Treatment of Benign Tracheal Stenosis Utilizing Self-Expanding Nitinol Stents Tracheal Stenting

Sesterhenn, Andreas M.; Wagner, Hans-Joachim; Alfke, Heiko; Werner, Jochen A.; Lippert, Burkard M.
July 2004
CardioVascular & Interventional Radiology;
We assessed the results of self-expanding metallic stent insertion into benign proximal tracheal stenosis in patients not appropriate or unfit for surgical repair. Proximal benign tracheal stenoses had occurred in 11 patients (7 men, 4 women, mean age 68.8 years) after long-time intubation (n = 6), tracheostomy (n = 4), or chondropathia (n = 1). Fourteen self-expanding nitinol stents were placed in the patients under general anesthesia with endoscopical and fluoroscopical guidance. Stent insertion was successful in all cases and led to immediate relief of the morphological and functional airway obstruction. No immediate complications were noted. During the mean follow-up period of 67.5 weeks we observed one recurrent dyspnea 3 months after implantation and granuloma formation at the stent insertion site in another patient. Both complications were successfully treated with additional stent insertion in one case and laser resection of granulomas in the other. Self-expanding nitinol stents should be considered for the treatment of benign proximal tracheal obstruction in selected patients for whom surgical repair is contraindicated.


Related Articles

  • COMPARISON OF RESORBABLE POLY-L-LACTIC ACID-POLYGLYCOLIC ACID AND INTERNAL PALMAZ STENTS FOR THE SURGICAL CORRECTION OF SEVERE TRACHEOMALACIA. Sewall, Gregory K.; Connor, Nadine P.; Warner, Thomas; Hartig, Gregory K. // Annals of Otology, Rhinology & Laryngology;Jun2003, Vol. 112 Issue 6, p515 

    Tracheomalacia (TM) is associated with expiratory airway collapse and potentially fatal respiratory distress. Internal and external tracheal stents and, recently, resorbable biopolymers have been used to treat this condition. In this study, the efficacy and biocompatibility of internal Palmaz...

  • Outcome of Endoscopic Management of Extensive Laryngotracheal Stenosis. Young-Ho Kim; Seung Jae Baek // Annals of Otology, Rhinology & Laryngology;Dec2006, Vol. 115 Issue 12, p887 

    Objectives: When performing endotracheal intubation or tracheotomy in unconscious patients in emergent situations, one should consider the possibility of the later complication of laryngotracheal stenosis, which can result in difficulties with decannulation. We analyzed the clinical features of...

  • Tracheal Reaction to Three Different Intraluminal Stents in an Animal Model of Tracheomalacia. Weinberg, Mark; Sandbank, Judith; Flumenblit, Yoseph; Klin, Baruch; Vinograd, Itzhak // Journal of Laparoendoscopic & Advanced Surgical Techniques;Jun2005, Vol. 15 Issue 3, p333 

    Three different internal airway stents were studied in an animal model of tracheomalacia: the Palmaz stent (Johnson & Johnson, Warren, New Jersey) and the NIR stent (Medinol Ltd., Tel Aviv, Israel)� both made of stainless steel in the form of tubular mesh�and the Nitinol stent, made of...

  • Adult-onset iatrogenic tracheomalacia. Chang, Christopher Y.; Thomas, James P. // ENT: Ear, Nose & Throat Journal;Jun2008, Vol. 87 Issue 6, p312 

    The article focuses on the case of a 55-year-old man who complains that he was not able to blow his nose. Results of fiberoptic tracheoscopy found a deformity at the second and third tracheal rings, which were V-shaped rather than arch-shaped. It states that the case involved a complication of...

  • Tracheostomal stenosis clinical risk factors in patients who have undergone total laryngectomy and adjuvant radiotherapy. De Virgilio, Armando; Greco, Antonio; Gallo, Andrea; Martellucci, Salvatore; Conte, Michela; de Vincentiis, Marco // European Archives of Oto-Rhino-Laryngology;Nov2013, Vol. 270 Issue 12, p3187 

    Adjuvant chemotherapy, advanced age, smoking, cardiopathies, diabetes, local infections, impaired immunocompetence, and malnutrition are potential cofactors in the genesis of aberrant wound healing and may thus play an important role in the genesis of tracheostomal stenosis. The aim of the study...

  • Composite hyoid-sternohyoid graft in the correction of established subglottic stenosis. Freeland, A. P. // Journal of the Royal Society of Medicine;Oct1981, Vol. 74 Issue 10, p729 

    A new technique for the treatment of subglottic stenosis is reported. A composite hyoid bone with sternohyoid muscle graft is used to replace the anterior arch of the cricoid, combined with a vertical split of the posterior lamina of the cricoid. Internal splinting is maintained with a Silastic...

  • Treatment of Benign and Malignant Tracheobronchial Obstruction with Metal Wire Stents: Experience with a Balloon-Expandable and a Self-Expandable Stent Type Treatment of Tracheobronchial Obstruction. Rieger, Johannes; Hautmann, Hubert; Linsenmaier, Ulrich; Weber, Cristoph; Treitl, Markus; Huber, Rudolf Maria; Pfeifer, Klaus-Jürgen // CardioVascular & Interventional Radiology; 

    Over the last few years various types of metal wire stents have been increasingly employed in the treatment of both malignant and benign tracheobronchial obstruction. To date, however, few studies have investigated the in vivo properties of different stent types. We implanted 26...

  • Tracheal Non-Hodgkin's Lymphoma Masquerading as Benign Granulation Tissue: A Report of Two Cases. Gill, Matthew T.; Cotelingam, James D.; Lowery-Nordberg, Mary; Nathan, Cherie-Ann O. // Annals of Otology, Rhinology & Laryngology;Jul2010, Vol. 119 Issue 7, p431 

    Primary trachéal non-Hodgkin's lymphoma (NHL) is rare, with fewer than 30 cases reported to date. We review the clinical presentation, evaluation, and treatment of 2 cases of trachea! NHL mimicking granulation tissue. The first patient was a 67-year-old man with myelodysplastic syndrome and...

  • Do airway metallic stents for benign lesions confer too costly a benefit? Chan, Andrew L.; Juarez, Maya M.; Allen, Roblee P.; Albertson, Timothy E. // BMC Pulmonary Medicine;2008, Vol. 8, Special section p1 

    Background: The use of self-expanding metallic stents (SEMAS) in the treatment benign airway obstruction is controversial. Methods: To evaluate the safety and efficacy of SEMAS for this indication, we conducted a 10-year retrospective review at our tertiary medical centre. Results: Using...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics