Individualized airway-covered stent implantation therapy for thoracogastric airway fistula after esophagectomy

Han, Xinwei; Li, Lei; Zhao, Yanshi; Liu, Chao; Jiao, Dechao; Wu, Gang

doi:10.1007/s00464-016-5162-9

Cited by 24 publications

(36 citation statements)

References 21 publications

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“…Tracheal stent has been widely used clinically for the treatment of tracheal fistula [4][5][6][7] or tracheal stenosis [8][9][10][11][12][13]. However, tracheal stents placement may bring a series of complications, and stent removal sometimes is necessary [23].…”

Section: Discussionmentioning

confidence: 99%

“…Besides, some patients may not be willing to undergo open surgery considering that they are too weak or sick under this circumstance [2]. Since first adoption of self-expanding metal stents to treat bronchial obstruction in 1989 [3], the efficacy and safety of tracheal stent has been proven for the treatment of tracheal fistula [4][5][6][7] or tracheal stenosis [8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes of tracheal stents removal under fluoroscopy guidance: comparison of tracheal fistulas with tracheal stenosis

Bai

et al. 2020

Preprint

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Background: No study compared the techniques and complications of stent removal under fluoroscopy guidance for tracheal fistula and tracheal stenosis.Methods: We conducted a retrospective analysis of 152 patients who underwent fluoroscopy-guided stent removal from January 2011 to June 2017. Eighty-five patients underwent stent removal for tracheal fistula (TF group), and 67 patients for tracheal stenosis (TS group). All patients underwent tracheal CT scans before stent removal and during follow up. The technical success rate, complications, survival rate were compared between the two groups.Results: The technical success rate of stent removal was 98.9% and 97.4% for tracheal fistula and tracheal stenosis, respectively. Except for the routine removal for half of patients, excessive granulation tissue was the common indications for stent removal, which was found 142.1±25.9 days later for tracheal fistula, and 89.9±15.0 day for tracheal stenosis. The total incidence of complications was 21.1% and 22.4% for tracheal fistula and tracheal stenosis, respectively. One perioperative death of asphyxia was found in TF group, and 2 deaths in TS group. Recurrence of fistula or stenosis requiring stenting was the most comment complication in both groups. The 0.5-, 3-, 6-year survival rates were 90.3%, 59.6%, and 36.1% for TF group, and 80.4%, 75.7%, 75.7% for TS group.Conclusions: Fluoroscopic removal of tracheal stent is safe and effective for both tracheal fistula and tracheal stenosis, with no significant difference. Recurrence of fistula or stenosis requiring stenting was the most comment complication.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term outcomes of tracheal stents removal under fluoroscopy guidance: comparison of tracheal fistulas with tracheal stenosis

Bai

et al. 2020

Preprint

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“…Airway stents of various types and materials have been used for the treatment of airway disease, such as silicone stents [ 15 – 17 ] and metallic stents [ 1 – 9 , 11 , 12 ]. Small y stent placement may be applicable for patients with bronchial disease around the primary right carina.…”

Section: Discussionmentioning

confidence: 99%

“…However, metallic stents show good support and flexibility, can be placed with the help of guide wires, may be less traumatizing and minimize the procedures in cases with a fistula [ 14 ]. Currently, individualized metallic stents are available and can be produce upon request [ 1 , 7 , 21 ]. Metallic large Y stents were designed to be inserted for airway disease at the main carina.…”

Section: Discussionmentioning

confidence: 99%

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Metallic small y stent placement at primary right carina for bronchial disease

et al. 2018

BMC Pulm Med

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BackgroundMetallic large Y stent placement has been used mainly for airway disease around the main carina. However, few studies have reported this treatment for bronchial disease around the primary right carina.MethodsTwenty-eight patients were treated by small y stent. All stents were custom-designed and placed under fluoroscopic guidance. Clinical and imaging data were analyzed retrospectively.ResultsThirty-one stents were successfully inserted in 28 patients. Twenty-five patients succeed at the first attempt (89.3%), and 3 patients needed a second attempt. Twelve complications occurred in 10 patients (35.7%). Stent restenosis and sputum retention were the most common complications. Five patients underwent successful stent removal due to complications or cure efficacy. During follow up, 17 patients died of tumors and one died of myocardial infarction. The 1-, 3-, and 5-year survival rates were 49.3, 19.6 and 19.6%, respectively.ConclusionsMetallic small y stent placement is technically feasible, effective and safe for bronchial disease around the primary right carina.

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Thoracostomach–Airway (Trachea/Bronchus) Fistula

Mao

Liu

2018

Airway Stenting in Interventional Radiology

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Individualized airway-covered stent implantation therapy for thoracogastric airway fistula after esophagectomy

Abstract: Customized airway-covered stents may be an appropriate palliative therapy for patients with thoracogastric airway fistula who are unfit for surgery or have a high postoperative risk.

Cited by 24 publications

References 21 publications

Long-term outcomes of tracheal stents removal under fluoroscopy guidance: comparison of tracheal fistulas with tracheal stenosis

Long-term outcomes of tracheal stents removal under fluoroscopy guidance: comparison of tracheal fistulas with tracheal stenosis

Metallic small y stent placement at primary right carina for bronchial disease

Thoracostomach–Airway (Trachea/Bronchus) Fistula

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