Borgeat Kieran, Simpson Kerry, Reese David, Wilson Helen, Potter Joanna, Ogden Daniel
Highcroft Veterinary Referrals, Bristol, UK.
Langford Vets, University of Bristol, UK.
JFMS Open Rep. 2018 Feb 9;4(1):2055116917753816. doi: 10.1177/2055116917753816. eCollection 2018 Jan-Jun.
Bronchial stents may be useful to relieve clinical signs of extraluminal compression. Herein we describe a case which, to our knowledge, is the first cat where bilateral bronchial stents have been used clinically. Respiratory signs of principal bronchial compression were alleviated after the stent procedure. Minor complications occurred, specifically: severe hypoxia during stent deployment; a transient, self-limiting postoperative pneumothorax possibly associated with ventilation-induced lung injury; bronchopneumonia (possibly pre-existing); and transient worsening of cough postoperatively. Stents were well- tolerated long- term. The cat was euthanased at 44 weeks post-stent procedure, owing to clinical signs of regurgitation, seemingly related to oesophageal dysfunction associated with tumour invasion.
In this case, it appeared that bronchial stents were feasible and the procedure was associated with long-term improvement in respiratory signs related to extraluminal bronchial compression.
支气管支架可能有助于缓解管腔外压迫的临床症状。在此，我们描述了一例据我们所知临床首次使用双侧支气管支架的猫病例。支架置入术后，主支气管受压的呼吸症状得到缓解。出现了轻微并发症，具体如下：支架置入过程中出现严重缺氧；术后出现短暂的、自限性气胸，可能与通气诱导的肺损伤有关；支气管肺炎（可能为既往存在）；术后咳嗽短暂加重。支架长期耐受性良好。在支架置入术后44周，这只猫因反流的临床症状实施安乐死，反流似乎与肿瘤侵犯相关的食管功能障碍有关。
在本病例中，支气管支架似乎是可行的，该手术与管腔外支气管压迫相关的呼吸症状长期改善有关。
