Successful management of malignant carinal involvement by “side‐by‐side” method of self‐expandable metallic stents followed by chemotherapy

Takeda, Takayuki; Itano, Hideki; Takeuchi, Mayumi; Saitoh, Masahiko; Takeda, Sorou

doi:10.1002/ccr3.1278

Cited by 1 publication

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“…The application of ‘side‐by‐side’ method of bilateral SEMSs has been reported in the management of malignant carinal involvement . This technique is useful in the treatment of patients with poor PS who would not tolerate general anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Management of malignant carinal involvement using ‘side‐by‐side’ method of bilateral self‐expandable metallic stents

Takeda¹,

Itano

Ryo³

et al. 2018

Respirology Case Reports

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Central airway obstruction caused by cancer requires urgent interventional pulmonology. Malignant main carinal involvement is one of the most challenging situations, usually treated by rigid bronchoscopic intervention under general anaesthesia. However, these patients tend to be in poor condition due to underlying malignancy. Therefore, less‐invasive strategies are needed. Six patients with lung cancer exhibiting malignant carinal involvement treated using the ‘side‐by‐side’ method of bilateral self‐expandable metallic stents using fibre‐optic bronchoscopy under topical anaesthesia were retrospectively investigated. The median procedure time was 29.5 min (range: 23–38), and the palliation of dyspnoea was achieved in all cases. The median survival time after intervention was 58.5 days (range: 23–172). The cause of death was acute coronary syndrome in two patients, aspiration pneumonia in two, upper gastrointestinal perforation in one, and catheter‐related blood stream infection in one. This strategy was less invasive and suitable for patients with poor performance status.

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Section: Introductionmentioning

confidence: 99%

Management of malignant carinal involvement using ‘side‐by‐side’ method of bilateral self‐expandable metallic stents

Takeda¹,

Itano

Ryo³

et al. 2018

Respirology Case Reports

Self Cite

View full text Add to dashboard Cite

show abstract

Successful management of malignant carinal involvement by “side‐by‐side” method of self‐expandable metallic stents followed by chemotherapy

Abstract: Key Clinical MessageBilateral self‐expandable metallic stents may be useful in the management of malignant carinal involvement and may improve the performance status of patients. This strategy may allow patients with poor performance status to receive additional chemotherapy.

Cited by 1 publication

References 8 publications

Management of malignant carinal involvement using ‘side‐by‐side’ method of bilateral self‐expandable metallic stents

Management of malignant carinal involvement using ‘side‐by‐side’ method of bilateral self‐expandable metallic stents

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