Guibert Nicolas, Roy Pascalin, Héluain Valentin, Plat Gavin, Edme Juliette, Villeneuve Thomas, Dutau Hervé, Gildea Thomas R
Department of Pulmonology, Toulouse University Hospital, Toulouse, France
Department of Pulmonology, Toulouse University Hospital, Toulouse, France.
Eur Respir Rev. 2025 Jul 23;34(177). doi: 10.1183/16000617.0268-2024. Print 2025 Jul.
Conventional silicone airway stents are effective in relieving stenoses but are prone to complications such as migration and granulation tissue formation. These complications reduce patients' tolerance and induce unwanted procedures, limiting their overall benefit. Over the past decade, personalised, three-dimensional (3D)-printed silicone stents have emerged as a possible solution to some of these concerns. In this narrative review, the authors aim to guide the physician into understanding the relatively straightforward creative process behind 3D stents and the selection process of the best patients for their use. Current use is limited to complex anatomical airway stenoses, but more indications could blossom from future trials as technology, expertise and access develop going forward.
传统的硅胶气道支架在缓解狭窄方面有效，但容易出现迁移和肉芽组织形成等并发症。这些并发症降低了患者的耐受性并引发不必要的手术，限制了它们的整体益处。在过去十年中，个性化的三维（3D）打印硅胶支架已成为解决其中一些问题的可能方案。在这篇叙述性综述中，作者旨在引导医生了解3D支架背后相对简单的创新过程以及最适合使用它们的患者的选择过程。目前其应用仅限于复杂的解剖学气道狭窄，但随着技术、专业知识和可及性的不断发展，未来的试验可能会出现更多的适应症。
