[Expandable metal mesh stents for treatment of tracheal stenoses and tracheomalacia].
The treatment of tracheo-bronchial stenosis or tracheomalacia is mainly carried out by means of resection or tracheoplastic operative strategies. Since the introduction of metal-mesh stents, a definitive endoluminal therapy has to be considered under new aspects. Six patients with malignant stenosis or tracheomalacia due to compression were treated by implantation of Palmaz- or Wallstents. Immediately after the implantation, patients were relieved from dyspnoea, the forced inspiratory volume-1 (FIV1) was normalized. All implanted stents were well tolerated, even in the long-time follow-up (19 months). Bronchoscopic control showed overgrowth of the metal meshes by respiratory epithelium. The implantation of metal-mesh stents is an adequate alternative in the treatment of malignant stenosis and tracheomalacia.
Müller
C
C
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Dienemann
H
H
Hoffmann
H
H
Berger
H
H
Storck
M
M
Jolk
A
A
Schildberg
F W
FW
D000368:Aged; D001999:Bronchoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014132:Trachea / Q000473:pathology; D014133:Tracheal Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014945:Wound Healing
Expandierbare Metallmaschenstents zur Behandlung von Trachealstenosen und Tracheomalazie.