title: Oki stenting for anastomotic bronchomalacia in lung transplantation.
abstract: Anastomotic airway complications are a frequent cause of disease in lung transplantation. However, there is no consensus on the type of treatment to be performed with prosthetic devices. While some recent gadgets such as the Oki stent have been proposed for main right bronchus stenosis, there are no reports of stenting using this prosthesis in cases where the main complication is malacia rather than stenosis. We present 2 patients diagnosed with main right bronchus bronchomalacia, also involving bronchius intermedius. After several attempts to bypass the anastomosis employing different types of stent, including a T-tube Montgomery device, normal sputum drainage was not possible. Oki stenting was performed without complications, with a remarkable reduction in endoscopic procedures as well as important functional improvement. For both stenosis and bronchomalacia in lung transplantation, we propose Oki stenting as the first choice of treatment.
authors.affiliation: Unidad de Trasplante Pulmonar, Hospital Universitario 12 de Octubre, Madrid, Spain lopez.padilla84@gmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: López-Padilla
authors.affiliation: Unidad de Trasplante Pulmonar, Hospital Universitario 12 de Octubre, Madrid, Spain CIBERES, Bunyola, Spain.
authors.forename: Ricardo
authors.initials: R
authors.lastname: García-Luján
authors.affiliation: Unidad de Trasplante Pulmonar, Hospital Universitario 12 de Octubre, Madrid, Spain.
authors.forename: Alicia
authors.initials: A
authors.lastname: de Pablo
authors.affiliation: Unidad de Trasplante Pulmonar, Hospital Universitario 12 de Octubre, Madrid, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: de Miguel Poch
mesh_terms: D001980:Bronchi / Q000601:surgery; D055091:Bronchomalacia / Q000601:surgery*; D001999:Bronchoscopy; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods; D015607:Stents
keywords: Bronchomalacia; Lung transplantation; Stents