A Novel Simple External Fixation for Securing Silicone Stent in Patients with Upper Tracheal Stenosis

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2018 May 1

PMID 29707372

Citations 2

Authors

Xiaoxiao Lin

Min Ye

Yuping Li

Chengshui Chen

Affiliations

Soon will be listed here.

Abstract

Upper tracheal stenosis is considered as a potentially life-threatening condition. Silicone stenting is an attractive treatment option for patients with upper tracheal stenosis. However, its use has been compromised by a major complication, stent migration. In the report, we introduced a novel external fixation of silicone stent which only needed one puncture site and involved a silicon chip as an anchoring device. All equipment and materials including the silicon chip were available in routine bronchoscopy suite. The method had been successfully performed in three patients with upper tracheal stenosis at our institution. And the patients were monitored for over 20 months after the intervention, and no spontaneous stent migration occurred. Therefore, we believe this is a simple and reliable approach for improving the outcome of silicone stenting in patients with upper tracheal stenosis and should be introduced in clinical practice.

Citing Articles

Subcutaneous fixation model for complex stenting of recurrent laryngotracheal stenosis.

Meyer S, dOdemont J, Putz L, Dincq A, Rondelet B, Ocak S BMC Pulm Med. 2024; 24(1):383.

PMID: 39123192 PMC: 11316438. DOI: 10.1186/s12890-024-03197-1.

Internal fixation of the proximal tracheal self-expandable metallic stent (SEMS): migration prevention in high risk patients.

Ehab A, Hagemann M J Thorac Dis. 2020; 12(6):3211-3216.

PMID: 32642242 PMC: 7330787. DOI: 10.21037/jtd-20-642.

References

Mehta R, Singla A, Shah A, Loknath C . The "Hitch Stitch": An Effective Method of Preventing Migration in High Tracheal Stenosis. Respiration. 2016; 93(2):106-111. DOI: 10.1159/000453075. View

Temes R, Wernly J, Cooper J, Follis F, Pett S . Internal fixation of high tracheal stents. Ann Thorac Surg. 1995; 59(4):1023-4. DOI: 10.1016/0003-4975(94)01059-l. View

Musani A, Jensen K, Mitchell J, Weyant M, Garces K, Hsia D . Novel use of a percutaneous endoscopic gastrostomy tube fastener for securing silicone tracheal stents in patients with benign proximal airway obstruction. J Bronchology Interv Pulmonol. 2012; 19(2):121-5. DOI: 10.1097/LBR.0b013e318251e238. View

Chin C, Litle V, Yun J, Weiser T, Swanson S . Airway stents. Ann Thorac Surg. 2008; 85(2):S792-6. DOI: 10.1016/j.athoracsur.2007.11.051. View

Colt H, Harrell J, Neuman T, Robbins T . External fixation of subglottic tracheal stents. Chest. 1994; 105(6):1653-7. DOI: 10.1378/chest.105.6.1653. View

Ernst A, Feller-Kopman D, Becker H, Mehta A . Central airway obstruction. Am J Respir Crit Care Med. 2004; 169(12):1278-97. DOI: 10.1164/rccm.200210-1181SO. View

Saito Y . Endobronchial stents: past, present, and future. Semin Respir Crit Care Med. 2005; 25(4):375-80. DOI: 10.1055/s-2004-832710. View

Hohenforst-Schmidt W, Linsmeier B, Zarogoulidis P, Freitag L, Darwiche K, Browning R . Transtracheal single-point stent fixation in posttracheotomy tracheomalacia under cone-beam computer tomography guidance by transmural suturing with the Berci needle - a perspective on a new tool to avoid stent migration of Dumon stents. Ther Clin Risk Manag. 2015; 11:837-50. PMC: 4448926. DOI: 10.2147/TCRM.S83230. View

Semaan R, Yarmus L . Rigid bronchoscopy and silicone stents in the management of central airway obstruction. J Thorac Dis. 2016; 7(Suppl 4):S352-62. PMC: 4700372. DOI: 10.3978/j.issn.2072-1439.2015.11.17. View

10.

Breen D, Dutau H . On-site customization of silicone stents: towards optimal palliation of complex airway conditions. Respiration. 2009; 77(4):447-53. DOI: 10.1159/000205396. View

11.

Wood D, Liu Y, Vallieres E, Karmy-Jones R, Mulligan M . Airway stenting for malignant and benign tracheobronchial stenosis. Ann Thorac Surg. 2003; 76(1):167-72; discussion 173-4. DOI: 10.1016/s0003-4975(03)00033-x. View

12.

Miwa K, Takamori S, Hayashi A, Fukunaga M, Shirouzu K . Fixation of silicone stents in the subglottic trachea: preventing stent migration using a fixation apparatus. Ann Thorac Surg. 2004; 78(6):2188-90. DOI: 10.1016/j.athoracsur.2003.10.085. View

13.

Ranu H, Madden B . Endobronchial stenting in the management of large airway pathology. Postgrad Med J. 2010; 85(1010):682-7. DOI: 10.1136/pgmj.2009.089011. View

14.

Dhooria S, Agarwal R . External fixation of a subglottic tracheal silicone stent. Ann Am Thorac Soc. 2014; 11(3):467-8. DOI: 10.1513/AnnalsATS.201401-011LE. View

15.

Majid A, Fernandez-Bussy S, Kent M, Folch E, Fernandez L, Cheng G . External fixation of proximal tracheal airway stents: a modified technique. Ann Thorac Surg. 2012; 93(6):e167-9. DOI: 10.1016/j.athoracsur.2012.01.094. View