title: A fast placement technique for covered tracheobronchial stents in patients with complicated esophagorespiratory fistulas.
abstract: OBJECTIVE
  To test an endotracheal placement procedure for malignant esophagorespiratory fistula when endoesophageal placement is inapplicable.
  
  
  METHODS
  We report on patients with malignant esophagorespiratory fistula to which endoesophageal approaches were complicated with a complete obstruction of the hypopharynx, a collapsible tracheobronchus, or a previously placed endoesophageal stents. Gore-Tex membrane-covered Z-stents were deployed in the trachea using a coaxial introducer system in three patients. A Dumon tube was deployed in the bronchus over the bronchofiberscope in one patient.
  
  
  RESULTS
  All fistula were completely sealed by the endotracheal or endobronchial stenting. Symptomatic and clinical improvements were immediate obtained.
  
  
  CONCLUSIONS
  Endotracheal or endobronchial covered stent placement is thought to be an effective alternative method for sealing esophagorespiratory fistula.
authors: Department of Radiology, Wakayama Medical College, Kimiidera 811-1, Wakayama City, 641-0012, Japan. kkishi@wakayama-med.ac.jp
authors: Kazushi
authors: K
authors: Kishi
authors: Taisei
authors: T
authors: Nakao
authors: Hironobu
authors: H
authors: Goto
authors: Masashi
authors: M
authors: Kimura
authors: Tetsuo
authors: T
authors: Sonomura
authors: Noboru
authors: N
authors: Yamanaka
authors: Kishio
authors: K
authors: Nanjo
authors: Morio
authors: M
authors: Sato
mesh_terms: D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D015607:Stents; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome