Tracheobronchial obstruction: follow-up study of 100 children treated with airway stenting

Serio, Paola; Fainardi, Valentina; Leone, Roberto; Baggi, Roberto; Grisotto, Laura; Biggeri, Annibale; Mirabile, Lorenzo

doi:10.1093/ejcts/ezt626

Cited by 64 publications

(53 citation statements)

References 25 publications

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“…Because it lay over the mucosa rather than being embedded, it was safely removed. Bronchial stents, considered as permanent devices [10], can be adapted to the size of the growing airway by scheduled balloon dilations and easily expanded [4]. After recurrent ovalizations of the bronchial stents due to the small rib cage, a conservative approach with a Y Dumon stent restored bronchi to their circular shape and lumen patency immediately and markedly improved.…”

Section: Discussionmentioning

confidence: 99%

“…A Polyflex self-expanding silicone stent was placed in the trachea (replaced by a 10 Â 30 mm and then by a 12 Â 20 mm Dumon stent) while 2 metallic expandable stents (Palmaz 104-right and Palmaz 128-left) were placed in the mainstem bronchi and immediately improved the airway lumen. Stents were placed with a rigid bronchoscope (Karl Storz ® , Germany; Ø 3.5 mm) and the patient under general anesthesia (sevoflurane inhalation ± intravenous propofol) and radiological monitoring, as previously described [4].…”

Section: Historymentioning

confidence: 99%

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Airway stenting in a child with spondyloepiphyseal dysplasia congenita: 13-Year survival

Nenna

Masi

Bacci

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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a b s t r a c tWe describe the case of a boy with spondyloepiphyseal dysplasia congenita. At birth, he experienced severe respiratory distress necessitating tracheotomy. Endoscopy done because mechanical ventilation failed to resolve desaturations disclosed severe tracheo-bronchomalacia. A Polyflex silicone stent was placed in the trachea (replaced by Y-Dumon stent) and 2 Palmaz metallic stents in the mainstem bronchi (overlapped with 2 Jomed stents 5 years later). Airway stenting guaranteed a suitable respiratory status and allowed a child who was expected to die at birth, to reach 13.5 years old in good conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Historymentioning

confidence: 99%

Airway stenting in a child with spondyloepiphyseal dysplasia congenita: 13-Year survival

Nenna

Masi

Bacci

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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“…5 Después de varios estudios en animales, se comenzaron a utilizar recientemente para el tratamiento de la obstrucción respiratoria en adultos y niños. 5,[8][9][10][11][12] El PDS en un polímero semicristalino biodegradable perteneciente a la familia del poliéster. 1 Se confecciona a medida y se inserta en la vía aérea con broncoscopía rígida bajo anestesia general y con control fluoroscópico.…”

Section: Figura 3 a Tomografía Computada Mediciones Del Bronquio Funclassified

Stent de vía aérea biodegradable para el tratamiento de la obstrucción bronquial en el niño. Caso clínico

Cuestas

Rodríguez

Doormann

et al. 2018

Arch Argent Pediatr

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Presentación de casos clínicos RESUMENLa obstrucción bronquial es infrecuente en el niño. La causa principal es la malacia o la estenosis de naturaleza benigna. Las alternativas de manejo varían desde el tratamiento conservador hasta complejas técnicas quirúrgicas y/o endoscópicas. La colocación de una endoprótesis (estent) puede desempeñar un papel fundamental en situaciones particulares en las que no hay otra opción terapéutica. Sin embargo, el estent ideal aún no está disponible. En los últimos años, se han comenzado a investigar las propiedades de diversos materiales biodegradables a fin de superar los inconvenientes de los estents tradicionales confeccionados de silicona o metal. Se presenta nuestra experiencia con un nuevo tipo de estent de vía aérea biodegradable en el tratamiento de la broncomalacia grave en un niño de 2 años; se evalúa su seguridad y eficacia clínica. Se describen las indicaciones y las potenciales complicaciones del uso de endoprótesis en la vía aérea en pediatría. Palabras clave: estents, vía aérea, implantes biodegradables, constricción bronquial, niño. ABSTRACTBronchial obstruction is infrequent in the child. The main cause is malacia or benign stenosis. Management alternatives range from conservative treatment to complex surgical and/ or endoscopic techniques. Placement of a stent can play a key role in situations where there is no other therapeutic option. However, the ideal stent is not yet available. In the last few years, progress has been made in the development and characterization of novel biodegradable materials in order to overcome the drawbacks of traditional stents made of silicone or metal. Estent de vía aérea biodegradable para el tratamiento de la obstrucción bronquial en el niño. Caso clínico

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“…Although still controversial, there is increasing experience with airway stenting in children (14)(15)(16)(17). Tracheobronchomalacia and airway stenosis are the most frequent indications for stenting when other therapeutic options have failed or there are no other surgical alternatives.…”

Section: In the 2015 8th Issue Of The International Journal Of Clinimentioning

confidence: 99%

Operative or non-operative treatment of congenital tracheal stenosis: is there something new?

Antón‐Pacheco¹,

Morante²

2017

J. Thorac. Dis.

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Tracheobronchial obstruction: follow-up study of 100 children treated with airway stenting

Abstract: Airway stenting represents a conservative treatment before more invasive surgical procedures and can be very effective when performed in selected children and in specialized centres by physicians experienced in rigid and flexible bronchoscopy.

Cited by 64 publications

References 25 publications

Airway stenting in a child with spondyloepiphyseal dysplasia congenita: 13-Year survival

Airway stenting in a child with spondyloepiphyseal dysplasia congenita: 13-Year survival

Stent de vía aérea biodegradable para el tratamiento de la obstrucción bronquial en el niño. Caso clínico

Operative or non-operative treatment of congenital tracheal stenosis: is there something new?

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