title: Delayed massive hemoptysis after expandable bronchial stent placement.
abstract: Patients with lung cancer often develop airway obstruction that necessitates palliative bronchoscopic interventions. Expandable metal stents are increasingly used for this indication. We report a case of fatal massive hemoptysis that occurred 1 week after uneventful bronchial stent placement. Previous treatment with external-beam radiotherapy, brachytherapy, and photodynamic therapy probably contributed to pulmonary artery-bronchial fistulization in this patient. This complication should be kept in mind when considering expandable airway stent insertion in heavily pretreated lung cancer patients.
authors.affiliation: Department of Thoracic Surgical Oncology, Roswell Park Cancer Institute, Buffalo, New York 14263-0001, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Urschel
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D001983:Bronchial Fistula / Q000150:complications* / Q000628:therapy; D001984:Bronchial Neoplasms / Q000150:complications*; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000628:therapy; D017809:Fatal Outcome; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D016609:Neoplasms, Second Primary; D010166:Palliative Care; D011651:Pulmonary Artery; D015607:Stents; D016157:Vascular Fistula / Q000150:complications*