Treatment of severe carinal stenosis with overlapping metallic endoprosthesis.
A 50-year-old man presented with respiratory distress from central airway compression secondary to malignant mediastinal adenopathy. The stenosis involved the carinal triangle and created residual luminal diameters of 6 mm, 6 mm, and pinhole in the distal trachea and right and left mainstem bronchi, respectively. Airway patency at the carina was restored successfully with a stenting method that uses two overlapping Wall stents.
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Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore. conslo@yahoo.com
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Hsu
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D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001999:Bronchoscopy / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D005336:Fiber Optic Technology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012720:Severity of Illness Index; D015607:Stents; D014134:Tracheal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome