Abstract
The trachea can be stented from both the inside and the outside to keep it open or to stabilize it. The therapy to keep the airways clear gains a further option through this procedure. This chapter deals with the current possibilities of endoluminal placeholders from a critical point of view. The focus is on today’s common self-expanding metal stents, balloon-expandable stents and silicon-based stents, which are clearly presented with numerous illustrations, tables and text descriptions regarding their differential indications as well as advantages and disadvantages. The implantation techniques of stents, which are usually performed under general anesthesia and via a rigid bronchoscope or microlaryngoscopy tubes, are dealt with comprehensively from an interdisciplinary perspective. Considerations and case studies on endoluminal stenting in benign and malignant tracheal changes can be found in the chapter as well as comprehensive explanations on problems and dangers in connection with intubations, tracheotomies, tracheoesophageal fistulas and the application of laser techniques in patients with inserted stents.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsNotes
- 1.
Acronym of “Nickel Titanium Naval Ordnance Laboratory”.
References
Wassermann K. Atemwegsstents. Airway stents. A skeptical plea for palliative medicine. Dtsch Med Wochenschr. 2000;125:429–35. German.
Bloom DA, Clayman RV, McDougal E. Stents and related terms: a brief history. Urology. 1999;54:767–71.
Bond CJ. Note on the treatment of tracheal stenosis by a new T-shaped tracheotomy tube. Lancet. 1891;137:539.
Schmiegelow E. Stenosis of the larynx: a new method of surgical treatment. Arch Otolaryngol Head Neck Surg. 1929;9:473.
Hohenforst-Schmidt W, Zarogoulidis P, Pitsiou G, Linsmeier B, Tsavlis D, et al. Drug eluting stents for malignant airway obstruction: a critical review of the literature. J Cancer. 2016;7:377–90.
Dutau H, Musani AI, Laroumagne S, Darwiche K, Freitag L, et al. Biodegradable airway stents - bench to bedside: a comprehensive review. Respiration. 2015;90:512–21.
Noppen M, Stratakos G, D’Haese J, Meysman M, Vinken W. Removal of covered self-expandable metallic airway stents in benign disorders. Chest. 2005;127:482–7.
Tjahjono R, Chin RYK, Flynn P. Tracheobronchial stents in palliative care: a case series and literature review. BMJ Support Palliat Care. 2018;8:335–9.
Madan K, Dhooria S, Sehgal IS, Mohan A, Mehta R, et al. A multicenter experience with the placement of self-expanding metallic tracheobronchial Y stents. J Bronchol Interv Pulmonol. 2016;23:29–38.
Montgomery W. T-tube tracheal stent. Arch Otolaryngol Head Neck Surg. 1965;82:320–1.
Agrawal S, Payal YS, Sharma JP, Meher R, Varshney S. Montgomery T-tube: anesthetic management. J Clin Anesth. 2007;19:135–7.
Dumon JF. A dedicated tracheobronchial stent. Chest. 1990;97:328–32.
Noppen M, Meysman M, Claes I, D’Haese J, Vincken W. Screw-thread vs Dumon endoprosthesis in the management of tracheal stenosis. Chest. 1999;115:532–5.
Freitag L. Tracheobronchial stents. In: Bollinger CT, Mathur PN, editors. Interventional bronchoscopy. Prog Respir Res, vol. 30. Basel: Karger; 2000. p. 171–86.
Buiret G, Colin C, Landry G, Poupart M, Pignat JC. Determination of predictive factors of tracheobronchial prosthesis removal: stent brands are crucial. An Otol Rhinol Laryngol. 2011;120(5):307–13.
Wassermann K, Eckel H, Michel O, Müller R. Emergency stenting of malignant obstruction of the upper airways: Long-term follow-up with two types of silicone prostheses. An Otol Rhinol Laryngol. 1998;107:149–54.
Putz L, Mayné A, Dincq AS. Jet ventilation during rigid bronchoscopy in adults: a focused review. Biomed Res Int. 2016;2016:4234861.
Freitag L. Airway stents. Eur Respir Mon. 2010;48:190–217.
Michel O, Eckel H. Massnahmen zur Förderung der Wundheilung nach Lasereingriffen im Kehlkopf. Oto-Rhino-Laryngologia Nova. 1994;4:160–3.
Michel O, Eckel H, Wassermann K. Rekanalisierungstechniken bei benignen Stenosen des Larynx und der Subglottis. Atemw Lungenkrkh. 1997;23:189–93.
Wassermann K, Eckel HE, Michel O, Müller RP. Emergency stenting of malignant obstruction of the upper airways: long-term follow-up with two types of silicone prostheses. J Thorac Cardiovasc Surg. 1996;112:859–66.
Eckel H, Wassermann K, Michel O. Maligne Stenosen der zentralen Atemwege. Atemw Lungenkrkh. 1997;23:182–8.
Heindel W, Gossmann A, Fischbach R, Michel O, Lackner K. Treatment of ruptured anastomotic esophageal stricture following bougienage with a Dacron-covered nitinol stent. Cardiovasc Intervent Radiol. 1996;19:431–34.
Muniappan A, Wain JC, Wright CD, Donahue DM, Gaissert H, et al. Surgical treatment of nonmalignant tracheoesophageal fistula: a thirty-five year experience. Ann Thorac Surg. 2013;95:1141–6.
Freitag L, Tekolf E, Steveling H, Donovan TJ, Stamatis G. Management of malignant esophagotracheal fistulas with airway stenting and double stenting. Chest. 1996;110:1155.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Michel, O. (2020). Stenting of the Trachea. In: Klemm, E., Nowak, A. (eds) Tracheotomy and Airway. Springer, Cham. https://doi.org/10.1007/978-3-030-44314-6_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-44314-6_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-44313-9
Online ISBN: 978-3-030-44314-6
eBook Packages: MedicineMedicine (R0)