title: Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis.
abstract: Introduction.We herein report our experience with new fully covered self-expanding metallic stents in the setting of inoperable recurrent benign tracheobronchial stenosis.Methods.Between May 2010 and July 2014, 21 Micro-Tech® FC-SEMS (Nanjing Co., China). were placed in our hospital in 16 patients for inoperable, recurrent (after dilatation), and symptomatic benign airway stenosis. Their medical files were retrospectively reviewed in December 2014, with focus on stent's tolerance and durability data.Results.Twenty-one stents were inserted: 13 for posttransplant left main bronchus anastomotic stricture, seven for postintubation tracheal stenosis, and one for postlobectomy anastomotic stricture. Positioning was easy for all of them. Stents were in place for a mean duration of 282 days. The most common complications were granulation tissue development (35%), migration (30%), and sputum retention (15%). Fifty-five % of the stents (11/20) had to be removed because of various complications, without difficulty for all of them. None of the patients had life-threatening complications.Conclusion.Micro-Tech FC-SEMS were easy to position and to remove. While the rate of complications requiring stent removal was significant, no life-threatening complication occurred. Further studies are needed to better define their efficacy and safety in the treatment of benign airway disease.
authors: Division of Pulmonology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, Belgium.
authors: Caroline
authors: 0000-0002-8876-5053
authors: C
authors: Dahlqvist
authors: Division of Pulmonology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, Belgium.
authors: Sebahat
authors: S
authors: Ocak
authors: Department of Anaesthesiology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, Belgium.
authors: Maximilien
authors: M
authors: Gourdin
authors: Department of Anaesthesiology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, Belgium.
authors: Anne Sophie
authors: 0000-0001-6738-5601
authors: AS
authors: Dincq
authors: Department of Anaesthesiology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, Belgium.
authors: Laurie
authors: 0000-0003-1322-2641
authors: L
authors: Putz
authors: Division of Pulmonology, CHU UCL Namur (Godinne Site), Université catholique de Louvain (UcL), Yvoir, Namur, Belgium.
authors: Jean-Paul
authors: JP
authors: d'Odémont
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006097:Granulation Tissue; D006801:Humans; D007442:Intubation, Intratracheal; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D011475:Prosthesis Failure; D012189:Retrospective Studies; D000069322:Self Expandable Metallic Stents; D014135:Tracheal Stenosis / Q000601:surgery*; D016896:Treatment Outcome