Safety and efficacy of airway stent placement following bronchial artery embolization: A retrospective study at a single institute

IF 2.4 Q2 RESPIRATORY SYSTEM
Yuki Takigawa , Ken Sato , Kenichiro Kudo , Tomoyoshi Inoue , Miho Fujiwara , Suzuka Matsuoka , Hiromi Watanabe , Akiko Sato , Takashi Mukai , Keiichi Fujiwara
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引用次数: 0

Abstract

Background

Airway stenting is an established procedure for treating oncological emergencies in patients with airway disorders. In patients with airway hemorrhage, respiratory conditions may worsen during stenting. Bronchial artery embolization (BAE) is useful to prevent bleeding from the bronchus. We aimed to evaluate the efficacy and safety of airway stenting after BAE in patients with malignant airway disorders.

Methods

The medical records of all patients who underwent airway stenting following BAE at the National Hospital Organization Okayama Medical Center between 2016 and 2023 were retrospectively reviewed.

Results

Thirteen procedures (11 silicone Y stents, one hybrid stent, and one self-expandable metallic stent) were performed. The median duration from BAE to airway stenting was one day (range: 1–5 days). Nine patients experienced tumor shrinkage, and none experienced severe bleeding after BAE during the stent procedure. No other major complications were associated with the stent placement. The median survival time after stenting was 169 days (range; 24–1086). No serious complications caused by BAE, such as spinal cord infarction, were observed.

Conclusions

Airway stent placement was safely performed after BAE without severe bleeding or acute respiratory failure. BAE, followed by airway stenting, is useful.

支气管动脉栓塞术后气道支架置入的安全性和有效性:一家研究所的回顾性研究。
背景:气道支架植入术是治疗气道疾病患者肿瘤急症的既定程序。气道出血患者在支架植入过程中呼吸状况可能会恶化。支气管动脉栓塞(BAE)可有效防止支气管出血。我们旨在评估恶性气道疾病患者 BAE 后气道支架植入术的有效性和安全性:方法:回顾性审查了2016年至2023年间在国立医院组织冈山医疗中心接受BAE术后气道支架植入术的所有患者的病历:结果:共进行了13例手术(11例硅胶Y型支架、1例混合型支架和1例自膨胀金属支架)。从 BAE 到气道支架植入的中位时间为一天(范围:1-5 天)。九名患者的肿瘤缩小,没有人在 BAE 支架术后出现严重出血。支架置入过程中未出现其他重大并发症。支架植入后的中位生存时间为 169 天(范围:24-1086 天)。未观察到 BAE 引起的脊髓梗死等严重并发症:结论:在 BAE 之后安全地进行了气道支架置入术,未出现严重出血或急性呼吸衰竭。在 BAE 之后进行气道支架置入术是非常有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Respiratory investigation
Respiratory investigation RESPIRATORY SYSTEM-
CiteScore
4.90
自引率
6.50%
发文量
114
审稿时长
64 days
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