Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Oncology Letters
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-1074 Online ISSN: 1792-1082
Journal Cover
April-2019 Volume 17 Issue 4

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
April-2019 Volume 17 Issue 4

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article

Application of Micro‑Tech stents in malignant carinal stenosis

  • Authors:
    • Jin‑Mu Niu
    • Jie Zhang
    • Xiao‑Jian Qiu
    • Juan Wang
    • Ying‑Hua Pei
    • Yu‑Ling Wang
    • Ting Wang
  • View Affiliations / Copyright

    Affiliations: Department of Respiration, Beijing Tian Tan Hospital, Capital Medical University, Dongcheng, Beijing 100050, P.R. China
  • Pages: 3990-3996
    |
    Published online on: February 19, 2019
       https://doi.org/10.3892/ol.2019.10051
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

Malignant carinal stenosis is a disease process that is not always suitable for treatment with a Y‑shaped stent. When one of the main bronchi is completely obstructed and cannot be recanalized, or its distal lung tissue has lost function, inserting a Y‑shaped stent is infeasible. In this complex condition, a cone‑shaped stent is selected to maintain the patency of the trachea and the other main bronchus. The efficacy of the bare cone‑shaped Micro‑Tech stent to treat malignant carinal stenosis was evaluated in the current study. The medical records of 47 patients with malignant carinal stenosis who underwent Micro‑Tech stent placement between January 2004 and October 2017 in Beijing Tian Tan Hospital (Beijing, China) were analyzed retrospectively. A total of 47 bare Micro‑Tech stents (28 Y‑shaped and 19 cone‑shaped) were successfully inserted in the patients. Following stent placement, immediate satisfactory results were achieved in all patients, especially an improvement of dyspnea (100%), cough (81.1%) and stridor (100%). The Karnofsky scores were significantly increased (P<0.001), and the American Thoracic Society Dyspnea Index values were significantly decreased (P<0.001). Following a median of 88 days, initial bronchoscopic interventions were performed for tumor overgrowth (84.6%), stent fracture (7.7%) and granulation tissue (7.7%). Restenting was performed in two patients due to tumor progression (n=1) and stent fracture (n=1). Removal of a Y‑shaped stent was attempted in one patient, but failed, as the stent had become partly embedded in the airway mucosa. In conclusion, cone‑shaped Micro‑Tech stent placement maintained tracheal‑unilateral main bronchus patency and benefitted patients with malignant carinal stenosis in whom Y‑shaped stents were not suitable for insertion.
View Figures

Figure 1

Figure 2

View References

1 

Puchalski J and Musani AI: Tracheobronchial stenosis: Causes and advances in management. Clin Chest Med. 34:557–567. 2013. View Article : Google Scholar : PubMed/NCBI

2 

Tsukioka T, Takahama M, Nakajima R, Kimura M, Tei K and Yamamoto R: Sequential stenting for extensive malignant airway stenosis. Ann Thorac Cardiovasc Surg. 21:114–118. 2015. View Article : Google Scholar : PubMed/NCBI

3 

Shin S, Park JS, Shim YM, Kim HJ and Kim J: Carinal resection and reconstruction in thoracic malignancies. J Surg Oncol. 110:239–244. 2014. View Article : Google Scholar : PubMed/NCBI

4 

Fiorelli A, Caterino U, Raucci A and Santini M: A conical self-expanding metallic stent for the management of critical complex tracheobronchial malignant stenosis. Interact Cardiovasc Thorac Surg. 24:293–295. 2017.PubMed/NCBI

5 

Takeda T, Itano H, Fukita S, Saitoh M and Takeda S: Bilateral self-expandable metallic stents for lung cancer involving the carina. Respirol Case Rep. 1:48–51. 2013.PubMed/NCBI

6 

Sehgal IS, Dhooria S, Madan K, Pattabhiraman V, Mehta R, Goyal R, Akkaraju J and Agarwal R: Placement of tracheobronchial silicone Y-stents: Multicenter experience and systematic review of the literature. Lung India. 34:311–317. 2017. View Article : Google Scholar : PubMed/NCBI

7 

Dutau H, Toutblanc B, Lamb C and Seijo L: Use of the dumon Y-stent in the management of malignant disease involving the carina: A retrospective review of 86 patients. Chest. 126:951–958. 2004. View Article : Google Scholar : PubMed/NCBI

8 

Yang RM, Han XW, Wu G, Li YD and Li FB: Implantation of a self-expandable metallic inverted Y-stent to treat tracheobronchial stenosis in the carinal region: Initial clinical experience. Clin Radiol. 62:1223–1228. 2007. View Article : Google Scholar : PubMed/NCBI

9 

Ayub A, Al-Ayoubi AM and Bhora FY: Stents for airway strictures: Selection and results. J Thorac Dis. 9 Suppl 2:S116–S121. 2017. View Article : Google Scholar : PubMed/NCBI

10 

Righini C, Aniwidyaningsih W, Ferretti G, Pra Y, Raymond CS, Ferretti K, Hustache C, Diab S, Reyt E and Pison CM: Computed tomography measurements for airway stent insertion in malignant airway obstruction. J Bronchology Interv Pulmonol. 17:22–28. 2010. View Article : Google Scholar : PubMed/NCBI

11 

Williams JM, Krebs IA, Riedesel EA and Zhao Q: Comparison of fluoroscopy and computed tomography for tracheal lumen diameter measurement and determination of intraluminal stent size in healthy dogs. Vet Radiol Ultrasound. 57:269–275. 2016. View Article : Google Scholar : PubMed/NCBI

12 

Ernst A, Feller-Kopman D, Becker HD and Mehta AC: Central airway obstruction. Am J Respir Crit Care Med. 169:1278–1297. 2004. View Article : Google Scholar : PubMed/NCBI

13 

Chen H, Zhang J, Qiu XJ, Wang J, Pei YH and Wang YL: Interventional bronchoscopic therapy in adult patients with tracheobronchial mucoepidermoid carcinoma. Chin Med J (Engl). 130:2453–2458. 2017. View Article : Google Scholar : PubMed/NCBI

14 

Yamamoto K, Kosaba S, Ikeda T and Tokuyasu H: Evaluation of therapeutic method for malignant tumors involving the tracheal carina. Kyobu Geka. 54:581–584. 2001.(In Japanese). PubMed/NCBI

15 

Madan K, Dhooria S, Sehgal IS, Mohan A, Mehta R, Pattabhiraman V, Goyal R and Agarwal R: A multicenter experience with the placement of self-expanding metallic tracheobronchial Y stents. J Bronchology Interv Pulmonol. 23:29–38. 2016. View Article : Google Scholar : PubMed/NCBI

16 

Qiao Y, Fu YF, Cheng L, Niu S and Cao C: Placement of integrated self-expanding Y-shaped airway stent in management of carinal stenosis. Radiol Med. 121:744–750. 2016. View Article : Google Scholar : PubMed/NCBI

17 

Mudambi L, Miller R and Eapen GA: Malignant central airway obstruction. J Thorac Dis. 9 Suppl 10:S1087–S1110. 2017. View Article : Google Scholar : PubMed/NCBI

18 

Parissis H and Young V: Carinal surgery: Experience of a single center and review of the current literature. J Cardiothorac Surg. 5:512010. View Article : Google Scholar : PubMed/NCBI

19 

Yamamoto K, Miyamoto Y, Ohsumi A, Imanishi N and Kojima F: Surgical results of carinal reconstruction: An alterative technique for tumors involving the tracheal carina. Ann Thorac Surg. 84:216–220. 2007. View Article : Google Scholar : PubMed/NCBI

20 

Maniwa Y: Surgical treatment of airway disease. J Thorac Dis. 8:E78–E82. 2016.PubMed/NCBI

21 

Chen CH, Wu BR, Cheng WC, Chen CY, Chen WC, Hsia TC, Liao WC, Tu CY and Hsu WH: Interventional pulmonology for patients with central airway obstruction: An 8-year institutional experience. Medicine (Baltimore). 96:e56122017. View Article : Google Scholar : PubMed/NCBI

22 

Jeong BH, Um SW, Suh GY, Chung MP, Kwon OJ, Kim H and Kim J: Results of interventional bronchoscopy in the management of postoperative tracheobronchial stenosis. J Thorac Cardiovasc Surg. 144:217–222. 2012. View Article : Google Scholar : PubMed/NCBI

23 

Folch E and Keyes C: Airway stents. Ann Cardiothorac Surg. 7:273–283. 2018. View Article : Google Scholar : PubMed/NCBI

24 

Ozdemir C, Sokucu SN, Karasulu L, Onur ST and Dalar L: Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions. Multidiscip Respir Med. 11:152016. View Article : Google Scholar : PubMed/NCBI

25 

Conforti S, Durkovic S, Rinaldo A, Gagliardone MP, Montorsi E and Torre M: Self-expanding y stent for the treatment of malignant tracheobronchial stenosis. Retrospective study. Arch Bronconeumol. 52:e5–e7. 2016.(In English, Spanish). View Article : Google Scholar : PubMed/NCBI

26 

Fu YF, Wei N, Zhang K and Xu H: Subcarinal ventilation-assisted Y-shaped stent insertion under local anesthesia for patients with complex tracheobronchial stenosis: Initial clinical experience. Diagn Interv Radiol. 20:330–334. 2014. View Article : Google Scholar : PubMed/NCBI

27 

Madan K, Shrestha P, Garg R, Hadda V, Mohan A and Guleria R: Bronchoscopic management of critical central airway obstruction by thyroid cancer: Combination airway stenting using tracheal and inverted-Y carinal self-expanding metallic stents. Lung India. 34:202–205. 2017. View Article : Google Scholar : PubMed/NCBI

28 

Fortin M, MacEachern P, Hergott CA, Chee A, Dumoulin E and Tremblay A: Self-expandable metallic stents in nonmalignant large airway disease. Can Respir J. 22:235–236. 2015. View Article : Google Scholar : PubMed/NCBI

29 

Zhu JH, Lei M, Chen EG, Qiao Q and Zhong TD: Ventilation strategy and anesthesia management in patients with severe tracheal stenosis undergoing urgent tracheal stenting. Acta Anaesthesiol Scand. 62:600–607. 2018. View Article : Google Scholar : PubMed/NCBI

30 

Fadaizadeh L, Hosseini MS and Dabir S: Role of laryngeal mask airway in interventional bronchoscopy procedures for upper tracheal stenosis: Case series. Middle East J Anaesthesiol. 22:223–227. 2013.PubMed/NCBI

31 

Fernandez-Bustamante A, Ibanez V, Alfaro JJ, de Miguel E, Germán MJ, Mayo A, Jimeno A, Pérez-Cerdá F and Escribano PM: High-frequency jet ventilation in interventional bronchoscopy: Factors with predictive value on high-frequency jet ventilation complications. J Clin Anesth. 18:349–356. 2006. View Article : Google Scholar : PubMed/NCBI

32 

Mieda H, Nagano Y, Iwasaki E, Oishi Y, Sasai T, Shin Y, Watanabe Y, Oku S, Fukushima T and Tokioka H: Two cases of airway stent placement to treat tracheal and bronchial fistula using general anesthesia under spontaneous respiration. Masui. 61:880–884. 2012.(In Japanese). PubMed/NCBI

33 

Tanigawa N, Kariya S, Komemushi A, Nakatani M, Yagi R and Sawada S: Metallic stent placement for malignant airway stenosis. Minim Invasive Ther Allied Technol. 21:108–112. 2012. View Article : Google Scholar : PubMed/NCBI

34 

Wang Y, Guo JH, Zhu GY, Zhu HD, Chen L, Lu J, Wang C and Teng GJ: A novel self-expandable, radioactive airway stent loaded with (125)I seeds: A feasibility and safety study in healthy beagle dog. Cardiovasc Intervent Radiol. 40:1086–1093. 2017. View Article : Google Scholar : PubMed/NCBI

35 

Doyle DJ, Abdelmalak B, Machuzak M and Gildea TR: Anesthesia and airway management for removing pulmonary self-expanding metallic stents. J Clin Anesth. 21:529–532. 2009. View Article : Google Scholar : PubMed/NCBI

36 

Alazemi S, Lunn W, Majid A, Berkowitz D, Michaud G, Feller-Kopman D, Herth F and Ernst A: Outcomes, health-care resources use, and costs of endoscopic removal of metallic airway stents. Chest. 138:350–356. 2010. View Article : Google Scholar : PubMed/NCBI

37 

Bhandari A, Wang YH, Lv SX, Xia EJ and Wang OC: Novel strategy of stents in thyroid mass: A case series report of managing severely dyspneic patients. Onco Targets Ther. 10:4997–5004. 2017. View Article : Google Scholar : PubMed/NCBI

38 

Wang H, Zhou Y, Yamaguchi E, Zhou Y, Li D, Zou H, Luo L and Ma H: Endoscopic removal of metallic airway stents. J Bronchology Interv Pulmonol. 18:31–37. 2011. View Article : Google Scholar : PubMed/NCBI

39 

Schmidt B, Massenkeil G, John M, Arnold R and Witt C: Temporary tracheobronchial stenting in malignant lymphoma. Ann Thorac Surg. 67:1448–1450. 1999. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Niu JM, Zhang J, Qiu XJ, Wang J, Pei YH, Wang YL and Wang T: Application of Micro‑Tech stents in malignant carinal stenosis. Oncol Lett 17: 3990-3996, 2019.
APA
Niu, J., Zhang, J., Qiu, X., Wang, J., Pei, Y., Wang, Y., & Wang, T. (2019). Application of Micro‑Tech stents in malignant carinal stenosis. Oncology Letters, 17, 3990-3996. https://doi.org/10.3892/ol.2019.10051
MLA
Niu, J., Zhang, J., Qiu, X., Wang, J., Pei, Y., Wang, Y., Wang, T."Application of Micro‑Tech stents in malignant carinal stenosis". Oncology Letters 17.4 (2019): 3990-3996.
Chicago
Niu, J., Zhang, J., Qiu, X., Wang, J., Pei, Y., Wang, Y., Wang, T."Application of Micro‑Tech stents in malignant carinal stenosis". Oncology Letters 17, no. 4 (2019): 3990-3996. https://doi.org/10.3892/ol.2019.10051
Copy and paste a formatted citation
x
Spandidos Publications style
Niu JM, Zhang J, Qiu XJ, Wang J, Pei YH, Wang YL and Wang T: Application of Micro‑Tech stents in malignant carinal stenosis. Oncol Lett 17: 3990-3996, 2019.
APA
Niu, J., Zhang, J., Qiu, X., Wang, J., Pei, Y., Wang, Y., & Wang, T. (2019). Application of Micro‑Tech stents in malignant carinal stenosis. Oncology Letters, 17, 3990-3996. https://doi.org/10.3892/ol.2019.10051
MLA
Niu, J., Zhang, J., Qiu, X., Wang, J., Pei, Y., Wang, Y., Wang, T."Application of Micro‑Tech stents in malignant carinal stenosis". Oncology Letters 17.4 (2019): 3990-3996.
Chicago
Niu, J., Zhang, J., Qiu, X., Wang, J., Pei, Y., Wang, Y., Wang, T."Application of Micro‑Tech stents in malignant carinal stenosis". Oncology Letters 17, no. 4 (2019): 3990-3996. https://doi.org/10.3892/ol.2019.10051
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team