title: Gianturco self-expanding metallic stents in treatment of tracheobronchial stenosis after single lung and heart and lung transplantation.
abstract: Three patients with recurrent bronchial stenosis following single lung transplant (SLTx), and one patient with tracheal stenosis following heart-lung transplantation (HLTx), not responding to repeated dilatations (3 patients) and prolonged use of silastic stents (patient with tracheal stenosis), have been treated by the endoscopic insertion of Gianturco self-expanding metallic stents under fluoroscopic control. The stent resulted in immediate improvement in respiratory function in all four patients. One patient (SLTx) had early bronchial re-stenosis due to growth of granulation tissue within the stent which was successfully treated by cryotherapy. In one patient (HLTx), a left lower lobe bronchial stenosis developed 14 months after tracheal stenting. The metallic stent appears to be a promising device in the management of recurrent or resistant bronchial stenosis following SLTx or tracheal stenosis after HLTx.
authors.affiliation: Harefield Hospital, Middlesex & National Heart and Lung Institute, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Spatenka
authors.forename: A
authors.initials: A
authors.lastname: Khaghani
authors.forename: J D
authors.initials: JD
authors.lastname: Irving
authors.forename: S
authors.initials: S
authors.lastname: Theodoropoulos
authors.forename: Z
authors.initials: Z
authors.lastname: Slavík
authors.forename: M H
authors.initials: MH
authors.lastname: Yacoub
mesh_terms: D000328:Adult; D001982:Bronchial Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography; D004724:Endoscopy; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D016041:Heart-Lung Transplantation; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D012008:Recurrence; D015607:Stents / Q000592:standards*; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*