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Abstract: Poster Presentations |

SILICONE AIRWAY STENTS IN THE TREATMENT OF PATIENTS WITH DIFFUSE TRACHEOBRONCHOMALACIA FREE TO VIEW

Adnan Majid, MD*; Rabih Bechara, MD; Yoshihiro Nakamura, MD; David Feller-Kopman, MD; Simon Ashiku, MD; Malcom DeCamp, MD; Armin Ernst, MD
Author and Funding Information

Tufts-New England Medical Center, Boston, MA


Chest


Chest. 2005;128(4_MeetingAbstracts):326S. doi:10.1378/chest.128.4_MeetingAbstracts.326S-b
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Abstract

PURPOSE:  To evaluate the effectiveness of airway stents in the treatment of diffuse tracheobronchomalcia (TBM) and their complications.

METHODS:  Single center retrospective analysis of medical records from patients with diffuse TBM referred to a major academic center from January 2002 to June 2004 who underwent central airway stenting (tracheal, main bronchus or both). Patient charts were reviewed for improvement of symptoms and complications.

RESULTS:  Number of patients stented: 29; number of patients with improvement of symptoms: 23(80%), without improvement of symptoms 6(20%); how did symptoms improve: off mechanical ventilation 4 (17%), less cough 12(52%), less shortness of breath 17(74%), less medications 4(17%); number of complications:24 (83%),time of complications: <3 months 20 (83%), >3months 4(17%), median 26 days (3-865 days); procedure related: 3(13%), stent related:21(87%) (infection 6(29%), migration 6(29%), obstruction 12(57%), breakage 1(5%),hemoptysis 1(5%),respiratory failure 2(10%), cough 2(10%)).

CONCLUSION:  Silicone stents improve symptoms in carefully selected patients with moderate to severe TBM. Unfortunately, treatment with these stents is associated with a significant number of short and long-term complications that limits their use.

CLINICAL IMPLICATIONS:  Airway stents currently have a role in identifying patients with diffuse TBM who will benefit from central airway stabilization.

DISCLOSURE:  Adnan Majid, None.

Wednesday, November 2, 2005

12:30 PM - 2:00 PM


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