Respiratory Disease Department, Strasbourg University Hospital, Strasbourg, France.
Respiratory Disease Department, Strasbourg University Hospital, Strasbourg, France.
Respir Med Res. 2020 Mar;77:89-94. doi: 10.1016/j.resmer.2020.02.003. Epub 2020 Feb 21.
Airway stenting (AS) is performed for the treatment of benign or malignant central airway stenosis. In France, more than 30 centers practice AS. The aim of this survey was to evaluate the current practice around airway stenting among French bronchoscopy practitioners.
We performed an online survey sent to the GELF group (Groupe d'Endoscopie de Langue Française) mailing list. The first part comprised 10 questions about the different attitudes before AS and the second part included 10 questions about the management after AS.
Thirty-six participants answered to the first part of the questionnaire and thirty-three to the second. There were some similarities, for example the absence of prophylactic antibiotic treatment before procedure (86%), use of saline nebulization, and removing or replacing the airway stent in case of persistent chest congestion or infection (73%). We also noted an important heterogeneity of the practices with several differences concerning systematic endoscopic control, bacteriological sampling before procedure (44%) and systematically AS replacement.
This survey shows that AS management in France varies between practitioners. Respondents agreed on a few points, but disagreed on several important aspects of the management. These results emphasize the need of expert recommendations to improve AS management.
气道支架置入术（AS）用于治疗良性或恶性中央气道狭窄。在法国，有超过 30 个中心开展 AS。这项调查的目的是评估法国支气管镜医师在气道支架置入术方面的当前实践情况。
我们对 GELF 小组（法语内镜组）的邮件列表进行了在线调查。第一部分包括 10 个关于 AS 前不同态度的问题，第二部分包括 10 个关于 AS 后管理的问题。
36 名参与者回答了问卷的第一部分，33 名参与者回答了第二部分。存在一些相似之处，例如术前无预防性抗生素治疗（86%）、使用盐水雾化、在持续胸痛或感染时取出或更换气道支架（73%）。我们还注意到实践中的高度异质性，在系统内镜检查控制、术前细菌学采样（44%）和系统更换 AS 等方面存在几个差异。
这项调查表明，法国的 AS 管理在医师之间存在差异。受访者在一些方面达成一致，但在管理的几个重要方面存在分歧。这些结果强调需要专家建议来改善 AS 的管理。
