Treatment of benign tracheal stenosis utilizing self-expanding nitinol stents.
We assessed the results of self-expanding metallic stent insertion into benign proximal tracheal stenosis in patients not appropriate or unfit for surgical repair. Proximal benign tracheal stenoses had occurred in 11 patients (7 men, 4 women, mean age 68.8 years) after long-time intubation (n = 6), tracheostomy (n = 4), or chondropathia (n = 1). Fourteen self-expanding nitinol stents were placed in the patients under general anesthesia with endoscopical and fluoroscopical guidance. Stent insertion was successful in all cases and led to immediate relief of the morphological and functional airway obstruction. No immediate complications were noted. During the mean follow-up period of 67.5 weeks we observed one recurrent dyspnea 3 months after implantation and granuloma formation at the stent insertion site in another patient. Both complications were successfully treated with additional stent insertion in one case and laser resection of granulomas in the other. Self-expanding nitinol stents should be considered for the treatment of benign proximal tracheal obstruction in selected patients for whom surgical repair is contraindicated.
Sesterhenn
Andreas M
AM
Department of Otolaryngology-Head and Neck Surgery, Philipps University, Marburg, Germany. wagnerh@med.uni-marburg.de
Wagner
Hans-Joachim
HJ
Alfke
Heiko
H
Werner
Jochen A
JA
Lippert
Burkard M
BM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000497:Alloys; D004417:Dyspnea / Q000209:etiology; D005260:Female; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*
D000497:Alloys; C013616:nitinol