keyword
https://read.qxmd.com/read/38251717/feasibility-tolerability-and-effectiveness-of-transbronchial-interventions-in-elderly-patients-with-malignant-central-airway-obstruction-a-retrospective-single-institution-study
#21
JOURNAL ARTICLE
Kosuke Kashiwabara, Shinji Fujii, Shinsuke Tsumura, Ryuki Tokunaga
BACKGROUND: In elderly patients with malignant central airway obstruction (MCAO), the treating physicians often hesitate to undertake transbronchial interventions (TBIs) as a palliative procedure in view of the advanced age of the patients. METHODS: We conducted this retrospective study to evaluate the differences in the feasibility, tolerability, and effectiveness of TBIs between elderly (aged 75 years old or above; elderly group; n=27) and nonelderly (aged below 75 years old; nonelderly group; n=50) patients with MCAO...
January 22, 2024: American Journal of Clinical Oncology
https://read.qxmd.com/read/38249913/modified-silicone-hourglass-stents-for-the-treatment-of-benign-subglottic-stenosis-a-case-series
#22
Liran Zhang, Cuixia Bian
BACKGROUND: Benign subglottic stenosis has been a challenging illness to treat and manage in clinical because of its special anatomical location, and easy recurrence of the condition, which can cause life-threatening asphyxia. For patients who are not suitable for surgery or in urgent need of preoperative transitional treatment, respiratory endoscopy-guided stent placement becomes an alternative treatment option. CASE DESCRIPTION: Clinical data were collected from four patients who received treatment at the Jining First People's Hospital due to benign subglottic stenosis, which was achieved after tracheal intubation/tracheotomy...
December 30, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/38234280/a-single-center-description-of-adult-and-pediatric-endoscopic-posterior-costal-cartilage-grafting
#23
JOURNAL ARTICLE
Kelsey Richard, Alexander Gelbard, James Daniero, Christopher T Wootten
OBJECTIVE: Posterior glottis impairment alters breathing, voicing, and swallowing. Bilateral vocal fold movement impairment (BVFMI) occurs when the vocal cords are fixed/remain midline. Studies inadequately assessed endoscopic posterior costal cartilage grafting (enPCCG) for BVFMI across broad ages. We aim to assess decannulation and prosthesis free airway in children and adults who have undergone enPCCG. STUDY DESIGN: Retrospective cohort. SETTING: Referral center...
January 18, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38233186/risk-factors-for-desaturation-in-anesthetic-management-during-airway-stenting
#24
JOURNAL ARTICLE
Sakura Okamoto, Namie Somiya, Ran Hotta, Hideo Saka, Masahide Oki, Akira Tomita
Airway stenting involves a stent being inserted into a stenotic site in the airway. In patients with airway stenosis, the airway is the surgical field; therefore, anesthetic management is challenging, and avoiding hypoxia is important. Limited information is available on the anesthetic management of airway stenting. Risk factors for oxygen desaturation during airway stenting remain unknown. The present study was conducted to retrospectively examine patients who underwent airway stenting during a specific period and identify risk factors associated with oxygen desaturation...
January 16, 2024: Kurume Medical Journal
https://read.qxmd.com/read/38232656/broncho-esophageal-fistula-when-surgery-and-endoscopy-fail-consider-physiological-lung-exclusion
#25
JOURNAL ARTICLE
Dionísio Maia, Julie Tronchetti, Xavier D'Journo, Hervé Dutau
We discuss the case of an esophageal cancer patient treated by chemo and radiotherapy complicated by an esophageal stenosis and an iatrogenic broncho-esophageal fistula. This latter was managed with multiple palliative stenting procedures and colonic surgical bypass. Despite a long disease free survival but decreased quality of life and frailty, we came to the proposal of an extremely unusual form of treatment - physiological lung exclusion, with clinical benefit and so far without any drawbacks related to the procedure...
December 14, 2023: Respiratory medicine and research
https://read.qxmd.com/read/38229930/hibernoma-a-case-report-of-a-rare-cardiac-tumour
#26
David Cistulli, Farrah Othman, Rooshdiya Karim, Rajesh Puranik
BACKGROUND: A cardiac hibernoma is a rare phenomenon, with just a handful of reports in the literature. They are difficult to characterize with conventional imaging including echocardiography, computed tomography (CT), cardiac magnetic resonance (CMR), or positron emission tomography (PET). Their definitive diagnosis relies primarily on histopathology via either endovascular or surgical biopsy. Previous case reports have entailed surgical excision followed by histopathology; however, surgery may be unfavourable in some patients with increased perioperative risk...
January 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38220189/effectiveness-of-aero-stent-placement-for-malignant-airway-disorder-in-patients-with-a-poor-performance-status
#27
JOURNAL ARTICLE
Yuki Takigawa, Ken Sato, Kenichiro Kudo, Daisuke Minami, Keisuke Shiraha, Tomoyoshi Inoue, Suzuka Matsuoka, Miho Fujiwara, Sho Mitsumune, Hiromi Watanabe, Akiko Sato, Keiichi Fujiwara, Takuo Shibayama
Objective Airway stenting is an established procedure for treating various airway disorders. The AERO stent (Merit Medical Systems, South Jordan, UT, USA) is a fully covered self-expandable metallic stent approved for use in Japan in 2014. However, its effectiveness in treating malignant airway disorders in patients with a poor performance status remains unclear. Therefore, we investigated the safety and efficacy of the AERO stent in patients with malignant airway disorders and a poor performance status. Patients and Methods We retrospectively reviewed the medical records of all patients who underwent AERO stent placement at our institute between April 2016 and March 2022, and 21 patients underwent 25 procedures for malignant airway disorders...
January 13, 2024: Internal Medicine
https://read.qxmd.com/read/38204293/dexamethasone-eluting-polydopaminated-polycaprolactone-poly-lactic-co-glycolic-acid-for-treatment-of-tracheal-stenosis
#28
JOURNAL ARTICLE
Jacob Morand, Phillip McClellan, Ilaha Isali, Yusuf Dikici, Di Fan, Longshun Li, Andrew J Shoffstall, Ozan Akkus, Mark Weidenbecher
Tracheal stenosis is commonly caused by injury, resulting in inflammation and fibrosis. Inhibiting inflammation and promoting epithelization can reduce recurrence after initial successful treatment of tracheal stenosis. Steroids play an important role in tracheal stenosis management. This study in vitro evaluated effectiveness of a polydopaminated polycaprolactone stent coated with dexamethasone-eluting poly(lactic-co-glycolic) acid microparticles (μPLGA) for tracheal stenosis management. Polydopamination was characterized by Raman spectroscopy and promoted epithelialization while dexamethasone delivery reduced macrophage activity, assessed by individual cell area measurements and immunofluorescent staining for inducible nitric oxide synthase (iNOS)...
January 10, 2024: Journal of Biomedical Materials Research. Part A
https://read.qxmd.com/read/38183453/predictors-in-the-treatment-of-malignant-central-airway-obstruction-with-silicone-stents
#29
JOURNAL ARTICLE
Mads Bøgh, Søren Gade, Dalia Gustaityté Larsen, Sten Schytte, Ulrik Pedersen, Thomas Kjærgaard
PURPOSE: To examine the role of the silicone stent in palliation of malignant central airway obstruction and identify potential preprocedural predictors for postprocedural outcome. METHODS: Patients treated with endoscopic insertion of tracheobronchial silicone stents for malignant central airway obstruction at Aarhus University Hospital from 2012 to 2022 were identified from electronic medical records. Statistical analyses were carried out to identify factors affecting Days Alive and Out of Hospital, complications and overall survival...
January 6, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38151967/flexible-co2-laser-in-therapeutic-bronchoscopy-initial-experiences-in-a-tertiary-center
#30
JOURNAL ARTICLE
Gabriel Ortiz-Jaimes, John Mullon, Darlene Nelson, Janani Reisenauer, David Midthun, Eric Edell, Dagny Anderson, Maria Vargas-Brochero, Robert Petrossian, Ryan Kern
BACKGROUND: CO2 Laser (CO2L) technology deployable through flexible endoscopes now allows for their use throughout the airway, although published data are limited. METHODS: Retrospective analysis of CO2L bronchoscopic procedures, excluding glottic and subglottic interventions. Procedural success was defined as >50% visual reduction in airway obstruction in the area treated or resolution of the procedural indication. RESULTS: Seventy-two procedures were performed on 36 patients...
December 28, 2023: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/38144268/treatment-of-malignant-airway-stenosis-with-extracorporeal-membrane-oxygenation-under-low-dose-anticoagulation-a-case-report
#31
Jingsha Zhao, Peng Cui, Ziwei Zhou, Bin Niu, Chuanliang Pan
The occurrence of airway obstruction due to severe stenosis from lung cancer poses a significant risk of asphyxia. Although the placement of a metallic stent may relieve the obstruction, the procedure is associated with a high risk of asphyxia. To mitigate this risk, extracorporeal membrane pulmonary oxygenation (ECMO) has been proposed to temporarily substitute for cardiopulmonary function during the procedure. However, the use of systemic anticoagulation with heparin during ECMO may increase the likelihood of bleeding during surgery...
December 2023: Heliyon
https://read.qxmd.com/read/38141385/corrigendum-to-antibacterial-and-antihyperplasia-polylactic-acid-silver-nanoparticles-nanofiber-membrane-coated-airway-stent-for-tracheal-stenosis-colloids-surf-b-biointerfaces-2021-111949
#32
Zhaonan Li, Dechao Jiao, Wenguang Zhang, Kewei Ren, Lingxiao Qiu, Chuan Tian, Yahua Li, Jing Li, Xueliang Zhou, Yanan Zhao, Xinwei Han
No abstract text is available yet for this article.
December 22, 2023: Colloids and Surfaces. B, Biointerfaces
https://read.qxmd.com/read/38140778/tracheobronchial-stents-an-expanding-prospect
#33
REVIEW
Paul Lilburn, Jonathan P Williamson, Martin Phillips, Nikela Tillekeratne, Alvin Ing, Allan Glanville, Tajalli Saghaie
The first dedicated tracheobronchial silicone stent was designed by the French pulmonologist Jean-Paul Dumon. The most common indications for stenting are to minimise extrinsic airway compression from mass effect, maintain airway patency due to intrinsic obstruction or treat significant nonmalignant airway narrowing or fistulae. Silicone stents require rigid bronchoscopy for insertion; however, they are more readily repositioned and removed compared with metallic stents. Metallic stents demonstrate luminal narrowing when loads are applied to their ends, therefore stents should either be reinforced at the ends or exceed the area of stenosis by a minimum of 5 mm...
December 22, 2023: Internal Medicine Journal
https://read.qxmd.com/read/38136109/external-esophageal-stenting-technique-in-palliation-for-tracheal-agenesis-in-a-case-of-esophageal-lung-a-lesson-learned-from-the-experience-for-tracheomalacia
#34
Taichi Hirotani, Ryo Tamura, Makoto Ando, Hideaki Okajima
Tracheal agenesis (TA) is a rare congenital anomaly with an incidence of 1 per 50,000 newborns. It appears at birth with severe respiratory distress, cyanosis, and inaudible crying. Prompt esophageal intubation and long-term management of the esophageal airway are essential to overcome this catastrophic condition. In the long-term management, external stenting of the esophageal airway has been reported as promising to support the fragile esophageal wall; this technique was taken from the surgery for tracheomalacia...
December 10, 2023: Children
https://read.qxmd.com/read/38132055/treatment-of-esophago-airway-fistula-after-esophageal-resection
#35
JOURNAL ARTICLE
Janusz Włodarczyk, Tomasz Smęder, Piotr Obarski, Mirosław Ziętkiewicz
(1) Background: Esophago-airway fistula after esophageal resection is a rare, life-threatening complication associated with a high postoperative mortality rate. Managing this condition is challenging, and the prognosis for patients is uncertain. The results and our own approach to treatment are presented. (2) Material and Methods: We present a retrospective analysis of a group of 22 patients treated for an esophago-airway fistula between 2012 and 2022, with 21 cases after esophageal resection and one during the course of Hodgkin's disease...
December 14, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38123324/management-of-post-traumatic-tracheal-stenosis-with-silicone-stent-placement
#36
JOURNAL ARTICLE
Prakash Sivaramakrishnan, Mayank Mishra, Girish Sindhwani
Benign airway stenosis often poses a therapeutic challenge and requires a multidisciplinary approach involving interventional pulmonologists and thoracic surgeons. We report the case of a man who presented with thoracic trauma following a road traffic accident. His chest X-ray showed complete collapse of the right lung, while screening flexible bronchoscopy revealed pooled secretions and asymmetric mid-to-lower tracheal stenosis. After thorough clinicoradiological evaluation and multidisciplinary discussion, we proceeded with therapeutic rigid bronchoscopy and silicone stenting of the tracheal stenotic lesion...
December 20, 2023: BMJ Case Reports
https://read.qxmd.com/read/38100731/management-and-outcomes-in-a-consecutive-series-of-patients-with-aero-digestive-fistula-at-a-tertiary-gastro-esophageal-surgery-center
#37
JOURNAL ARTICLE
Fahad Murad, Fredrik Klevebro, Gert Henriksson, Ioannis Rouvelas, Mats Lindblad, Magnus Nilsson
Aerodigestive fistula (ADF) is defined as a pathological connection between the upper digestive tract and the airway. ADF is associated with high morbidity and mortality and management is often complex. A cohort study including all patients admitted with ADF 2004-2022 at a single tertiary esophageal surgery center was performed based on prospectively collected administrative data and retrospectively collected electronic patient chart data,. Patient demographics, performance status, comorbidity, fistula characteristics, management, and outcomes in terms of morbidity and mortality were assessed in patients with ADF of three distinct types: (i) tumor overgrowth-related, (ii) various benign etiologies, and (iii) post-esophagectomy...
December 14, 2023: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/38090036/overview-of-malignant-central-airway-obstruction
#38
REVIEW
Rachel E Powers, Audra J Schwalk
Malignant central airway obstruction (MCAO) impacts many patients with advanced primary lung cancers and metastatic disease to the thorax and may cause substantial symptoms and functional limitations in those affected. Making the diagnosis may be challenging as symptoms are often non-specific but identification is improved with a heightened level of suspicion and newer thoracic imaging modalities. Bronchoscopy plays a crucial role in the diagnosis and management of MCAO and therapeutic interventions may be lifesaving and result in palliation of symptoms...
2023: Mediastinum
https://read.qxmd.com/read/38090030/management-of-aero-digestive-fistulas-in-adults-the-bronchoscopist-s-perspective
#39
REVIEW
Christopher H Chang, Julie Lin
Aero-digestive fistulas (ADFs) are pathologic connections between the airways and gastrointestinal system. These most commonly occur between the central airways and esophagus. Fistulas may develop congenitally or be acquired from a benign or malignant process. Most fistulas presenting in adulthood are acquired, with similar rates of benign and malignant etiologies. Symptoms may severely impact a patient's quality of life and result in dyspnea, cough, and oral intolerance. ADFs have been associated with increased mortality, often related to pneumonias and malnutrition...
2023: Mediastinum
https://read.qxmd.com/read/38078033/surgical-nasal-stent-fabrication-using-innovative-multisegmental-cast-to-rehabilitate-anatomic-and-functional-dynamicity-of-upper-airway-a-case-report
#40
Sandeep Singh, Manu Rathee, Maqbul Alam, Prachi Jain, Sanju Malik, Divakar Santhanam
AIM: The purpose of this case report is to provide a simple, efficient, and novel technique for fabricating a nasal stent utilizing a multisegmental cast to rehabilitate the anatomic and functional dynamicity of the upper airway following primary cleft lip and primary rhinoplasty surgery. BACKGROUND: Nasal deformity is often associated with congenital unilateral or bilateral cleft lip and palate. Despite primary nasal reconstruction at the time of definitive lip repair, the long-term postoperative outcome of the nasal correction frequently falls short of the surgeon's or patient's expectations...
September 2023: International Journal of Clinical Pediatric Dentistry
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