Malignant Esophageal-Tracheobronchial Strictures: Parallel Placement of Covered Retrievable Expandable Nitinol Stents

Purpose: To assess the safety and clinical effectiveness of the parallel placement of covered retrievable expandable metallic stents in the palliative treatment of malignant esophageal and tracheobronchial strictures. Material and Methods: Under fluoroscopic guidance, parallel stents were placed in...

Full description

Saved in:
Bibliographic Details
Published in:Acta radiologica (1987) 2006-02, Vol.47 (1), p.3-9
Main Authors: Nam, D. H., Shin, J. H., Song, H.-Y., Jung, G.-S., Han, Y.-M.
Format: Article
Language:English
Subjects:
Adult
Aged
Alloys - therapeutic use
Biological and medical sciences
Bronchial Diseases - etiology
Bronchial Diseases - mortality
Bronchial Diseases - therapy
Constriction, Pathologic - etiology
Constriction, Pathologic - mortality
Constriction, Pathologic - therapy
Esophageal Fistula - etiology
Esophageal Fistula - therapy
Esophageal Stenosis - etiology
Esophageal Stenosis - mortality
Esophageal Stenosis - therapy
Esophagus
Esophagus - diagnostic imaging
Esophagus - surgery
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Head and Neck Neoplasms - complications
Humans
Lung Neoplasms - complications
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Palliative Care - methods
Postoperative Complications
Radiography
Retrospective Studies
Stents - adverse effects
Survival Rate
Trachea - diagnostic imaging
Trachea - surgery
Tracheal Stenosis - etiology
Tracheal Stenosis - mortality
Tracheal Stenosis - therapy
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose: To assess the safety and clinical effectiveness of the parallel placement of covered retrievable expandable metallic stents in the palliative treatment of malignant esophageal and tracheobronchial strictures. Material and Methods: Under fluoroscopic guidance, parallel stents were placed in 12 symptomatic patients with both malignant esophageal and tracheobronchial strictures. Seven of these 12 patients also had an esophagorespiratory fistula (ERF) and one patient had an esophagocutaneous fistula. Technical success, clinical improvement, complications, and survival rates were evaluated. Results: A total of 28 esophageal and airway stents were successfully placed. The grade of dysphagia and dyspnea score significantly decreased after stent placement (P = 0.002 and 0.003, respectively). ERF and esophagocutaneous fistula were sealed off in all eight patients after esophageal stent placement; however, the esophagocutaneous fistula reopened 1 month later. Complications included stent migration or expectoration (n = 3), tracheal compression by the esophageal stent (n = 3), new fistula development due to covering membrane degradation of the esophageal stent (n = 1), and symptomatic sputum retention (n = 1). Stent removal was easily performed for two stents; one migrated stent and the other with covering membrane degradation. All 12 patients died within the mean survival period of 72.50 days (range 7-375 days). Conclusion: Parallel placement of covered retrievable expandable metallic stents is safe and effective for the palliative treatment of malignant esophageal and tracheobronchial strictures.
ISSN:0284-1851
1600-0455
DOI:10.1080/02841850500334989