放置自膨胀分叉金属支架,不使用透视和导丝引导缓解中央气道病变。

IF 2.3
Multidisciplinary Respiratory Medicine Pub Date : 2016-04-30 eCollection Date: 2016-01-01 DOI:10.1186/s40248-016-0052-5
Cengiz Özdemir, Sinem Nedime Sökücü, Levent Karasulu, Seda Tural Önür, Levent Dalar
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引用次数: 11

摘要

背景:自膨胀金属支架(SEMS)可用于治疗中央气道恶性阻塞和瘘管。SEMS可以用不同的方法放置。最近,刚性支气管镜已被用于支架置入而不需要透视。我们回顾性评估了使用刚性支气管镜放置SEMS的患者,没有使用导丝或透视。我们描述了该方法的手术内和手术后并发症。方法:对2014年1月~ 2015年7月收集的资料进行回顾性分析,并参考医院病历资料。结果:14例患者平均年龄58.14±8.48岁(44 ~ 72岁),男性13例。其中12例为肺癌,1例为甲状腺乳头状癌伴支气管纵隔瘘,1例为食管癌伴气管食管瘘。所有患者均放置有盖金属y形支架。放置前,2例患者行氩等离子凝固,4例患者行二极管激光治疗,9例患者行清除梗阻。未发现手术相关死亡率。只有两名患者需要在重症监护室随访;两天后,他们被转移到普通病房。没有患者需要更换支架或重新定位。最常见的早期并发症是粘液塞。结论:有盖自膨胀金属支架支气管内置入术对气道梗阻患者安全易行。不需要透视或导丝引导。病人和工作人员都没有暴露在辐射中,也不需要昂贵的导丝引导。这个过程是划算的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions.

Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions.

Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions.

Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions.

Background: Self-expandable metallic stents (SEMS) can be used to treat malignant obstructions and fistulas of the central airways. SEMS can be placed using different methods. Recently, a rigid bronchoscope has been used for stent placement without the need for fluoroscopy. We retrospectively evaluated patients for whom SEMS were placed using a rigid bronchoscope, without employing guidewires or fluoroscopy. We describe the intra- and post-procedural complications of the method.

Methods: Data collected between January 2014 and July 2015 were retrospectively evaluated by reference to hospital records.

Results: The mean patient age was 58.14 ± 8.48 years (44-72 years) and 13 out of the 14 patients were male. Twelve had lung cancer, one a thyroid papillary carcinoma with a bronchomediastinal fistula, and one an esophageal carcinoma with a tracheoesophageal fistula. Covered metallic Y-shaped stents were placed in all patients. Before placement, argon plasma coagulation was performed on two patients, diode laser treatment on four, and de-obstruction on nine. No procedure-related mortality was noted. Only two patients required follow-up in the intensive care unit; they were moved to a regular ward after two days. No patient required stent replacement or repositioning. The most common early complication was mucus plugs.

Conclusion: Endobronchial placement of covered self-expandable metallic stents was safe and readily performed in patients with airway obstructions. Neither fluoroscopic nor guidewire guidance was required. Neither patients nor staff were exposed to radiation, and costly guidewire guidance was not necessary. The procedure is cost-effective.

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来源期刊
Multidisciplinary Respiratory Medicine
Multidisciplinary Respiratory Medicine Medicine-Pulmonary and Respiratory Medicine
自引率
0.00%
发文量
23
期刊介绍: Multidisciplinary Respiratory Medicine is the official journal of the Italian Respiratory Society - Società Italiana di Pneumologia (IRS/SIP). The journal publishes on all aspects of respiratory medicine and related fields, with a particular focus on interdisciplinary and translational research. The interdisciplinary nature of the journal provides a unique opportunity for researchers, clinicians and healthcare professionals across specialties to collaborate and exchange information. The journal provides a high visibility platform for the publication and dissemination of top quality original scientific articles, reviews and important position papers documenting clinical and experimental advances.
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