Management of tracheobronchial stenoses with endoprostheses: experience with 103 patients and 11 models.
OBJECTIVE
To describe in a retrospective study our experience in endoscopic management of tracheobronchial stenosis with 145 stents (11 different models).


METHODS
We analyzed the medical records of 103 patients (67 males and 36 females) who underwent the placement of prosthesis for any causes of tracheobronchial stenoses between 1990 and 2005.


RESULTS
A total of 145 prostheses were placed. Of these, 96.1% of the patients had a relief of dyspnea, and 73.8% had only one prosthesis. Stent removal and replacement were significantly linked with etiologies (more frequently in patients with an inflammatory component), but not with the type of stent.


CONCLUSIONS
Endostenting is a safe and effective treatment for tracheobronchial stenoses. Removal and replacements were due to etiologies of the strictures, but not to the type of stent. Stenoses with an inflammatory component were prone to iterative stenting. Only benign diseases that are a contra-indication to open surgery should be treated by endoscopic stenting.
Merrot
Olivier
O
Department of Otorhinolaryngology-Head & Neck Surgery, Croix-Rousse Hospital, University Claude Bernard Lyon I, France. olivier.merrot@chu-lyon.fr
Buiret
Guillaume
G
Gleizal
Arnaud
A
Poupart
Marc
M
Pignat
Jean-Christian
JC
D001982:Bronchial Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012189:Retrospective Studies; D015607:Stents; D014135:Tracheal Stenosis / Q000150:complications / Q000601:surgery*