PercuTwist tracheostomy in an intubated patient with tracheal stent. (June 2021)

• Record Type: Journal Article
• Authors: Bove, Mary; Ferraro, Fausto; Morgillo, Floriana; Natale, Giovanni; Santini, Mario; Fiorelli, Alfonso
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 29:Number 5(2021)
• Page Start: 431
• Page End: 433
• Publication Date: 2021-06
• Subjects: Airway obstruction -- surgical instruments -- stent -- tracheal neoplasms -- tracheal stenosis -- tracheostomy; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492320985963
• Languages: English
• ISSNs: 0218-4923

Abstract

The optimal placement of a tracheal tube following percutaneous dilator tracheostomy is technically demanding in patients with tracheal stents. We report a successful technique of tracheostomy tube placement with PercuTwist in an intubated patient with a tracheal stent for malignant stenosis. The endotracheal tube was replaced with a laryngeal mask, a 9.0-mm tracheostomy tube was inserted into the trachea over a PercuTwist percutaneous dilator and through the tracheal stent under video-bronchoscopic vision. The PercuTwist technique kept the lumen of trachea, a laryngeal mask enabled adequate ventilation, and a video-bronchoscope guided the prompt insertion of the tracheostomy tube through the stent.