Results of interventional bronchoscopy in the management of postoperative tracheobronchial stenosis

The Journal of Thoracic and Cardiovascular Surgery
Byeong-Ho JeongJhingook Kim

Abstract

To investigate the role of bronchoscopic intervention in the management of postoperative tracheobronchial stenosis, a retrospective study was performed at a tertiary referral hospital. Thirty patients who underwent 106 bronchoscopic interventions between January 2000 and July 2010, including ballooning, bouginage, Nd:YAG laser resection, and stent insertion, were included and followed up for a median of 34 months. Silicone stents were required in 19 of 30 patients (63%) to maintain airway patency. Bronchoscopic intervention provided improvement of dyspnea in 97% of the patients. After airway stabilization, the stents were removed successfully in 7 of 19 patients (37%) a median of 7 months after insertion. In 3 patients (10%), the intervention failed to widen the airway. There were no procedure-related deaths or cases of pneumonia, although additional interventions were needed in 9 patients (30%) within 30 days. Stent-related late complications (70%), such as restenosis (43%), overgrowth of granulation tissue (33%), stent migration (32%), mucostasis (30%), and malacia after stent removal (16%), were controllable at follow-up bronchoscopy. Bronchoscopic intervention could be a useful treatment modality for patients with postopera...Continue Reading

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Citations

Jun 24, 2014·Seminars in Thoracic and Cardiovascular Surgery·Adnan Mohamad Al-Ayoubi, Faiz Yahya Bhora
Feb 14, 2014·The Journal of Thoracic and Cardiovascular Surgery·Wolfgang GesierichRonald Sroka
Oct 22, 2016·Respirology : Official Journal of the Asian Pacific Society of Respirology·Beomsu ShinHojoong Kim
Jun 8, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Cengiz ÖzdemirLevent Dalar
Apr 20, 2017·Biomechanics and Modeling in Mechanobiology·Donnacha J McGrathPeter E McHugh
Jan 8, 2014·Experimental and Therapeutic Medicine·Hengyi ChenYong He
Nov 28, 2017·Biomechanics and Modeling in Mechanobiology·Donnacha J McGrathPeter E McHugh
Apr 2, 2019·Oncology Letters·Jin-Mu NiuTing Wang

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