Clinical Cases of Successful Endoscopic Bronchial Stenting
V. S. Panteleev,
M. A. Nartaylakov,
A. S. Safonov,
Yu. V. Petrov,
M. P. Pogorelova,
T. A. Shagabutdinov https://doi.org/10.24060/2076-3093-2023-13-3-249-253
Abstract
Introduction. A comprehensive approach to restore the patency of the trachea and bronchi in stenoses of various origin consists in their endoscopic stenting, which can be both temporary and maximum continuous.
Materials and methods. The study presents two clinical cases of successful endoscopic stenting of the lower lobar bronchi of the lungs with relief of respiratory failure. In the first case, the left inferior lobar bronchus was compressed from the outside by a hematoma from a ruptured false aortic aneurysm. Thus, the aneurysm was stented first, and the compressed bronchus — second. In the second case, the right inferior lobar bronchus was stented due to lung metastases. In both cases, bronchial stenosis was accompanied by pulmonary atelectasis.
Results and discussion. In both cases, stenting was effective in restoring the patency of stenosed bronchi and expanding the lungs, which enabled respiratory failure to be stopped. In the first case, 3 months after the stenting, its outward migration was revealed, but no recurrence of bronchial narrowing was observed during further dynamic observation. In the second case, the follow-up of the patient for 6 months after stenting showed adequate functioning of the stent.
Conclusion. The presented clinical cases demonstrate high efficacy and reliability of endoscopic stenting in bronchial stenoses of various origin to cope with the respiratory failure and thereby improve the quality of life.
About the Authors
V. S. Panteleev
Bashkir State Medical University; G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Vladimir S. Panteleev - Dr. Sci. (Med.), Prof., Department of General Surgery with Transplantology and X-ray Diagnostics Courses for Advanced Professional Education, Surgery Unit No. 1
Ufa
M. A. Nartaylakov
Bashkir State Medical University; G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Mazhit A. Nartailakov - Dr. Sci. (Med.), Prof., Department of General Surgery with Transplantology and X-ray diagnostics Courses for Advanced Professional Education, Surgery Unit No. 1
Ufa
A. S. Safonov
Bashkir State Medical University; G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Anton S. Safonov - Cand. Sci. (Med.), Department of General Surgery with Transplantology and X-ray Diagnostics Courses for Advanced Professional Education
Ufa
Yu. V. Petrov
G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Yuri V. Petrov - Cand. Sci. (Med.), Endoscopy Unit
Ufa
M. P. Pogorelova
G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Maria P. Pogorelova - Cand. Sci. (Med.), Endoscopy Unit
Ufa
T. A. Shagabutdinov
G.G. Kuvatov Republican Clinical Hospital
Russian Federation
Russian Federation
Timur A. Shagabutdinov - Endoscopy Unit
Ufa
References
1. Freitas C., Martins N., Novais-Bastos H. Th e role of interventional bronchoscopy in the management of postintubation tracheal stenosis: A 20-year experience. Pulmonology. 2021;27(4):296–304. DOI: 10.1016/j.pulmoe.2019.12.004
2. Gol'tsman E.V., Kuchma O.A., Bondarenko E.N., Maiseenko D.A. Congenital tracheal stenosis: case report. Russian Journal of Woman and Child Health. 2023;6(2):78–87 (In Russ.). DOI: 10.32364/2618-8430-2021-4-3-298-301
3. Kaprin A.D., Starinsky V.V., Petrova G.V. Malignant neoplasms in Russia in 2017 (morbidity and mortality). Moscow: P.A Gertsen Moscow Research Oncology Institute — branch of the National Medical Research Center for Radiology, 2018 (In Russ.).
4. Auchincloss H., Mathisen D. Tracheal stenosis-resection and reconstruction. Ann Cardiothorac Surg. 2018;7(2):306–8. DOI: 10.21037/acs.2018.03.10
5. Kharchenko V.P., Chkhikvadze V.D. Reconstructive operations on the bronchi and tracheal bifurcation in the surgical and combined treatments of lung cancer. P.A. Herzen Journal of Oncology. 2020;9(5):5–12 (In Russ.). DOI: 10.17116/onkolog202090515
6. Parshin V.D., Rusakov M.A., Berikkhanov Z.G., Simonova M.S., Ursov M.A. Assessment of tracheal elasticity and tracheal anastomosis tension in cicatricial stenosis. Pirogov Russian Journal of Surgery. 2021;(2):32–9 (In Russ.). DOI: 10.17116/hirurgia202102132
7. Aydogmus U., Kis A., Ugurlu E. Superior strategy in benign tracheal stenosis treatment: surgery or endoscopy? Th orac Cardiovasc Surg. 2021;69(8):756–63. DOI: 10.1055/s-0040-1715435
8. Voronetsky A.N., Danovich A.E. Neodymium laser in laringotracheostenosis treatment aft er tracheostomy in children. Novosti Khirurgii. 2021;29(1):38–44 (In Russ.). DOI: 10.18484/2305-0047.2021.1.38
9. Verret D.J., Jategaonkar A., Heilman S. Holmium laser for endoscopic treatment of benign tracheal stenosis. Int Arch Otorhinolaryngol. 2018;22(3):203–7. DOI: 10.1055/s-0037-1604201
10. Alkhasov A.B., Yatsyk S.P., Komina E.I., Ratnikov S.A., Romanova E.A., Savelyeva M.S. Surgical treatment of postintubating stenosis of the larynx in children. Russian Pediatric Journal. 2022;25(4):244 (In Russ.).
11. Takeno A., Masuzawa T., Murakami K., Iwata T., Yamamoto A., Kawai K., et al. Tracheo-bronchial airway stenting for airway stenosis due to inoperable advanced esophageal cancers. Gan To Kagaku Ryoho. 2018;45(13):2241–3. PMID: 30692344
12. Cheng W.C., Shen M.F., Wu B.R., Chen C.Y., Chen W.C., Liao W.C., et al. Th e prognostic predictors of patients with airway involvement due to advanced esophageal cancer aft er metallic airway stenting using fl exible bronchoscopy. J Th orac Dis. 2019;11(9):3929–40. DOI: 10.21037/jtd.2019.08.108
13. Ivanov A.I., Popov V.A., Burmistrov M.V. Endoscopic stenting for malignant respiratory-digestive fi stulas. Consilium Medicum. 2020;22(12):53–6 (In Russ.) DOI: 10.26442/20751753.2020.12.200484
14. Krylovetskaya M.A., Makarova M.V., Komarov I.G., Malikhova O.A., Cherkes L.V. Central airway stenting in oncology. Head and Neck Tumors (HNT). 2022;12(4):55–60 (In Russ.). DOI: 10.17650/2222-1468-2022-12-4-55-60
15. Muntyan I.N., Porhanov V.A., Bondareva I.E., Rassovsky A.I. Endoprosthesis tracheal replacement in endoscopic treatment for cicatrical stenosis. Innovative Medicine of Kuban. 2017;8(4):42–5 (In Russ.).
16. Drobyazgin E.A., Chikinev Yu.V., Anikina M.S., Sudovikh I.E. Endoscopic treatment of cicatrical tracheal stenoses. Grekov's Bulletin of Surgery. 2019;178(5):10–5 (In Russ.). DOI: 10.24884/0042-4625-2019-178-5-10-15
17. Novikov V.N., Lozhkina N.V. Algorithm for the endoscopic treatment of combined neoplastic lesions of esophagus, trachea and main bronchus. Oncology Bulletin of the Volga region. 2017;5(32):33–9 (In Russ.).
18. Wright C.D. Nonoperative endoscopic management of benign tracheobronchial disorders. Th orac. Surg. Clin. 2018;28:243–7. DOI: 10.1016/j.thorsurg.2018.01.009
Review
For citations:
Panteleev V.S., Nartaylakov M.A., Safonov A.S., Petrov Yu.V., Pogorelova M.P., Shagabutdinov T.A. Clinical Cases of Successful Endoscopic Bronchial Stenting. Creative surgery and oncology. 2023;13(3):249-253. (In Russ.) https://doi.org/10.24060/2076-3093-2023-13-3-249-253
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