Metallic stent and flexible bronchoscopy without fluoroscopy for acute respiratory failure

S. M. Lin, Tzou-Yien Lin, C. L. Chou, H. C. Chen, C. Y. Liu, C. H. Wang, H. C. Lin, C. T. Yu, K. Y. Lee, H. P. Kuo

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Stent implantation has been reported to facilitate liberation from mechanical ventilation in patients with respiratory failure due to central airway disease. The present retrospective cohort study sought to evaluate the risk and benefit of stent implantation via bronchoscopy without fluoroscopic guidance in mechanically ventilated patients. From July 2001 to September 2006, 26 patients with acute respiratory failure were recruited. A bronchoscope was inserted through a mouth guard into the space between the tracheal wall and the endotracheal tube. A guide wire was inserted via the flexible bronchoscope to the lesion site. The bronchoscope was reintroduced through the endotracheal tube. Under bronchoscopic visualisation, the delivery catheter was advanced over the guide wire to deploy the stent. These procedures were successfully performed in 26 patients, with 22 stents placed in the trachea and seven in the main bronchus. Of the 26 patients, 14 (53.8%) became ventilator independent during their stay in the intensive care unit. Severe pneumonia was the most common cause, in seven (58.3%) out of 12 patients, for continued ventilator dependence after stenting. Granulation tissue formation was found in seven patients during the follow-up period. It is concluded that metallic stents can be safely implanted without fluoroscopic guidance in patients with respiratory failure, to facilitate ventilator independence. Copyright

Original languageEnglish
Pages (from-to)1019-1023
Number of pages5
JournalEuropean Respiratory Journal
Volume31
Issue number5
DOIs
Publication statusPublished - May 2008
Externally publishedYes

Keywords

  • Bronchoscopy
  • Respiratory failure
  • Stent
  • Ultraflex

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Medicine(all)

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