title: Treatment of bronchus intermedius stenosis in lung transplantation with Montgomery T-tube stent. A novel technique.
abstract: Airway complications after lung transplant are relatively common although the rates vary according to the different studies. Pathogenesis is diverse but the principal mechanism is usually bronchus intermedius ischemia in the post-transplant period. One major complication is bronchial stenosis, with relatively frequent involvement of the bronchus intermedius in the case of right lung transplantation. Various treatments have been proposed for bronchus intermedius stenosis, such as endobronchial balloon dilation, laser, cryosurgery and bronchial stents. We present two cases of lung transplant recipients with bronchus intermedius stenosis treated with a Montgomery stent or T-stent, commonly used for tracheal stenosis, who showed positive clinical and functional response.
authors.affiliation: Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: ejpr1@hotmail.com.
authors.forename: Javier
authors.initials: J
authors.lastname: Pinillos Robles
authors.affiliation: Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: Ricardo
authors.initials: R
authors.lastname: García Luján
authors.affiliation: Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: Alicia
authors.initials: A
authors.lastname: de Pablo Gafas
authors.affiliation: Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: Eduardo
authors.initials: E
authors.lastname: de Miguel Poch
mesh_terms: D001982:Bronchial Diseases / Q000209:etiology / Q000601:surgery*; D055091:Bronchomalacia / Q000175:diagnosis / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D008172:Lung Diseases, Fungal / Q000188:drug therapy; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D015607:Stents; D013530:Surgical Wound Infection / Q000188:drug therapy
keywords: Bronchial stenosis; Bronchomalacia; Broncomalacia; Estenosis bronquial; Lung transplantation; Trasplante pulmonar