Polyflex™ stenting of tracheomalacia after surgery for congenital tracheal stenosis

被引:11
作者
Tibballs, James
Fasulakis, Stephen
Robertson, Colin F.
Berkowitz, Robert G.
Massie, John
Brizard, Christian
Rose, Elizabeth
Bekhit, Elhamy
Eyres, Robert
Ragg, Philip
机构
[1] Royal Childrens Hosp, Dept Intens Care, Parkville, Vic 3052, Australia
[2] Royal Childrens Hosp, Dept Radiol, Melbourne, Vic, Australia
[3] Royal Childrens Hosp, Dept Resp Med, Melbourne, Vic, Australia
[4] Royal Childrens Hosp, Dept Otolaryngol, Melbourne, Vic, Australia
[5] Royal Childrens Hosp, Dept Cardiac Surg, Melbourne, Vic, Australia
[6] Royal Childrens Hosp, Dept Anaesthesia, Melbourne, Vic, Australia
关键词
stent; tracheal stenosis; child;
D O I
10.1016/j.ijporl.2006.07.026
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Polyflex(TM) self-expanding stents (Rusch, Germany) were used in three young children who had presented with life-threatening long-segment tracheal stenosis with bronchial stenosis in two cases. Two children had slide tracheoplasties and subsequently aortic homografts and another tracheal resection and autotracheoplasty. However, in all cases persistent tower tracheal malacia necessitated stenting. Complications of granuloma, stent migration or dislodgement occurred in all cases. A fatal tracheo-aortic fistula occurred in one child. Granuloma in one was treated successfully with steroids. One child survives. (C) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:159 / 163
页数:5
相关论文
共 13 条
[1]   Repair of congenital tracheal stenosis with a free tracheal autograft [J].
Backer, CL ;
Mavroudis, C ;
Dunham, ME ;
Holinger, LD .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 115 (04) :869-874
[2]   Use of studded polyflex™ stents in patients with neoplastic obstructions of the central airways [J].
Bolliger, CT ;
Breitenbuecher, A ;
Brutsche, M ;
Heitz, M ;
Stanzel, F .
RESPIRATION, 2004, 71 (01) :83-87
[3]   Evaluation of a new self-expandable silicone stent in an experimental tracheal stenosis [J].
Bolliger, CT ;
Wyser, C ;
Wu, XR ;
Hauser, R ;
Studer, W ;
Dalquen, P ;
Perruchoud, AP .
CHEST, 1999, 115 (02) :496-501
[4]   Carotid artery patch plasty as a last resort repair for long-segment congenital tracheal stenosis [J].
Dodge-Khatami, A ;
Nijdam, NC ;
Broekhuis, E ;
von Rosenstiel, IA ;
Dahlem, PG ;
Hazekamp, MG .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (04) :826-828
[5]   The management of congenital tracheal stenosis [J].
Elliott, M ;
Roebuck, D ;
Noctor, C ;
McLaren, C ;
Hartley, B ;
Mok, Q ;
Dunne, C ;
Pigott, N ;
Patel, C ;
Patel, A ;
Wallis, C .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2003, 67 :S183-S192
[6]   The role of airway stents in the management of pediatric tracheal, carinal, and bronchial disease [J].
Jacobs, JP ;
Quintessenza, JA ;
Botero, LM ;
van Gelder, HM ;
Giroud, JM ;
Elliott, MJ ;
Herberhold, C .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2000, 18 (05) :505-511
[7]   Metaplastic transformation of an aortic autograft into a tracheal tissue. Surgical implications [J].
Martinod, E ;
Zakine, G ;
Fornes, P ;
Zegdi, R ;
d'Audiffret, A ;
Aupecle, B ;
Goussef, N ;
Azorin, J ;
Chachques, JC ;
Fabiani, JN ;
Carpentier, A .
COMPTES RENDUS DE L ACADEMIE DES SCIENCES SERIE III-SCIENCES DE LA VIE-LIFE SCIENCES, 2000, 323 (05) :455-460
[8]  
Natarajan A, 2005, ANAESTHESIA, V60, P208, DOI 10.1111/j.1365-2044.2004.04102.x
[9]   Review of pediatric airway malacia and its management, with emphasis on stenting [J].
Pillai, JB ;
Smith, J ;
Hasan, A ;
Spencer, D .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2005, 27 (01) :35-44
[10]   Long-term safety and tolerance of silicone and self-expandable airway stents: An experimental study [J].
Puma, F ;
Farabi, R ;
Urbani, M ;
Santoprete, S ;
Daddi, N ;
Di Meo, A ;
Gialletti, R ;
Tocchi, A ;
Daddi, G .
ANNALS OF THORACIC SURGERY, 2000, 69 (04) :1030-1034