Respiratory Institute, Cleveland Clinic, Cleveland, OH.
Department of Pulmonology, St. Anna Hospital, Lucerne, Switzerland.
Chest. 2019 Jun;155(6):1246-1259. doi: 10.1016/j.chest.2018.12.001. Epub 2018 Dec 11.
Airway stenting has been practiced for several decades. It is one of the most common procedures performed by interventional pulmonologists. Typically, these stents are implanted to maintain the tubular patency of the tracheobronchial tree. They are only considered as a temporizing measure, or when a surgical option cannot be pursued. Through the past few decades, a number of metallic airway stents have been introduced into the market. First generation stents were comparatively simplistic and crafted from stainless steel. The latest generation of metallic airway stents are hybrid in nature and constructed with complex alloys. As airway stenting become more widely practiced, concerns arose regarding their safety. However, with improved understanding of stent-airway interactions, advancements in biomedical engineering, and a larger emphasis on post procedural care, the use of metallic endobronchial stents has been resurrected. We present the history, technological advancement, and contemporary indications of metallic airway stents.
气道支架置入术已经有几十年的历史了。它是介入肺科医生最常进行的手术之一。通常,这些支架被植入以维持气管支气管树的管状通畅性。它们仅被视为临时措施,或者在无法进行手术选择时使用。在过去的几十年中,许多金属气道支架已经被引入市场。第一代支架相对简单,由不锈钢制成。最新一代的金属气道支架是混合性质的,由复杂的合金制成。随着气道支架的应用越来越广泛,人们对其安全性产生了担忧。然而,随着对支架-气道相互作用的理解的提高,生物医学工程的进步,以及对术后护理的更大重视,金属支气管内支架的应用得以复苏。我们介绍了金属气道支架的历史、技术进步和当代适应证。