Use of Combined Suspension Laryngoscopy and Jet Ventilation for Y-Shaped Airway Stents Delivery

Airway stenting is a common endoscopic procedure that is used to treat a variety of central airway lesions. Obstructions or fistulas involving the carina or nearby tracheobronchial structures require the use of specially designed stents, commonly referred to as Y-stents. Conventional methods of endo...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 97; no. 6; pp. 2208 - 2210
Main Authors Monnier, Yan, MD, PhD, Chollet-Rivier, Madeleine, MD, Gonzalez, Michel, MD, Nicod, Laurent, MD, Simon, Christian, MD, Lovis, Alban, MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.06.2014
Subjects
Bronchial Diseases - therapy
Cardiothoracic Surgery
Humans
Laryngoscopy - methods
Respiration, Artificial - methods
Risk Factors
Stents
Surgery
Tracheal Stenosis - therapy
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Summary:Airway stenting is a common endoscopic procedure that is used to treat a variety of central airway lesions. Obstructions or fistulas involving the carina or nearby tracheobronchial structures require the use of specially designed stents, commonly referred to as Y-stents. Conventional methods of endobronchial Y-stent delivery are all characterized by a blind and apneic period during the procedure that carries the risk of stent misplacement or ventilation/oxygenation problems or both. Using combined suspension laryngoscopy, flexible bronchoscopy, and jet ventilation, we describe a technique that makes challenging bronchoscopic interventions—such as self-expandable Y-shaped airway stent delivery—easy, precise, and safe.
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.11.024