Y-Shaped Metal Airway Stent Placement for Complex Airway Diseases_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

WANG Guoan , WU Hongcheng , JIANG Jingbo , YU Biyun , TONGYaodong , ZHANGHaiwang , HE Yibing.

Department of Respiratory Medicine, Affiliated Li Huili Hospital, Medical School of Ningbo University. Ningbo, Zhejiang,315041, ChinaCorresponding Author: WU Hong-cheng, E-mail: doctorwu1967@ 126. com;

Corresponding author：

Keywords：

Y-shaped stent; Treachus; Carina; Stenosis; Fistula

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the feasibility and therapeutic efficacy of inverted Y-shaped self-expandable metal airway stent for complex airway diseases ( stenosis or fistula) .Methods According to the particular anatomic structure and the pathological changes of complex airway diseases, the inverted Y-shaped self-expandable metal airway stent was designed. 10 stents were implanted in 10 cases of airway complex diseases under the guidance of interventional fibroscopy and fluoroscopy. Results The inverted Y-shaped stents were placed successfully with immediate relief of the symptoms. 100% of the patients were able to be weaned fromoxygen therapy completely. Dyspnea grade improved significantly fromⅢ-Ⅳ to 0-Ⅱ,and oxygen saturation elevated from ( 85 ±5) % in inspiring high concentration oxygen to ( 95 ±3) % in breathing ambient air ( t = - 7. 352, P lt;0. 05) . Breathlessness in 2 cases with tracheoesophageal fistula was relieved after inserting covered airway stent without bucking while foodintaking after fasting 24 hours.Conclusion The placement of inverted Y-shaped self-expandable metal airway stent is a feasible and safe
treatment for complex airway disease such as stenosis or fistula.

Citation： WANG Guoan,WU Hongcheng,JIANG Jingbo,YU Biyun,TONGYaodong,ZHANGHaiwang,HE Yibing.. Y-Shaped Metal Airway Stent Placement for Complex Airway Diseases. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(4): 396-400. doi: Copy

1.	Wallace MJ, Charnsangave JC, Ogawa K, et al. Trachebronchial tree: expandable metallic stents used in experimental and clinical applications: work in progress. Radiology, 1986, 158: 309-312.
2.	Dutau H, Toutblanc B, Lamb C, et al. Use of the Dumon Y-stent in the management of malignant disease involving the carina: a retrospective review of 86 patients. Chest, 2004, 126: 951 -958.
3.	边巍, 沈策. Y 形气道支架的研究进展. 中华结核和呼吸杂志,2006, 29: 409-412.
4.	韩新巍, 吴刚, 马骥, 等. 气道倒Y 型一体化自膨胀式金属内支架的递送技术研究和初步临床应用. 介入放射学杂志, 2007 ,16: 92 -94 .
5.	姜静波, 周建英, 吴宏成, 等. 气道一体化Y 型支架置入在复合大气道病变中的临床应用. 浙江预防医学, 2009, 21: 83 -84 .
6.	Han XW,Wu G, Li YD, et al. Overcoming the delivery limitation:results of an approach to implanting an integrated self-expanding Yshaped metallic stent in the carina. J Vasc Interv Radiol, 2008, 19 :742-747.
7.	吴刚, 马骥, 韩新巍, 等. 倒Y 型金属气道支架置入治疗晚期恶性肿瘤隆突部狭窄. 中华结核和呼吸杂志, 2008, 31: 771-773 .
8.	王培武, 吴刚, 韩新巍, 等. 倒Y 型一体化气道内支架置入治疗气道复合病变. 当代医学, 2009, 15: 201-202.
9.	Hauck RW, Born P, Helmberger H, et al. Y-Nitinol airway stent for management for central airway compression due to metastatic colon cancer. Endoscopy, 2003 , 35: 858-860.
10.	Mao AW, Liu SY, Fang SM, et al. Gastrobronchial fistula: Treatment with a covered tracheobronchial stent and an integrated Y-shaped metallic stent. Euro J Radiol Extra, 2010, 73: 61-64.
11.	Yoo KS, Kim JH, Kim KO, et al. Endoscopic nested Y-shaped selfexpanding metal stent placement for advanced hilar cholangiocarcinoma: a pilot study of a novel stent with a unique mesh structure. Gastrointest Endoscopy, 2009 , 69: AB265.

1. Wallace MJ, Charnsangave JC, Ogawa K, et al. Trachebronchial tree: expandable metallic stents used in experimental and clinical applications: work in progress. Radiology, 1986, 158: 309-312.
2. Dutau H, Toutblanc B, Lamb C, et al. Use of the Dumon Y-stent in the management of malignant disease involving the carina: a retrospective review of 86 patients. Chest, 2004, 126: 951 -958.
3. 边巍, 沈策. Y 形气道支架的研究进展. 中华结核和呼吸杂志,2006, 29: 409-412.
4. 韩新巍, 吴刚, 马骥, 等. 气道倒Y 型一体化自膨胀式金属内支架的递送技术研究和初步临床应用. 介入放射学杂志, 2007 ,16: 92 -94 .
5. 姜静波, 周建英, 吴宏成, 等. 气道一体化Y 型支架置入在复合大气道病变中的临床应用. 浙江预防医学, 2009, 21: 83 -84 .
6. Han XW,Wu G, Li YD, et al. Overcoming the delivery limitation:results of an approach to implanting an integrated self-expanding Yshaped metallic stent in the carina. J Vasc Interv Radiol, 2008, 19 :742-747.
7. 吴刚, 马骥, 韩新巍, 等. 倒Y 型金属气道支架置入治疗晚期恶性肿瘤隆突部狭窄. 中华结核和呼吸杂志, 2008, 31: 771-773 .
8. 王培武, 吴刚, 韩新巍, 等. 倒Y 型一体化气道内支架置入治疗气道复合病变. 当代医学, 2009, 15: 201-202.
9. Hauck RW, Born P, Helmberger H, et al. Y-Nitinol airway stent for management for central airway compression due to metastatic colon cancer. Endoscopy, 2003 , 35: 858-860.
10. Mao AW, Liu SY, Fang SM, et al. Gastrobronchial fistula: Treatment with a covered tracheobronchial stent and an integrated Y-shaped metallic stent. Euro J Radiol Extra, 2010, 73: 61-64.
11. Yoo KS, Kim JH, Kim KO, et al. Endoscopic nested Y-shaped selfexpanding metal stent placement for advanced hilar cholangiocarcinoma: a pilot study of a novel stent with a unique mesh structure. Gastrointest Endoscopy, 2009 , 69: AB265.

Chinese Journal of Respiratory and Critical Care Medicine

Y-Shaped Metal Airway Stent Placement for Complex Airway Diseases

Abstract Full text Figures/Tables Video References Cited by

Format

Content