世界支气管学和介入肺病学协会(WABIP)关于良性中央气道阻塞的气道支架置入术指南。

IF 6.6 2区 医学 Q1 RESPIRATORY SYSTEM
Respirology Pub Date : 2025-06-27 DOI:10.1111/resp.70068
Udit Chaddha, Abhinav Agrawal, Septimiu Murgu, Uzair Ghori, Pere Trias-Sabria, Rosamaria Ortiz-Comino, Herve Dutau, Lutz Freitag, Stefano Gasparini, Pyng Lee, Christophe Dooms, Rocco Trisolini, Maria Lucia L Madariaga, Shuben Li, Lina Zuccatosta, Felix Herth, Hideo Saka, David Fielding, Masahide Oki, Antoni Rosell
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引用次数: 0

摘要

良性中央气道阻塞(BCAO)相关狭窄包括气管插管后气管狭窄、气管造口后气管狭窄、手术后或吻合口狭窄、炎症性疾病或感染性疾病相关狭窄、化学损伤或放疗后狭窄。由于缺乏指导,不同中心针对每种独特情况的气道支架置入技术和阈值差异很大。由于数据的缺乏,气道支架放置后的处理也存在类似的知识空白。本文旨在通过解决与BCAO中气道支架术相关的问题来解决这些知识空白。由来自12个国家19个机构的20名专家组成的多学科国际小组在BCAO中具有丰富的气道支架术经验,并通过世界支气管学和介入性肺学协会(WABIP)召开会议,作为本指南文件的一部分。对8个临床相关PICO问题进行文献检索。针对这些问题的建议是通过一个系统的过程制定的,该过程涉及对已发表证据的评估,必要时辅以专家经验。该小组使用改进的德尔菲技术参与了最后建议的制定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
World Association for Bronchology and Interventional Pulmonology (WABIP) Guidelines on Airway Stenting for Benign Central Airway Obstruction.

Benign central airway obstruction (BCAO) related strictures include post-intubation tracheal stenosis, post-tracheostomy tracheal stenosis, post-surgical or anastomotic stenosis, stenosis related to inflammatory disorders or infectious disorders, chemical injury or post radiotherapy. Techniques and thresholds for airway stenting for each of these unique conditions vary significantly across centres due to lack of guidance. The management of the airway stents once placed due to scarcity of data also has a similar knowledge void. This document aims to address these knowledge gaps by addressing relevant questions related to airway stenting in BCAO. A multidisciplinary, international group of 20 experts from 19 institutions across 12 countries with extensive experience in airway stenting in BCAO was convened as part of this guideline document through the World Association of Bronchology and Interventional Pulmonology (WABIP). A literature search was performed for reports addressing eight clinically relevant PICO questions. Recommendations addressing these questions were formulated using a systematic process involving the evaluation of published evidence, supplemented with expert experience when necessary. The panel participated in the development of the final recommendations using a modified Delphi technique.

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来源期刊
Respirology
Respirology 医学-呼吸系统
CiteScore
10.60
自引率
5.80%
发文量
225
审稿时长
1 months
期刊介绍: Respirology is a journal of international standing, publishing peer-reviewed articles of scientific excellence in clinical and clinically-relevant experimental respiratory biology and disease. Fields of research include immunology, intensive and critical care, epidemiology, cell and molecular biology, pathology, pharmacology, physiology, paediatric respiratory medicine, clinical trials, interventional pulmonology and thoracic surgery. The Journal aims to encourage the international exchange of results and publishes papers in the following categories: Original Articles, Editorials, Reviews, and Correspondences. Respirology is the preferred journal of the Thoracic Society of Australia and New Zealand, has been adopted as the preferred English journal of the Japanese Respiratory Society and the Taiwan Society of Pulmonary and Critical Care Medicine and is an official journal of the World Association for Bronchology and Interventional Pulmonology.
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