Metallic stent and flexible bronchoscopy without fluoroscopy for acute respiratory failure

The European Respiratory Journal
S-M LinH-P Kuo

Abstract

Stent implantation has been reported to facilitate liberation from mechanical ventilation in patients with respiratory failure due to central airway disease. The present retrospective cohort study sought to evaluate the risk and benefit of stent implantation via bronchoscopy without fluoroscopic guidance in mechanically ventilated patients. From July 2001 to September 2006, 26 patients with acute respiratory failure were recruited. A bronchoscope was inserted through a mouth guard into the space between the tracheal wall and the endotracheal tube. A guide wire was inserted via the flexible bronchoscope to the lesion site. The bronchoscope was reintroduced through the endotracheal tube. Under bronchoscopic visualisation, the delivery catheter was advanced over the guide wire to deploy the stent. These procedures were successfully performed in 26 patients, with 22 stents placed in the trachea and seven in the main bronchus. Of the 26 patients, 14 (53.8%) became ventilator independent during their stay in the intensive care unit. Severe pneumonia was the most common cause, in seven (58.3%) out of 12 patients, for continued ventilator dependence after stenting. Granulation tissue formation was found in seven patients during the fol...Continue Reading

Citations

May 23, 2014·Advances in Therapy·Patrick D Mitchell, Marcus P Kennedy
Oct 8, 2013·The Annals of Thoracic Surgery·Nicolas GuibertChristophe Hermant
Sep 21, 2016·The Annals of Thoracic Surgery·Kuruswamy Thurai PrasadRitesh Agarwal
Jan 19, 2018·Expert Review of Respiratory Medicine·Diana H Yu, David Feller-Kopman
Sep 2, 2015·European Respiratory Review : an Official Journal of the European Respiratory Society·Nicolas GuibertChristophe Hermant
Mar 13, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·Nicolas GuibertHervé Dutau

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