000			nab a22 7a 4500
999			_c16674 _d16674
003			PC16674
005			20211130062807.0
008			211129b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9835 _aAntón-Pacheco Sánchez, Juan Luis _eCirugía Pediátrica
100			_91849 _aComas Illas, Juan Valentín _eCirugía Cardíaca Pediátrica
100			_91431 _aLuna Paredes, Carmen _ePediatría
100			_91149 _aBenavent Gordo, María Isabel _eCirugía Pediátrica
100			_9834 _aLópez Díaz, María _eCirugía Pediátrica
100			_9787 _aRamos Casado, María Victoria _ePediatría
100			_92968 _aMéndez Marín, Dolores _eAnestesiología y Reanimación
245	0	0	_aTreatment strategies in the management of severe complications following slide tracheoplasty in children. _h[artículo]
260			_bEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. _c2014
300			_a46(2):280-5; discussion 285.
500			_aFormato Vancouver: Antón Pacheco JL, Comas JV, Luna C, Benavent MI, López M, Ramos V et al. Treatment strategies in the management of severe complications following slide tracheoplasty in children. Eur J Cardiothorac Surg. 2014 Aug;46(2):280-5; discussion 285.
501			_aPMID: 24446477
504			_aContiene 18 referencias
520			_aObjectives: This study focuses on the different surgical and endoscopical treatment alternatives when dealing with severe complications after slide tracheoplasty (STP). Methods: Retrospective study of patients with symptomatic congenital tracheal stenosis (CTS) admitted to a single institution, between January 1997 and January 2013, surgically treated by means of STP. The following variables were evaluated: demographics, preoperative tracheal stenosis characteristics, associated anomalies and outcome measures. Results: Cohort included 14 patients (8 males and 6 females) with a mean age of 8.7 months when treated (range, 1-43 m). Eleven patients (78%) showed a long segment CTS (>30% of total tracheal length) and 9 (64%) had associated cardiac or great vessel anomalies (left pulmonary artery sling). Three patients (21%) showed severe postoperative complications that required significant airway reintervention: tracheal resection of a restenotic segment, laser division with balloon dilatation of a residual stenosis and placement of a biodegradable endotracheal stent in an extensive tracheal narrowing. All patients are in good clinical condition with a mean follow-up of 6.3 years (range, 2 months to 16 years). Conclusions: STP has become the procedure of choice when dealing with CTS. Although it shows clear advantages compared with other surgical techniques, severe and difficult to manage complications may occur. Surgeons involved in their treatment should be familiar with diverse surgical and endoscopical procedures. Biodegradable airway stenting is a new and promising technique when long and severe post-surgical tracheal stenosis is present.
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16674.pdf _ySolicitar documento
942			_2ddc _cART _n0