Sandu Kishore, Reinhard Antoine, Lambercy Karma, Pretre Rene, Gorostidi Francois
Department of Otorhinolaryngology, Lausanne University Hospital, 1005, Lausanne, Switzerland.
Department of Cardiac Surgery, Lausanne University Hospital, 1005, Lausanne, Switzerland.
Eur Arch Otorhinolaryngol. 2018 Jan;275(1):275-280. doi: 10.1007/s00405-017-4792-4. Epub 2017 Oct 26.
To evaluate the role of endovascular stents in temporary tracheal stenting and endoscopic treatment strategy for patients with severe refractory tracheal stenosis following slide tracheoplasty.
Two patients had severe tracheal stenosis after slide tracheoplasty for long segment congenital tracheal stenosis. Both these patients were managed endoscopically and an endovascular prosthesis was used to temporarily stent the trachea. Short and long term results were evaluated clinically and with repeated endoscopies.
The 2 patients had an excellent recovery immediately after the stent placement and continue to have an optimal, age-appropriate stable tracheal diameter after stent removal.
Endovascular stents can be temporarily used to stent the trachea in the endoscopic treatment strategy to correct refractory severe tracheal stenosis following slide tracheoplasty.
评估血管内支架在滑动气管成形术后严重难治性气管狭窄患者的临时气管支架置入及内镜治疗策略中的作用。
2例患者因长段先天性气管狭窄行滑动气管成形术后出现严重气管狭窄。这2例患者均接受了内镜治疗，并使用血管内假体临时支撑气管。通过临床评估及反复内镜检查对短期和长期结果进行评估。
2例患者在支架置入后立即获得良好恢复，支架取出后气管直径持续保持最佳且与年龄相符的稳定状态。
在滑动气管成形术后纠正难治性严重气管狭窄的内镜治疗策略中，血管内支架可临时用于支撑气管。
