[Use of endoprosthesis in the treatment of airway pathology].
In patients affected by benign or malignant inoperable airway obstructions, therapeutical options include endoscopic treatment by Nd-YAG laser therapy, tracheobronchial dilatations with rigid or flexible bronchoscope, and inflating balloon dilators. Metal self-expanding or silicone stents allow to obtain stable results. Our experience is based on the use of 14 stents (10 Dumon and 4 Wallstent) in 13 cases of stenosis either due to vegetating malignant tumours not amenable to surgery or benign stenosis. In the following 24-48 hours both subjective and objective changes of the pulmonary function, blood gas analysis and radiologic aspects were observed. The results showed an improvement in the respiratory parameters and a sensible improvement in the quality of life.
Cicconetti
F
F
I Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
Brun
S
S
La Rovere
C
C
Macauda
P
P
Capaldi
M
M
Ambrogi
C
C
Baiano
G
G
Romagnoli
A
A
Guazzaroni
M
M
Simonetti
G
G
D000368:Aged; D002245:Carbon Dioxide / Q000097:blood; D003251:Constriction, Pathologic / Q000601:surgery; D004417:Dyspnea / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000209:etiology / Q000601:surgery*; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008670:Metals; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D012828:Silicones; D015607:Stents; D013997:Time Factors; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*
D008670:Metals; D012828:Silicones; D002245:Carbon Dioxide; D010100:Oxygen