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Titolo:
Efficacy and tolerance of a new silicone stent for the treatment of benigntracheal stenosis - Preliminary results
Autore:
Vergnon, JM; Costes, F; Polio, JC;
Indirizzi:
Univ Hosp St Etienne, Hop Nord, Dept Chest Dis & Thorac Oncol, St Etienne,France Univ Hosp St Etienne St Etienne France Thorac Oncol, St Etienne,France Univ Hosp St Etienne, Hop Nord, Dept Physiol, GIP Exercise, St Etienne, France Univ Hosp St Etienne St Etienne France GIP Exercise, St Etienne, France Univ Hosp Besancon, Hop St Jacques, Dept Chest Dis, Besancon, France Univ Hosp Besancon Besancon France es, Dept Chest Dis, Besancon, France
Titolo Testata:
CHEST
fascicolo: 2, volume: 118, anno: 2000,
pagine: 422 - 426
SICI:
0012-3692(200008)118:2<422:EATOAN>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOTRACHEAL INTUBATION; SUBGLOTTIC STENOSIS; MANAGEMENT; RESECTION; COMPLICATIONS;
Keywords:
complex tracheal stenosis; silicone stents; stents; therapeutic bronchoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Vergnon, JM CHU St Etienne, Hop Nord, Dept Chest Dis & Thorac Oncol, F-42055 St Etienne 2, France CHU St Etienne St Etienne France 2 2055 St Etienne 2, France
Citazione:
J.M. Vergnon et al., "Efficacy and tolerance of a new silicone stent for the treatment of benigntracheal stenosis - Preliminary results", CHEST, 118(2), 2000, pp. 422-426

Abstract

Study objective: In inoperable patients with tracheal stenosis who are treated using silicone stents, stent migration occurs in 18.6% of cases. To decrease the migration rate, we have designed a new silicone stent with narrow central and larger distal parts. This study analyzes the stability and tolerance of this new stent. Design: Preliminary prospective study conducted in two French university hospitals,Patients: Thirteen inoperable patients with benign complex tracheal stenosis due to intubation or tracheotomy. Interventions: Tracheal stent insertion was performed under general anesthesia with a rigid bronchoscope. The patients were followed up clinically upto stent removal, which was planned at 18 months. Results: Stent insertion or removal was very simple and did not differ from other silicone stents, No migration occurred after a mean follow-up of 22.8 months. Minimal granuloma formation occurred in only one patient (7.7%). Sputum retention remained similar to that with other silicone stents and could be improved by a smoother internal wall. Stents have been removed in seven patients after a mean duration of 19.6 months, with a complete stenosis cure in four cases. Conclusion: This new stent combines the excellent stability of the metallic stents and the tolerance and easy removal of straight silicone stents. This allows a prolonged use in order to obtain curative action.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 22:14:38