Airway stents. Present and future.
Tracheobronchial stent insertion is a relatively new technique used to palliate or cure central airways obstruction. When performed by experienced thoracic endoscopists, this procedure is both safe and effective, even if complications of indwelling stents may require repeat endoscopic intervention. Although proven clinically beneficial to many patients, airway prostheses have not yet been the subject of large comparative case studies or randomized controlled investigations. Reports are often experiential and anecdotal. Further research is needed to determine the effects of stenting on survival in patients with malignant airway disease and its degree of success in patients with benign airway strictures. Only then will airway stents truly deserve their place alongside other therapies for tracheobronchial obstruction.
Colt
H G
HG
Division of Pulmonary and Critical Care Medicine, University of California San Diego, USA.
Dumon
J F
JF
D001982:Bronchial Diseases / Q000209:etiology / Q000628:therapy*; D001999:Bronchoscopy; D002283:Carcinoma, Bronchogenic / Q000150:complications; D004867:Equipment Design; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D010166:Palliative Care / Q000379:methods*; D015607:Stents / Q000009:adverse effects / Q000639:trends; D014135:Tracheal Stenosis / Q000209:etiology / Q000628:therapy*