title: Deployment of self-expanding metallic stents under fluoroscopic guidance in patients with malignant esophagorespiratory fistula.
abstract: OBJECTIVE
  Stent deployment for the treatment of ERFs is typically performed under endoscopic guidance. Our aim was to evaluate self-expanding metallic stent placement under fluoroscopic guidance.
  
  
  METHODS
  The records of six patients who underwent self-expanding metallic stent placement under fluoroscopic guidance for the treatment of ERFs were reviewed. Technical data of the procedures, complications, and associated morbidity were recorded. The main outcome measures were dysphagia score, KPS, and survival.
  
  
  RESULTS
  Stents were successfully inserted in all 6 patients without complications, and all procedures were completed within 15 minutes. The mean dysphagia score was 4 +/- 0 before treatment and 1.2 +/- 0.8 one week after stent placement. The mean KPS increased significantly from 28.0 +/- 9.8 before stent placement to 58.3 +/- 16.0 one week after placement (p = 0.001). For the patients who had KPS < or =50 one week after the surgery, the survival period was relatively short (mean, 37 days). For the patients who had KPS > or =60 one week after the surgery, the mean survival period was 192 days.
  
  
  CONCLUSIONS
  Self-expanding metallic stent placement can be performed safely and quickly under fluoroscopic guidance alone.
authors.affiliation: Department of Cardiothoracic Surgery, Hua Shan Hospital, Fudan University, Shang Hai, China.
authors.forename: Ji
authors.initials: J
authors.lastname: Chen
authors.forename: Zhi Ming
authors.initials: ZM
authors.lastname: Chen
authors.forename: Lie Wen
authors.initials: LW
authors.lastname: Pang
authors.forename: Yong Jun
authors.initials: YJ
authors.lastname: Zhu
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
authors.forename: Qing Yun
authors.initials: QY
authors.lastname: Ma
authors.forename: Feng
authors.initials: F
authors.lastname: Miao
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D016156:Respiratory Tract Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D015996:Survival Rate; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D008670:Metals