© 2003 BMJ Publishing Group & British Thoracic Society
LUNG ALERT
Airway stents provide symptomatic relief
Ealing Hospital, UK; patmac@doctors.org.uk
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Wood DE, Liu Y, Vallières E, et al. Airway stenting for malignant and benign tracheobronchial stenosis. Ann Thorac Surg 2003;76:167–74
This paper reports the indications, techniques, and results of tracheobronchial stenting in the authors’ unit. One hundred and forty three patients underwent 309 stent procedures between May 1992 and December 2001. Malignancy was the most common indication (67% of cases). The main symptoms were dyspnoea, respiratory distress, and stridor. 82% of patients required emergency procedures as most (77%) had more than 75% narrowing of the airway. All patients underwent rigid bronchoscopies except two who had flexible bronchoscopies for insertion of expandable metal stents. 87% of stents placed were silicone rubber. 27% of patients had primarily a tracheal obstruction but in 49% multiple sites were involved.15% required multiple stents and 68% had a bronchoscopic intervention (core out, dilatation, brachytherapy, laser or photodynamic therapy) in preparation or as an adjunct
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