Treatment of congenital tracheal stenosis by balloon-expandable metallic stents in paediatric intensive care unit.

Interactive Cardiovascular and Thoracic Surgery
Xuan XuHui Ding

Abstract

The aim of this study was to evaluate the use of balloon-expandable metallic stents in the treatment of children with congenital tracheal stenosis in whom conventional therapy has failed. From 2010 to 2011, balloon-expandable metallic stents were implanted into the trachea of eight infants aged 2-20 months in the paediatric intensive care unit. The infants had severe airway obstruction caused by congenital tracheal stenosis. Tracheal stents were placed after intraluminal balloon dilatation of the tracheal stenosis, inserted with balloon catheters and implanted into the desired position bronchoscopically. The stents were 12 to 29 mm long and 4 mm in diameter. Seven children were relieved of airway obstruction after this procedure. However, a child died due to severe sepsis after the placement of bronchial stents. No granulation tissue developed over the stents in any of the children. Stents have been in place for 1-6 months after insertion without any other complication. Balloon-expandable metallic stents are effective in relieving airway obstruction by congenital tracheal stenosis in children. This technique may provide an important remedy for congenital tracheal stenosis in children.

References

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Apr 5, 2001·Pediatric Pulmonology·T NicolaiK Mantel
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Citations

Dec 3, 2014·Seminars in Pediatric Surgery·Daniel P Ryan, Daniel P Doody
Jun 16, 2016·Seminars in Pediatric Surgery·Juan L Antón-Pacheco
Sep 3, 2013·Clinics in Chest Medicine·Leonardo L DonatoAli I Musani
Jul 23, 2013·American Journal of Medical Genetics. Part a·Noritaka YokooNobuhiko Okamoto
Jul 5, 2015·Archivos de bronconeumología·Carolina SerranoMiguel Angel de Gregorio
Apr 30, 2016·Therapeutic Advances in Respiratory Disease·Xuan XuZhichun Feng
Mar 21, 2019·Journal of the Chinese Medical Association : JCMA·Kao-Hsian HsiehPei-Chen Tsao
Sep 23, 2020·Cardiology in the Young·Yang YangAnxia Jiao
Dec 7, 2018·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Sarah A LuffyThomas W Gilbert

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