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Titolo:
The use of balloon-expandable metallic stents in the treatment of pediatric tracheomalacia and bronchomalacia
Autore:
Furman, RH; Backer, CL; Dunham, ME; Donaldson, J; Mavroudis, C; Holinger, LD;
Indirizzi:
Univ Illinois, Dept Otolaryngol Head & Neck Surg, Chicago, IL USA Univ Illinois Chicago IL USA olaryngol Head & Neck Surg, Chicago, IL USA Northwestern Univ, Dept Otolaryngol Head & Neck Surg, Chicago, IL 60611 USA Northwestern Univ Chicago IL USA 60611 & Neck Surg, Chicago, IL 60611 USA Childrens Mem Hosp, Dept Cardiothorac Surg, Chicago, IL 60614 USA Childrens Mem Hosp Chicago IL USA 60614 horac Surg, Chicago, IL 60614 USA Childrens Mem Hosp, Dept Radiol, Chicago, IL 60614 USA Childrens Mem HospChicago IL USA 60614 ept Radiol, Chicago, IL 60614 USA
Titolo Testata:
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
fascicolo: 2, volume: 125, anno: 1999,
pagine: 203 - 207
SICI:
0886-4470(199902)125:2<203:TUOBMS>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRACHEOBRONCHIAL STENOSES; SILICONE STENTS; GIANTURCO STENT; AIRWAY STENTS; MANAGEMENT; TRACHEAL; COMPRESSION; OBSTRUCTION; CHILDREN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Holinger, LD ChildrensILem Hosp, Div Otolaryngol, 2300 Childrens Plaza,Box25, Chicago, Childrens Mem Hosp 2300 Childrens Plaza,Box 25 Chicago IL USA60614
Citazione:
R.H. Furman et al., "The use of balloon-expandable metallic stents in the treatment of pediatric tracheomalacia and bronchomalacia", ARCH OTOLAR, 125(2), 1999, pp. 203-207

Abstract

Objective: To evaluate the use of balloon-expandable metallic stents in the treatment of children with tracheomalacia and bronchomalacia in whom conventional therapy has failed. Design: Retrospective case series. Setting: Tertiary pediatric otolaryngology and cardiothoracic surgery referral center. Patients: Six patients were identified as having undergone bronchoscopic placement of metallic balloon-expandable stents between 1994 and 1997. The age at stent placement, prior surgical interventions, and indications for and sites of stent placement were noted, Also, the complications related to stent placement and the current airway status of the patients were reviewed. Interventions: Twelve balloon-expandable metallic angioplasty stents (Palmaz; Johnson & Johnson Interventional Systems Co, Warren, NJ) were placed bronchoscopically in 6 patients. Six stents were placed in the lower trachea,and 6 were placed in the main bronchi. The stents were balloon expanded under fluoroscopic guidance. Main Outcome Measure: Discontinuation of mechanical ventilation. Results: The age at stent placement ranged from 1.5 to 38 months (mean ageat placement, 10 months). The indications for stent placement were (1) tracheomalacia or bronchomalacia, (2) pericardial patch or slide tracheoplastyfailure, and (3) bronchomalacia caused by tetralogy of Fallot and large pulmonary arteries. The primary complication of stent placement was postoperative granulation tissue formation. One patient required the removal of 2 tracheal stents because of granulation tissue formation. There were 2 deaths in the series, 1 possibly related to stent placement. Four of the 6 patients were weaned from mechanical ventilation, and 3 experienced prolonged relief of airway obstruction. Conclusions: Metallic balloon-expandable stents are effective in relievinglower tracheomalacia and bronchomalacia in select patients. Only patients in whom conventional therapy has failed should be considered for stent placement.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 14:35:37