A Multicenter Experience With the Placement of Self-Expanding Metallic Tracheobronchial Y Stents. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Madan, Karan; Dhooria, Sahajal; Sehgal, Inderpaul Singh; Mohan, Anant; Mehta, Ravindra; Pattabhiraman, Vallandramam; Goyal, Rajiv; Agarwal, Ritesh
• Is Part Of: Journal of bronchology & interventional pulmonology. Volume 23:Issue 1(2016)
• Publication Date: 2016-01
• Subjects: self-expanding metallic stent -- Y stent -- tracheoesophageal fistula -- central airway obstruction -- bifurcation stent -- lung cancer -- cancer esophagus -- airway stent -- tracheobronchial stent; Bronchoscopy -- Periodicals; Lungs -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Lung Diseases -- surgery -- Periodicals; Diagnostic Techniques, Respiratory System -- Periodicals; Bronchi; Bronchoscopy; Lungs -- Diseases; Periodicals; 616.23
• DOI: 10.1097/LBR.0000000000000250
• Languages: English
• ISSNs: 1944-6586

Abstract

Abstract : Background: Deployment of a bifurcation (Y) stent is often required in patients with airway obstruction or fistulization near the tracheal carina. Herein, we describe our experience with placement of self-expanding metallic Y stents. Methods: This was a retrospective analysis of data of consecutive subjects who underwent placement of self-expanding metallic Y stent over 2 years at 6 different centers. We describe the technique, complications, and outcomes of metallic Y stent placement at the tracheal carina. Results: Thirty-eight subjects (25 men) with a mean age of 54.8 years underwent Y stent placement. The most common underlying disease was carcinoma of the esophagus (65.8%). The most common indication for stent insertion was central airway obstruction in 30 (78.9%) subjects followed by airway-esophageal fistula. Respiratory failure was present in 17 (44.7%) subjects at admission. The Y stent was deployed using either the rigid (n=32) or the flexible (n=6) bronchoscope, and was successfully placed in 37 of the 38 (97.4%) subjects. There was rapid improvement in symptoms and subsequent resolution of respiratory failure after stent placement. There was no periprocedural mortality and few stent-related complications. On follow-up at 12 weeks, 18 patients had died due to progression of the underlying disease. Conclusion: The insertion of a metallic Y stent results in immediate palliation of malignant airway obstruction or airway fistulization near the tracheal carina with rapid improvement of symptoms. Abstract : Supplemental Digital Content is available in the text.