Bronchoscopic management of iatrogenic tracheal laceration using polyurethane-covered nitinol tracheal stents.
Iatrogenic tracheal laceration is a known complication of emergent endotracheal intubation. Patients with tracheal laceration present a therapeutic challenge. There is no established standard treatment approach in this patient population. Interventions reported include conservative management, stent placement, or surgery. We present our experience of tracheal tears in patients with respiratory failure successfully managed with polyurethane-covered nitinol stent, including three cases of postintubation and one case of postsurgical tracheostomy tracheal injury.
From Kettering Medical Center, Dayton, Ohio (E.H.); Wakemed Health and Hospitals, Raleigh, North Carolina (V.P.); and Virginia Commonwealth University, Richmond, Virginia (R.W.S., S.S.).
Ehab
E
Hussein
Vikas
V
Pathak
Ray Wesley
RW
Shepherd
Samira
S
Shojaee
D000368:Aged; D000497:Alloys; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D022125:Lacerations / Q000628:therapy*; D008875:Middle Aged; D011140:Polyurethanes; D015607:Stents; D014132:Trachea / Q000293:injuries*
D000497:Alloys; D011140:Polyurethanes; C013616:nitinol