Talon Andrew, Arif Muhammad, Biswas Sreeja, Alkhider Saad, Saeed Ali
Internal Medicine, Creighton University School of Medicine, St. Joseph's Hospital and Medical Center, Phoenix, USA.
Pulmonology and Critical Care, Mayo Clinic, Phoenix , USA.
Cureus. 2021 Jun 8;13(6):e15522. doi: 10.7759/cureus.15522.
Central airway obstruction due to the tumor can present as near-complete tracheal obstruction. The results can be life-threatening requiring emergent intervention. Rigid bronchoscopy has been preferred for the management of central airway obstruction. However, there are relatively few studies comparing rigid bronchoscopy and flexible bronchoscopy in treating these cases. We describe a 61-year-old woman with a lower trachea tumor with ball valve occlusion of the left mainstem bronchus and complete occlusion of the right mainstem bronchus successfully managed with flexible bronchoscopy and iCAST stent. We herein highlight the role of therapeutic flexible bronchoscopy with airway stenting as an efficacious treatment modality for the management of malignant central airway obstruction.
肿瘤导致的中央气道阻塞可表现为近乎完全的气管阻塞。其后果可能危及生命，需要紧急干预。硬质支气管镜检查一直是治疗中央气道阻塞的首选方法。然而，比较硬质支气管镜和软质支气管镜治疗这些病例的研究相对较少。我们描述了一名61岁女性，患有气管下段肿瘤，左主支气管出现球瓣样阻塞，右主支气管完全阻塞，通过软质支气管镜和iCAST支架成功治疗。我们在此强调治疗性软质支气管镜联合气道支架置入术作为治疗恶性中央气道阻塞的一种有效治疗方式的作用。
