Sequential Stenting for Extensive Malignant Airway Stenosis
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概要
- 論文の詳細を見る
Purpose: Malignant airway stenosis extending from the bronchial bifurcation to the lower lobar orifice was treated with airway stenting. We herein examine the effectiveness of airway stenting for extensive malignant airway stenosis.Methods: Twelve patients with extensive malignant airway stenosis underwent placement of a silicone Dumon Y stent (Novatech, La Ciotat, France) at the tracheal bifurcation and a metallic Spiral Z-stent (Medico's Hirata, Osaka, Japan) at either distal side of the Y stent. We retrospectively analyzed the therapeutic efficacy of the sequential placement of these silicone and metallic stents in these 12 patients.Results: The primary disease was lung cancer in eight patients, breast cancer in two patients, tracheal cancer in one patient, and thyroid cancer in one patient. The median survival period after airway stent placement was 46 days. The Hugh–Jones classification and performance status improved in nine patients after airway stenting. One patient had prolonged hemoptysis and died of respiratory tract hemorrhage 15 days after the treatment.Conclusion: Because the initial disease was advanced and aggressive, the prognosis after sequential airway stent placement was significantly poor. However, because respiratory distress decreased after the treatment in most patients, this treatment may be acceptable for selected patients with extensive malignant airway stenosis.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
著者
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Yamamoto Ryoji
Department Of Environmental Biochemistry Kyoto Pharmaceutical University
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Nakajima Ryu
Department Of General Thoracic Surgery Osaka City General Hospital
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Takahama Makoto
Department Of General Thoracic Surgery Osaka City General Hospital
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Kimura Michitaka
Department Of Thoracic And Cardiovascular Surgery Nara Medical University School Of Medicine
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TSUKIOKA Takuma
Department of General Thoracic Surgery, Osaka City General Hospital
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Tei Keiko
Department of General Thoracic Surgery, Osaka City General Hospital, Osaka, Japan
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Tei Keiko
Department of General Thoracic Surgery, Osaka City General Hospital, Osaka, Osaka, Japan
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