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European Journal of Cardio-Thoracic Surgery, Vol 5, 648-652, Copyright © 1991 by European Association for Cardio-thoracic Surgery

ARTICLES

Gianturco self-expanding metallic stents in treatment of tracheobronchial stenosis after single lung and heart and lung transplantation

J Spatenka, A Khaghani, JD Irving, S Theodoropoulos, Z Slavik and MH Yacoub
Harefield Hospital, Middlesex & National Heart and Lung Institute, London, UK.

Three patients with recurrent bronchial stenosis following single lung transplant (SLTx), and one patient with tracheal stenosis following heart-lung transplantation (HLTx), not responding to repeated dilatations (3 patients) and prolonged use of silastic stents (patient with tracheal stenosis), have been treated by the endoscopic insertion of Gianturco self-expanding metallic stents under fluoroscopic control. The stent resulted in immediate improvement in respiratory function in all four patients. One patient (SLTx) had early bronchial re-stenosis due to growth of granulation tissue within the stent which was successfully treated by cryotherapy. In one patient (HLTx), a left lower lobe bronchial stenosis developed 14 months after tracheal stenting. The metallic stent appears to be a promising device in the management of recurrent or resistant bronchial stenosis following SLTx or tracheal stenosis after HLTx.


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Copyright © 1991 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.