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Tracheal Stent Placement

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Practical Handbook of Thoracic Anesthesia
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Abstract

Patients presenting for stenting of central airways typically have symptomatic, subcritical stenosis. The central concern is to provide safe anesthesia and surgical conditions without loss of the airway. Anesthetic strategy depends on the patient’s condition, the location, severity and nature of the lesion, and the choice and deployment technique of the stent. A basic understanding of surgical techniques and stent types helps inform the anesthetic strategy. Not infrequently, the surgical plan unfolds based on the initial bronchoscopic exam, emphasizing the value of broad preparation and a flexible approach to these potentially high-risk cases.

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References

  1. Wood DE, Liu YH, Vallieres E, et al. Airway stenting for malignant and benign tracheobronchial stenosis. Ann Thorac Surg. 2003;76:167–74.

    Article  PubMed  Google Scholar 

  2. Witt C, Dinges S, Schmidt B, et al. Temporary tracheobronchial stenting in malignant stenoses. Eur J Cancer. 1997;33(2):204–8.

    Article  PubMed  CAS  Google Scholar 

  3. Sonnett JR, Keenan RJ, Ferson PF, et al. Endobronchial management of benign, malignant and lung transplantation airway stenoses. Ann Thorac Surg. 1995;59:1417–22.

    Article  Google Scholar 

  4. Rafanan AL, Mehta AC. Stenting of the tracheobronchial tree. Radiol Clin North Am. 2000;38(2):395–408.

    Article  PubMed  CAS  Google Scholar 

  5. Puma F, Farabi R, Urbani M, et al. Long-term safety and tolerance of silicone and self-expandable airway stents: an experimental study. Ann Thorac Surg. 2000;69:1030–4.

    Article  PubMed  CAS  Google Scholar 

  6. Zakaluzny SA, Lane JD, Mair EA. Complications of tracheobronchial airway stents. Otolaryngol Head Neck Surg. 2003;128:478–88.

    Article  PubMed  Google Scholar 

  7. Gaissert HA, Grillo HC, Wright CD, et al. Complication of benign tracheobronchial strictures by self-expanding metal stents. J Thorac Cardiovasc Surg. 2003;126:744–7.

    Article  PubMed  Google Scholar 

  8. Shamberger RC, Holzman RS, Griscom NT, Tarbell NJ, Weinstein HJ, Wohl ME. Prospective evaluation by computed tomography and pulmonary function tests of children with mediastinal masses. Surgery. 1995;118:468–71.

    Article  PubMed  CAS  Google Scholar 

Further Suggested Reading

  • Carre P, Rousseau H, Lombart L, et al. Balloon dilatation and self-expanding metal Wallstent insertion for management of bronchostenosis following lung transplantation. Chest. 1994;105:343–8.

    Article  PubMed  CAS  Google Scholar 

  • Conacher ID. Anaesthesia and tracheobronchial stenting for central airway obstruction in adults. Br J Anaesth. 2003;90:367–74.

    Article  PubMed  CAS  Google Scholar 

  • Daumerie G, Su S, Ochroch EA. Anesthesia for the patient with tracheal stenosis. Anesthesiol Clin. 2010;28:157–74.

    Article  PubMed  Google Scholar 

  • Korpela A, Aarnio P, Sariola H, et al. Bioabsorbable, self-reinforced poly-l-lactide, metallic, and silicone stents in the management of experimental tracheal stenosis. Chest. 1999;115:490–5.

    Article  PubMed  CAS  Google Scholar 

  • Martinez-Ballarin JI, Diaz-Jimenez JP, Castro MJ, Moya JA. Silicone stents in the management of benign tracheobronchial stenoses: tolerance and early results in 63 patients. Chest. 1996;109:626–9.

    Article  PubMed  CAS  Google Scholar 

  • Noppen M, Schlesser M, Meysman M, et al. Bronchoscopic balloon dilatation in the combined management of postintubation stenosis of the trachea in adults. Chest. 1997;112:1136–40.

    Article  PubMed  CAS  Google Scholar 

  • Puma F, Farabi R, Urbani M, et al. Long-term safety and tolerance of silicone and self-expandable airway stents: an experimental study. Ann Thorac Surg. 2000;69:1030–4.

    Article  PubMed  CAS  Google Scholar 

  • Strachan LM, Patey RE, Casson WR. Anesthesia and tracheobronchial stenting for central airway obstruction in adults (letter to the editor). Br J Anaesth. 2003;91(3):450.

    Article  PubMed  CAS  Google Scholar 

  • Sonnett JR, Keenan RJ, Ferson PF, et al. Endobronchial management of benign, malignant and lung transplantation airway stenoses. Ann Thorac Surg. 1995;59:1417–22.

    Article  Google Scholar 

  • Walser EM. Stent placement for tracheobronchial disease. Eur J Radiol. 2005;55:321–30.

    Article  PubMed  Google Scholar 

  • Zakaluzny SA, Lane JD, Mair EA. Complications of tracheobronchial airway stents. Otolaryngol Head Neck Surg. 2003;128:478–88.

    Article  PubMed  Google Scholar 

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Silver, D.A. (2012). Tracheal Stent Placement. In: Hartigan, P. (eds) Practical Handbook of Thoracic Anesthesia. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-88493-6_28

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  • DOI: https://doi.org/10.1007/978-0-387-88493-6_28

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-88492-9

  • Online ISBN: 978-0-387-88493-6

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