title: [Iatrogenic tracheal stenosis in patients with COPD: a medico-surgical challenge].
abstract: This study analyzes a series of iatrogenic tracheal stenosis occurring in patients with COPD exacerbation which required oro-tracheal intubation. The tracheal stenosis occurred on average after 24 days of intubation and were clinically severe. Treatment algorithm first included bronchoscopic interventional techniques with an immediate success rate of 37%, but the results were unstable in time, requiring tracheal stenting. The surgical approach, which generally is the first choice in the treatment of tracheal stenosis, had discouraging results in these patients, with a low rate of success (20%) and an increased incidence of restenosis. The only solution for those postoperative complications was, again, interventional bronchoscopy. In conclusion, while for various other etiologies of tracheal stenosis the surgical resection is the first choice of treatment, in COPD patients interventional bronchoscopy often remains the only way of solving.
authors.affiliation: Institutul de Pneumologie Marius Nosta-Bucureşti. dr_emilia_crisan@yahoo.com
authors.forename: Emilia
authors.initials: E
authors.lastname: Crişan
authors.forename: Alina
authors.initials: A
authors.lastname: Croitoru
authors.forename: Ruxandra
authors.initials: R
authors.lastname: Ulmeanu
authors.forename: Mihai
authors.initials: M
authors.lastname: Alexe
authors.forename: Ioan
authors.initials: I
authors.lastname: Cordoş
authors.forename: Nicolae
authors.initials: N
authors.lastname: Galie
authors.forename: Codin
authors.initials: C
authors.lastname: Saon
authors.forename: Cristian
authors.initials: C
authors.lastname: Paleru
authors.forename: Genoveva
authors.initials: G
authors.lastname: Cadar
authors.forename: Radu
authors.initials: R
authors.lastname: Stoica
authors.forename: Iolanda
authors.initials: I
authors.lastname: Ion
mesh_terms: D001999:Bronchoscopy; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000628:therapy; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects*; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery* / Q000628:therapy; D016896:Treatment Outcome