Bronchoscopic balloon dilatation of tracheobronchial stenosis: long-term follow-up

Shitrit, David; Kuchuk, Michael; Zismanov, Victoria; Rahman, Naomi; Amital, Anat; Kramer, Mordechai R.

doi:10.1016/j.ejcts.2009.11.056

Cited by 60 publications

(41 citation statements)

References 24 publications

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“…Repeated procedures are usually required after interventional pulmonology procedures for the treatment of tuberculous airway stenosis. 2,3) Consequently, surgical airway plasty is commonly recommended for the treatment of tuberculous airway stenosis. [9][10][11] Eighteen patients with tuberculous airway stenosis were evaluated in this study.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Surgical Airway Plasty for Benign Airway Stenosis

Tsukioka

Takahama

Nakajima

et al. 2016

ATCS

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Background: Long-term patency is required during treatment for benign airway stenosis. This study investigated the effectiveness of surgical airway plasty for benign airway stenosis. Methods: Clinical courses of 20 patients, who were treated with surgical plasty for their benign airway stenosis, were retrospectively investigated. Results: Causes of stenosis were tracheobronchial tuberculosis in 12 patients, post-intubation stenosis in five patients, malacia in two patients, and others in one patient. 28 interventional pulmonology procedures and 20 surgical plasty were performed. Five patients with postintubation stenosis and four patients with tuberculous stenosis were treated with tracheoplasty. Eight patients with tuberculous stenosis were treated with bronchoplasty, and two patients with malacia were treated with stabilization of the membranous portion. Anastomotic stenosis was observed in four patients, and one to four additional treatments were required. Performance status, Hugh-Jones classification, and ventilatory functions were improved after surgical plasty. Outcomes were fair in patients with tuberculous stenosis and malacia. However, efficacy of surgical plasty for post-intubation stenosis was not observed. Conclusion: Surgical airway plasty may be an acceptable treatment for tuberculous stenosis. Patients with malacia recover well after surgical plasty. There may be untreated patients with malacia who have the potential to benefit from surgical plasty.

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Section: Discussionmentioning

confidence: 99%

“…However, repeated procedures are usually required. [1][2][3] This study retrospectively reviewed patients who underwent treatment of benign airway stenosis to investigate the effectiveness of surgical tracheobronchial plasty.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Surgical Airway Plasty for Benign Airway Stenosis

Tsukioka

Takahama

Nakajima

et al. 2016

ATCS

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“…Доказано, что комбинация бужирования или БД РСТ с последующей установкой стента дает наи-более стабильный клинический эффект [2,10,13]. Местное применение низкоэнергетического лазера, либо введение в стенку трахеи гормональных пре-паратов дополнительно к механическим методам снижает риск развития избыточных грануляций и повторного стеноза [5].…”

Section: результатыunclassified

Balloon dilation in endoscopic treatment of patients with scar narrowing of the trachea and bronchi

Пинчук¹,

Yasnogorodskiy²,

Guryanov³

et al. 2016

Endosk. khir.

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Кафедра факультетской хирургии №2 лечебного факультета ФБГу «Клиническая больница» рФ, москва, россия; ГБоу вПо «Первый мГму им. и.м. Сеченова» минздрава россии, москва, россия Ключевые слова: бронхоскопия, трахея, бронхи, рубцовое сужение.Balloon dilation in endoscopic treatment of patients with scar narrowing of the trachea and bronchi

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“…Endoscopic dilatation consists of inflating (to 3-6 atm pressure) a balloon placed in the centre of an obstructive lesion via radioscopic or video-endoscopic guidance (using a guide wire) [11,72,73]. Due to its transient efficacy, this procedure must be considered as the first step of an interventional bronchoscopy, preparing the trachea or the bronchus for stent placement.…”

Section: Other Procedures Endoscopic Dilatationmentioning

confidence: 99%

Integration of interventional bronchoscopy in the management of lung cancer

et al. 2015

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Tracheal or bronchial proximal stenoses occur as complications in 20-30% of lung cancers, resulting in a dramatic alteration in quality of life and poor prognosis. Bronchoscopic management of these obstructions is based on what are known as "thermal" techniques for intraluminal stenosis and/or placement of tracheal or bronchial prostheses for extrinsic compressions, leading to rapid symptom palliation in the vast majority of patients. This invasive treatment should only be used in cases of symptomatic obstructions and in the presence of viable bronchial tree and downstream parenchyma.This review aims to clarify 1) the available methods for assessing the characteristics of stenoses before treatment, 2) the various techniques available including their preferred indications, outcomes and complications, and 3) the integration of interventional bronchoscopy in the multidisciplinary management of proximal bronchial cancers and its synergistic effects with the other specific treatments (surgery, radiotherapy or chemotherapy). @ERSpublications Central airway obstruction is a severe complication of lung cancer that can be managed by interventional bronchoscopy http://ow.ly/OdAhF

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Bronchoscopic balloon dilatation of tracheobronchial stenosis: long-term follow-up

Abstract: BBD is a safe method that offers immediate symptomatic relief in both tracheal and bronchial stenosis. However, BBD is a temporary measure, as many patients will require definitive or additional treatment with laser or stent placement.

Cited by 60 publications

References 24 publications

Efficacy of Surgical Airway Plasty for Benign Airway Stenosis

Efficacy of Surgical Airway Plasty for Benign Airway Stenosis

Balloon dilation in endoscopic treatment of patients with scar narrowing of the trachea and bronchi

Integration of interventional bronchoscopy in the management of lung cancer

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