Tracheal stenosis after treatment with metallic stent: a situation worse than the initial problem
Estenosis traqueal post stent metálico: una situación más difícil que el problema inicial
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor; sin embargo los usuarios pueden descargar la información contenida en ella, pero deben darle atribución o reconocimiento de propiedad intelectual, deben usarlo tal como está, sin derivación alguna.
Show authors biography
Stens are a tubular device for use in trachea, carina or main bronchus to provide a support and maintain the permeability of these structures. There are two groups: Metallic and Silicone stent. Either metallic and silicone stents has a special properties. Metallic stent are very attractive option due to relative easy in their placement.
The accumulated experience in this therapy has allowed to recognize several complications to take into consideration mainly in patients with tracheal benign stenosis. FDA has recommended don‘t use metallic stents, covered and not covered in benign diseases. We report a case of a tracheal stenosis secundary to prolonged otrotracheal intubation that required extensive interventions to control symptoms of central airway obstruction, between April and July of 2005.
Article visits 48 | PDF visits 142
Downloads
- Ernst A, Feller-Kopman D, Becker H, Mehta A. Central Airway Obstruction. Am J Resp Crit Care Med 2004; 169:1278-1297.
- Barreto JA, Céspedes JI, González HH. Colocación de stent traqueobronquial en la UCI. Acta Colombiana de Cuidado Intensivo 2008; 8(1): 19-21.
- Barreto J. Broncoscopia Intervencionista: Una opción a nuestro alcance. Rev Colomb Neumol 2007; 19:4, 108-118.
- Dasgupta A, Mehta. Airway stents. Clin Chest Med 1999; 20:139-151.
- Quadrelli S, Grynblat P, Defranchi H, et al. Normas de consenso para la realización de la endoscopia respiratoria de la Sociedad Argentina de Broncoesofagologia. Archiv. Bronconeumol 1998; 34:207-220.
- Barreto J, Pizarro C, Plata R, Niño F. Estenosis subglótica idiopática: tratamiento con traqueoplastia endoscópica con balón. Medicas UIS 2008; 21: 1, 41-46.
- Dineen K, Jantz M, Silvestri G. Tracheobronchial Stents. J Bronchol 2002; 9: 127-137.
- Noppen M, Stratakos G, D´Haese J. Removal of Covered Self-Expandable Metallic Airway Stents in Benign Disorders. Indications, Technique and Outcomes. Chest 2005; 127: 482-487.
- Murthy S, Gildea T, Mehta A. Removal of Self-Expandable Metallic Stents: Is It Possible? Sem Resp Crit Care Med 2004; 25: 381-386
- Zakaluzny S, Lane D, Mair E. Complications of tracheobronchial airway stents. Otolaryngology-Head Neck Surg 2003; 128: 478-488).
- Pelaez M, Cañas A. Reporte de un caso: Estenosis traqueal intrastent: Manejo endoscopico y reseccion quirurgica. Rev Colomb Neumol 2006; 18(3). 76-79.
- Swanson K, Edell E, Prakash U B.S, et al. Complications of Metal Stent Therapy in Benign Airway Obstruction. J Bronchol 2007; 14:90-94.
- FDA Public Health Notification: complications from metallic tracheal stents in patients with benign airway disorders. (http:// www.fda.gov/cdrh/safety/072905-tracheal.html