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CardioVascular and Interventional Radiology

Erschienen in:

01.05.2005 | Technical NOte

A Fast Placement Technique for Covered Tracheobronchial Stents in Patients with Complicated Esophagorespiratory Fistulas

verfasst von: Kazushi Kishi, Taisei Nakao, Hironobu Goto, Masashi Kimura, Tetsuo Sonomura, Noboru Yamanaka, Kishio Nanjo, Morio Sato

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 4/2005

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Abstract

Purpose

To test an endotracheal placement procedure for malignant esophagorespiratory fistula when endoesophageal placement is inapplicable.

Methods

We report on patients with malignant esophagorespiratory fistula to which endoesophageal approaches were complicated with a complete obstruction of the hypopharynx, a collapsible tracheobronchus, or a previously placed endoesophageal stents. Gore-Tex membrane-covered Z-stents were deployed in the trachea using a coaxial introducer system in three patients. A Dumon tube was deployed in the bronchus over the bronchofiberscope in one patient.

Results

All fistula were completely sealed by the endotracheal or endobronchial stenting. Symptomatic and clinical improvements were immediate obtained.

Conclusion

Endotracheal or endobronchial covered stent placement is thought to be an effective alternative method for sealing esophagorespiratory fistula.

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Titel: A Fast Placement Technique for Covered Tracheobronchial Stents in Patients with Complicated Esophagorespiratory Fistulas
verfasst von: Kazushi Kishi
Taisei Nakao
Hironobu Goto
Masashi Kimura
Tetsuo Sonomura
Noboru Yamanaka
Kishio Nanjo
Morio Sato
Publikationsdatum: 01.05.2005
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 4/2005
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-003-0203-x

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A Fast Placement Technique for Covered Tracheobronchial Stents in Patients with Complicated Esophagorespiratory Fistulas