Journal Article Ppublish 17 citations
PubMed: 31793225 DOI: 10.1111/crj.13114
Comparison of silicon and metallic bifurcated stents in patients with malignant airway lesions.
Clin Respir J 14(3):198-204
Authors: Sinem Nedime Sökücü, Cengiz Özdemir, Seda Tural Önür, Levent Dalar, Sedat Altın
Affiliations
- Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
- Department of pulmonology, Bilim University, Istanbul, Turkey.
Abstract
INTRODUCTION AND OBJECTIVE
Silicon and metallic are two types of stents in use. In this study, we compared complications and long-term survival among patients who received silicon or fully covered, bifurcated self-expandable metallic stents (SEMS) for a malignant tracheobronchial obstruction and/or tracheo/bronchial oesophageal fistulas.
METHODS
Patients in whom Y-shaped stents were used from January 2013 to June 2017 in our interventional pulmonology unit were evaluated retrospectively from patient files.
RESULTS
Of the 47 patients, 30 (23 males, 76.7%) were in the silicon stent group and 17 (14 males, 82.4%) were in the covered SEMS group. No differences between the groups were detected in ECOG status, pathological properties of the disease, radiotherapy or chemotherapy history before the procedure, symptoms at presentation, or comorbidities. The most common symptom was dyspnoea (96.7% and 100%), and the most common comorbidity was chronic obstructive pulmonary disease (26.7% and 23.5%). A total of 20 complications (42.6%) were seen, with no significant difference between the groups (silicon, 40%; SEMS, 47.1%; P = . 62). Mean survival was 164.51 ± 38.83 days for the silicon stent group and 254.45 ± 103.32 days for the SEMS group (P = .588). No differences were observed in 30-, 90- or 180-day mortality between the two groups (P = .966, .846 and .534, respectively).
CONCLUSIONS
No significant differences in symptom palliation, insertion safety, complication rate or survival were detected between the two types of stent.
MeSH
Stents, Comorbidity, Respiratory Tract Diseases, Wounds And Injuries
Cited by
- Epithelialized chimeric repairing patch supports in situ healing of tracheal fistula. Sci Adv, 2025
- A narrative review of progress in airway stents. J Thorac Dis, 2022
- Clinical outcomes and survival following placement of self-expandable metallic stents for central airway stenosis and fistula. Thorac Cancer, 2020
- Bronchoscopic interventions for bronchopleural fistulas. Ther Adv Respir Dis, 2023
- Bronchopleural Fistula After Concurrent Chemoradiotherapy. Adv Radiat Oncol, 2020