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  • Title: Self-expanding y stent for the treatment of malignant tracheobronchial stenosis. Retrospective study.
    Author: Conforti S, Durkovic S, Rinaldo A, Gagliardone MP, Montorsi E, Torre M.
    Journal: Arch Bronconeumol; 2016 Nov; 52(11):e5-e7. PubMed ID: 27125581.
    Abstract:
    Palliation of malignant tracheobronchial stenosis is challenging. Published experience with self-expanding Y-shaped stents is limited and it seems necessary to evaluate whether they improve clinical results with respect to alternative prostheses. We present a retrospective case series of 20 consecutive patients with malignant tracheobronchial stenosis that underwent placement of a single-unit, Y-shaped covered metallic stent. Outcomes were: safety of the procedure, palliation of dyspnea, complications, and survival. All stents were safely and easily placed using a rigid tracheoscope within 24hours of admission. Dyspnea was effectively palliated in all patients, and no early or late adverse stent-related events were observed. Thirty-day mortality was 40%. Median survival was 12.2 weeks. Placement of Y-shaped self-expanding stents is a safe and effective procedure for the palliation of malignant tracheobronchial stenosis, and is currently our stent of choice for this subgroup of patients.
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