Background: Tracheobronchial stenting is performed
increasingly often. Fluoroscopic control, which leads to significant
radiation exposure for patients and staff, is recommended for the
placement of metal stents.
Methods: All consecutive
patients referred to two airway centers in need of airway stenting who
received stents (Ultraflex; Boston Scientific, Natick, MA)
underwent placement using endoscopic guidance only. All data were
collected in an ongoing continuous database.
One hundred stents were placed in 96 patients for central airway
obstruction, and the data were reviewed. Stents were placed in all
locations within the central airways for a variety of indications but
mainly for malignant obstruction. No complications occurred, and all
stents were placed satisfactorily.
centers with dedicated airway teams, Ultraflex stents can be quickly
and safely inserted without the need for fluoroscopy. This saves
radiation exposure to patients and to staff and may lead to a more