دورية أكاديمية

Subcutaneous fixation model for complex stenting of recurrent laryngotracheal stenosis.

التفاصيل البيبلوغرافية
العنوان: Subcutaneous fixation model for complex stenting of recurrent laryngotracheal stenosis.
المؤلفون: Meyer S; Department of Anesthesiology, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium., d'Odémont JP; Department of Pneumology, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium., Putz L; Department of Anesthesiology, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium., Dincq AS; Department of Anesthesiology, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium., Rondelet B; Department of Thoracic surgery, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium., Ocak S; Department of Pneumology, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium.; Pole of Pneumology, Institut de Recherche Expérimentale et Clinique, UCLouvain, Bruxelles, Belgium., Pirard L; Department of Pneumology, UCLouvain, CHU UCL Namur (Godinne site), Yvoir, Belgium. lionel.pirard@chuuclnamur.uclouvain.be.
المصدر: BMC pulmonary medicine [BMC Pulm Med] 2024 Aug 09; Vol. 24 (1), pp. 383. Date of Electronic Publication: 2024 Aug 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968563 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2466 (Electronic) Linking ISSN: 14712466 NLM ISO Abbreviation: BMC Pulm Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001]-
مواضيع طبية MeSH: Tracheal Stenosis*/surgery , Stents* , Laryngostenosis*/surgery, Humans ; Female ; Middle Aged ; Male ; Retrospective Studies ; Aged ; Adult ; Suture Techniques ; Recurrence ; Silicones ; Bronchoscopy
مستخلص: Background: A straight silicone stent can be used to treat proximal benign tracheal stenosis in non-surgical candidates. However, stent migration is a common complication when placed at a particular location and can lead to major complications. This case series of laryngotracheal stenosis reports a fixation method for straight silicone stents in the subglottic trachea (Stage 3 of the McCaffrey classification).
Methods: The medical charts of these patients scheduled for straight silicone stent placement with suture fixation between 2014 and 2020 at the CHU UCL Namur Hospital (Belgium) were retrospectively reviewed. The procedure was performed using a rigid bronchoscope. Details of the procedure were obtained from medical records.
Results: This case series included six patients (males: 4, females: 2). The median patient age was 59 years. Two suture fixations were placed following previous silicone stent migration episodes, whereas the others were placed proactively to avoid this risk. All fixations were performed by the device Freka ® Pexact II ENFIt ® , originally developed for gastropexy in endoscopic gastrostomy. The sutures were subcutaneously buried.
Conclusions: During the 6-month follow-up period, complications such as fixation issues and stent migration were reported despite the off-label use of the treatment. The straight silicone stent fixation technique used in this case series was simple and effective for securing the stent in upper benign tracheal stenosis.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Interventional bronchoscopy; Original subcutaneous fixation model; Silicone stent; Upper tracheal stenosis
المشرفين على المادة: 0 (Silicones)
تواريخ الأحداث: Date Created: 20240809 Date Completed: 20240810 Latest Revision: 20240812
رمز التحديث: 20240813
مُعرف محوري في PubMed: PMC11316438
DOI: 10.1186/s12890-024-03197-1
PMID: 39123192
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2466
DOI:10.1186/s12890-024-03197-1