Sugimoto Seiichiro, Oto Takahiro, Toyooka Shinichi, Miyoshi Shinichiro
Department of General Thoracic Surgery, Okayama University Hospital, Okayama, Japan
Department of General Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
Eur J Cardiothorac Surg. 2015 Jun;47(6):1105-6. doi: 10.1093/ejcts/ezu314. Epub 2014 Aug 21.
Stent placement has become common practice for bronchial stenosis (BS) after lung transplantation (LT). Especially, segmental BS after lobar LT requires a complex stenting technique. We describe a case of multiple segmental bronchial stenoses treated by the kissing-stents technique using balloon-expandable metallic stents after living-donor lobar LT. Based on the vascular kissing-stents technique, we simultaneously placed two stents, side by side, in the superior segmental bronchus and the basal segmental bronchus of the right transplanted lobar lung. This technique may represent a valuable option for complex segmental BS after lobar LT.
支架置入已成为肺移植(LT)后支气管狭窄(BS)的常见治疗方法。特别是,肺叶移植后的节段性BS需要复杂的支架置入技术。我们描述了1例活体供体肺叶移植后使用球囊扩张金属支架通过吻合法支架技术治疗多节段支气管狭窄的病例。基于血管吻合法支架技术,我们在右移植肺叶的上段支气管和基底段支气管中同时并排置入了2个支架。该技术可能是肺叶移植后复杂节段性BS的一种有价值的选择。