Management and Discussion of COVID-19 Related Tracheal Stenosis: A Single Center Retrospective Review

SARS-CoV-2 virus has led to an unprecedented amount of tracheal stenosis. Rigid bronchoscopy can serve as a curative measure or bridge therapy to tracheal resection. We also briefly discuss the pathophysiology of tracheal stenosis from prolonged intubation and SARS-CoV-2 virus. This should be differ...

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Bibliographic Details
Published inInternational medical case reports journal Vol. 17; pp. 423 - 431
Main Authors Sweidan, Alexander J, Anaim, Haron Y, Patel, Niral M, Longoria, Javier A
Format Journal Article
LanguageEnglish
Published New Zealand Dove Medical Press Limited 31.05.2024
Dove
Dove Medical Press
Subjects
Bronchoscopy
Case Series
covid-19 intubation
Health aspects
Medical research
Medicine, Experimental
rigid bronchoscopy
Stenosis
Stent (Surgery)
Trachea
tracheal stenosis
Type 2 diabetes
rigid bronchoscopy
tracheal stenosis
COVID-19 intubation
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Summary:SARS-CoV-2 virus has led to an unprecedented amount of tracheal stenosis. Rigid bronchoscopy can serve as a curative measure or bridge therapy to tracheal resection. We also briefly discuss the pathophysiology of tracheal stenosis from prolonged intubation and SARS-CoV-2 virus. This should be differentiated from other forms of airway obstruction such as tracheobronchomalacia which would be considered a pseudo-tracheal stenotic disease. The aim of this study is to evaluate stenosis that is unable to be improved with positive airway pressure or "PAP" therapies and required stenting and/or subsequent tracheal resection. By performing Rigid Bronchoscopy and subsequent stenting of airways, we demonstrated outcomes for long term airway patency regarding patients who were intubated secondary to the SARS-CoV-2 virus. We demonstrate superb outcomes in a consecutive case series of 6 patients managed with rigid bronchoscopy, airway stent and tracheal resection. The patients were all managed from a pulmonary perspective by the physicians mentioned in this study.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S436903