title: Self-expanding y stent for the treatment of malignant tracheobronchial stenosis. Retrospective study.
abstract: Palliation of malignant tracheobronchial stenosis is challenging. Published experience with self-expanding Y-shaped stents is limited and it seems necessary to evaluate whether they improve clinical results with respect to alternative prostheses. We present a retrospective case series of 20 consecutive patients with malignant tracheobronchial stenosis that underwent placement of a single-unit, Y-shaped covered metallic stent. Outcomes were: safety of the procedure, palliation of dyspnea, complications, and survival. All stents were safely and easily placed using a rigid tracheoscope within 24hours of admission. Dyspnea was effectively palliated in all patients, and no early or late adverse stent-related events were observed. Thirty-day mortality was 40%. Median survival was 12.2 weeks. Placement of Y-shaped self-expanding stents is a safe and effective procedure for the palliation of malignant tracheobronchial stenosis, and is currently our stent of choice for this subgroup of patients.
authors.affiliation: Department of Thoracic Surgery, Niguarda Hospital, Milán, Italia. Electronic address: serena.conforti@ospedaleniguarda.it.
authors.forename: Serena
authors.initials: S
authors.lastname: Conforti
authors.affiliation: Department of Thoracic Surgery, Niguarda Hospital, Milán, Italia.
authors.forename: Sava
authors.initials: S
authors.lastname: Durkovic
authors.affiliation: Department of Thoracic Surgery, Niguarda Hospital, Milán, Italia.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Rinaldo
authors.affiliation: Department of Cardiopulmonary Anaesthesiologia, Niguarda Hospital, Milán, Italia.
authors.forename: Maria Pia
authors.initials: MP
authors.lastname: Gagliardone
authors.affiliation: Department of Cardiopulmonary Anaesthesiologia, Niguarda Hospital, Milán, Italia.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Montorsi
authors.affiliation: Department of Thoracic Surgery, Niguarda Hospital, Milán, Italia.
authors.forename: Massimo
authors.initials: M
authors.lastname: Torre
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D001982:Bronchial Diseases / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D001984:Bronchial Neoplasms / Q000150:complications / Q000556:secondary*; D001999:Bronchoscopy; D002277:Carcinoma / Q000150:complications*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery / Q000628:therapy; D004867:Equipment Design; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods; D015641:Radiography, Interventional; D012189:Retrospective Studies; D015607:Stents; D014134:Tracheal Neoplasms / Q000150:complications / Q000556:secondary*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery / Q000628:therapy*
keywords: Broncoscopia; Endobronchial stent; Estenosis traqueobronquial; Stent endobronquial; Tracheobronchial stenosis