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- W2551990269 abstract "Narrowing of the left mainstem bronchus(LMSB)may produce severe respiratory symptoms andairway stenting may represent a conservative treatment. We described 7 cases(3 boys,median age:0.5yrs, age range:0-13yrs)in which a left obstruction was treated with metallic balloon expandable( J e OSTENT,Abbott ®)and only a follow-up permitted to manage stent-related potentially fatal complications with low risk interventions. After a median time of 2.5 yrs(range:0.25-5yrs)from the stenting, all children showed major complications(3 complete ovalization, 3 breakage and 1 haemoptysis)due to a novel close proximity or collision to adjacent vessels. After a CTA scan showing vascular collision, 2 of the children with stent ovalization were treated with a posterior aortopexis(PA), while a watchful approach was planned in the third child. One of the children with stent breakage was submitted to PA, while a silicone stent(Dumon, Novatech) overlapping the metallic one was chosen for the second and a surgical expansion of the chest has been scheduled for the third patient who was affected by jeune syndrome. Tranexamic acid instillation together with a posterior aortopexis was successfully carried on in the child with haemoptysis. The presence of satisfactory anatomical relationships at the time of stent placement in LMSB is not by itself a guarantee of the final device. Only a radiological study before and eventually after stenting and a close follow-up by bronchoscopy can highlight in real time potentially dangerous complications secondary to the well known “mass effect”. The use of a permanent device must take account that clinical sequelae may become catastrophic." @default.
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- W2551990269 date "2016-09-01" @default.
- W2551990269 modified "2023-09-25" @default.
- W2551990269 title "Permanent bronchial stents in left mainsteam bronchus: closed follow up and low–risk interventions to manage potential fatal complications" @default.
- W2551990269 doi "https://doi.org/10.1183/13993003.congress-2016.oa1497" @default.
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