”
2023, Annals of the American Thoracic Society