Advertisement

Stenting of the Trachea

  • O. MichelEmail author
Chapter
  • 40 Downloads

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.

Keywords

Tracheal stent Types Implantation technique Indication Complication Tracheotomy 

References

  1. 1.
    Wassermann K. Atemwegsstents. Airway stents. A skeptical plea for palliative medicine. Dtsch Med Wochenschr. 2000;125:429–35. German.Google Scholar
  2. 2.
    Bloom DA, Clayman RV, McDougal E. Stents and related terms: a brief history. Urology. 1999;54:767–71.CrossRefGoogle Scholar
  3. 3.
    Bond CJ. Note on the treatment of tracheal stenosis by a new T-shaped tracheotomy tube. Lancet. 1891;137:539.CrossRefGoogle Scholar
  4. 4.
    Schmiegelow E. Stenosis of the larynx: a new method of surgical treatment. Arch Otolaryngol Head Neck Surg. 1929;9:473.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefGoogle Scholar
  6. 6.
    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.CrossRefGoogle Scholar
  7. 7.
    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.Google Scholar
  8. 8.
    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.Google Scholar
  9. 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.CrossRefGoogle Scholar
  10. 10.
    Montgomery W. T-tube tracheal stent. Arch Otolaryngol Head Neck Surg. 1965;82:320–1.CrossRefGoogle Scholar
  11. 11.
    Agrawal S, Payal YS, Sharma JP, Meher R, Varshney S. Montgomery T-tube: anesthetic management. J Clin Anesth. 2007;19:135–7.CrossRefGoogle Scholar
  12. 12.
    Dumon JF. A dedicated tracheobronchial stent. Chest. 1990;97:328–32.CrossRefGoogle Scholar
  13. 13.
    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.Google Scholar
  14. 14.
    Freitag L. Tracheobronchial stents. In: Bollinger CT, Mathur PN, editors. Interventional bronchoscopy. Prog Respir Res, vol. 30. Basel: Karger; 2000. p. 171–86.CrossRefGoogle Scholar
  15. 15.
    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.CrossRefGoogle Scholar
  16. 16.
    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.Google Scholar
  17. 17.
    Putz L, Mayné A, Dincq AS. Jet ventilation during rigid bronchoscopy in adults: a focused review. Biomed Res Int. 2016;2016:4234861.CrossRefGoogle Scholar
  18. 18.
    Freitag L. Airway stents. Eur Respir Mon. 2010;48:190–217.Google Scholar
  19. 19.
    Michel O, Eckel H. Massnahmen zur Förderung der Wundheilung nach Lasereingriffen im Kehlkopf. Oto-Rhino-Laryngologia Nova. 1994;4:160–3.CrossRefGoogle Scholar
  20. 20.
    Michel O, Eckel H, Wassermann K. Rekanalisierungstechniken bei benignen Stenosen des Larynx und der Subglottis. Atemw Lungenkrkh. 1997;23:189–93.Google Scholar
  21. 21.
    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.Google Scholar
  22. 22.
    Eckel H, Wassermann K, Michel O. Maligne Stenosen der zentralen Atemwege. Atemw Lungenkrkh. 1997;23:182–8.Google Scholar
  23. 23.
    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.Google Scholar
  24. 24.
    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.CrossRefGoogle Scholar
  25. 25.
    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.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Afdelingshoofd, dienst KNO, Universitair ZiekenhuisVrije Universiteit Brussel (VUB)BrusselBelgium

Personalised recommendations