Use of Hybrid Stent in Management of Complex Malignant Airway Stenosisand Fistulas

Airway stents has been widely used in airway stenosis and fistula, yet clinical date of airway stents in reestablishment a complex airway is insufficient. The aim of this study is to evaluate the efficacy and safety to combine the silicon stent and the metal stent in reestablishment a complex malign...

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Published inZhongguo fei ai za zhi Vol. 23; no. 6; pp. 472 - 478
Main Authors Chen, Yu, Zhou, Ziqing, Feng, Jiaxin, Zhong, Changhao, Lu, Liya, Chen, Xiaobo, Tang, Chunli, Li, Shiyue
Format Journal Article
LanguageChinese
Published China Chinese Anti-Cancer Association Chinese Antituberculosis Association 20.06.2020
Chinese Anti-Cancer Association; Chinese Antituberculosis Association
Subjects
Alloys
complex airway
Constriction, Pathologic - complications
Constriction, Pathologic - surgery
Female
Fistula
Fistula - complications
Fistula - surgery
Humans
hybrid stents
Male
malignant stenosis
Middle Aged
Neoplasms - complications
Respiratory diseases
Respiratory System - surgery
Retrospective Studies
Safety
Stents
Stents - adverse effects
tracheoesophageal fistula
Treatment Outcome
Hybrid stents
Complex airway
Tracheoesophageal fistula
Malignant stenosis
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Summary:Airway stents has been widely used in airway stenosis and fistula, yet clinical date of airway stents in reestablishment a complex airway is insufficient. The aim of this study is to evaluate the efficacy and safety to combine the silicon stent and the metal stent in reestablishment a complex malignant airway. Patients with non-operable complex malignant airway stenosis and fistula were recruited in this study. Silicon Y stent combined with covered metal stent (Hybrid stent) were inserted to reestablishment the airway. Clinical outcomes and complications were observed over six months. A total of 23 silicon Y stents and 25 covered metal stents were inserted in 23 patients. Nineteen of 23 (19/23, 82.6%) patients felt a immediately relieving of current symptoms. The mean duration of stents placement in patients was (153.43±9.14) days. The modified British Medical Research Council, Karnofsky Performance Status and Performance Status scale were improved significantly after stenting. A total of 12 patients living w
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ISSN:1009-3419
1999-6187
DOI:10.3779/j.issn.1009-3419.2020.104.05