PMID: 7540442Mar 1, 1995Paper

Treatment of malignant esophagorespiratory fistulas with silicone-covered metallic Z stents

Journal of Vascular and Interventional Radiology : JVIR
R R SaxonJ Rosch

Abstract

To prospectively evaluate the clinical efficacy of covered metallic Z stents in the treatment of esophagorespiratory fistulas (ERFs). Twelve patients with severe aspiration symptoms from malignant ERFs were treated with silicone-covered, metallic, self-expanding Gianturco-Rösch Z (GRZ) stents. Fluoroscopically guided stent placement was successful and well tolerated in all patients. Immediate postprocedural endoscopy and esophagography showed excellent coverage of the fistulas in all cases. Aspiration symptoms were completely relieved in eight of 12 patients (67%). Four of 12 patients (33%) were improved and able to eat a soft diet. There were no stent-related deaths. Nine patients have died and three patients are alive. Mean follow-up for the entire group was 3.9 months (range, 1 week to 10.5 months). Nonfatal complications occurred in three of 12 patients (25%). Complications included one membrane disruption and one granulomatous reaction with a slight upward stent migration. GRZ stents are an effective and safe means of palliation in patients with malignant esophagorespiratory fistulas.

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Citations

Jun 4, 2010·Cardiovascular and Interventional Radiology·Konstantinos KatsanosAndreas Adam
Dec 16, 1998·Cardiovascular and Interventional Radiology·P L Scott-MackieA Adam
Dec 1, 1996·Clinical Radiology·B S TanA Adam
Sep 23, 2009·AJR. American Journal of Roentgenology·Kyung Rae KimKyu-Bo Sung
Oct 27, 2004·AJR. American Journal of Roentgenology·Chang Jin YoonKyu-Bo Sung
Apr 5, 2001·Journal of Vascular and Interventional Radiology : JVIR·R Morgan, A Adam
May 1, 1997·Gastrointestinal Endoscopy·S J Shields
Nov 26, 2010·Journal of Vascular and Interventional Radiology : JVIR·Jin Hyoung KimTae-Sun Shim
Mar 2, 2010·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Hoon ShinHo-Young Song
May 28, 2005·Neurosurgery·Timo KringsArmin Thron
Apr 13, 2006·World Journal of Gastroenterology : WJG·Efthimios Eleftheriadis, Katerina Kotzampassi
Jun 6, 2017·Journal of Korean Medical Science·Kun Yung KimJung Hoon Park

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