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A novel approach to the management of acute tracheal tear

  • B Creagh-Brown (a1), A Sheth (a1), A Crerar-Gilbert (a1) and B P Madden (a1)

Abstract

Objective:

We describe the emergency use of a covered, expandable, removable tracheal stent in a patient who developed a large posterior tracheal tear complicating endobronchial therapy for large airway obstruction.

Method:

Case report and review of the literature concerning management of acute tracheal tear.

Results and conclusion:

Our patient demonstrates that endotracheal stenting is an option for managing acute large airway tear. Moreover, the use of a removable stent allows not only for rapid closure of the defect but also removal once the defect has healed, thus avoiding long-term complications of stent deployment.

Copyright

Corresponding author

Address for correspondence: Professor Brendan Madden, Department of Cardiothoracic medicine, Atkinson Morley Wing, St George's Hospital, Blackshaw Road, London SW17 OQT, UK. E-mail: drbencb@gmail.com

References

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1Davis, N, Madden, BP, Sheth, A, Crerar-Gilbert, AJ. Airway management of patients with tracheobronchial stents. Br J Anaesth 2006;96:132–5
2Alredus Inc. http://www.alveolus.com/ [20 September 2007]
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4Bolliger, CT, Mathur, PN, Beamis, JF, Becker, HD, Cavaliere, S, Colt, H et al. ERS/ATS statement on interventional pulmonology. Eur Respir J 2002;19:356–73
5Lanuit, M, Mathisen, DJ. Management of complications of tracheal surgery. Chest Surg Clin N Am 2003;13:385–97
6Madden, BP, Park, JES, Sheth, A. Medium-term follow-up after deployment of ultraflex expandable metallic stents to manage endobronchial pathology. Ann Thorac Surg 2004;78:1898–902
7Gaissert, HA, Grillo, HC, Wright, CD, Donahue, DM, Wain, JC, Mathisen, DJ. Complication of benign tracheobronchial strictures by self-expanding metal stents. J Thorac Cardiovasc Surg 2003;126:744–7
8Lunn, W, Feller-Kopman, D, Wahidi, M, Ashiku, S, Thurer, R, Ernst, A. Endoscopic removal of metallic airway stents. Chest 2005;127:2106–12
9Madden, BP, Loke, TK, Sheth, A. Do expandable metallic airway stents have a role in the management of patients with benign tracheobronchial disease? Ann Thorac Surg 2006;82:274–8

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