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Oki stenting for anastomotic bronchomalacia in lung transplantation. [caso clínico]

Por: López Padilla, Daniel Eduardo [Neumología] | García Luján, Ricardo [Neumología] | Pablo Gafas, Alicia de [Neumología] | Miguel Poch, Eduardo de [Neumología].
Colaborador(es): Servicio de Neumología.
Tipo de material: materialTypeLabelArtículoEditor: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2015Descripción: 48(3):e53-4.Recursos en línea: Solicitar documento Resumen: Anastomotic airway complications are a frequent cause of disease in lung transplantation. However, there is no consensus on the type of treatment to be performed with prosthetic devices. While some recent gadgets such as the Oki stent have been proposed for main right bronchus stenosis, there are no reports of stenting using this prosthesis in cases where the main complication is malacia rather than stenosis. We present 2 patients diagnosed with main right bronchus bronchomalacia, also involving bronchius intermedius. After several attempts to bypass the anastomosis employing different types of stent, including a T-tube Montgomery device, normal sputum drainage was not possible. Oki stenting was performed without complications, with a remarkable reduction in endoscopic procedures as well as important functional improvement. For both stenosis and bronchomalacia in lung transplantation, we propose Oki stenting as the first choice of treatment.
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Tipo de ítem Ubicación actual Signatura Estado Fecha de vencimiento
Caso clínico Caso clínico PC17208 (Navegar estantería) Disponible

Formato Vancouver:
López Padilla D, García-Luján R, de Pablo A, de Miguel Poch E. Oki stenting for anastomotic bronchomalacia in lung transplantation. Eur J Cardiothorac Surg. 2015 Sep;48(3):e53-4.

PMID: 26003956

Contiene 4 referencias

Anastomotic airway complications are a frequent cause of disease in lung transplantation. However, there is no consensus on the type of treatment to be performed with prosthetic devices. While some recent gadgets such as the Oki stent have been proposed for main right bronchus stenosis, there are no reports of stenting using this prosthesis in cases where the main complication is malacia rather than stenosis. We present 2 patients diagnosed with main right bronchus bronchomalacia, also involving bronchius intermedius. After several attempts to bypass the anastomosis employing different types of stent, including a T-tube Montgomery device, normal sputum drainage was not possible. Oki stenting was performed without complications, with a remarkable reduction in endoscopic procedures as well as important functional improvement. For both stenosis and bronchomalacia in lung transplantation, we propose Oki stenting as the first choice of treatment.

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