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Case Reports
. 2021 Oct 4;33(4):654-656.
doi: 10.1093/icvts/ivab132.

Percutaneous dilation tracheostomy in a patient with tracheal stent

Alfonso Fiorelli  1 , Gaetana Messina  1 , Mario Santini  1 , Fausto Ferraro  2
Affiliations
Case Reports

Percutaneous dilation tracheostomy in a patient with tracheal stent

Alfonso Fiorelli et al. Interact Cardiovasc Thorac Surg. .

Abstract

We reported the case of a patient with obstruction of tracheal stent, deployed previously for anaplastic thyroid carcinoma. The extension of malignant stricture above and below the stent and close to the vocal folds made unfeasible the stent recanalization and/or its replacement with another longer. Thus, tracheostomy was the only option to assure ventilation. After partial air-way recanalization with rigid bronchoscope, tracheostomy cannula was inserted through the stenosis using percutaneous dilatation tracheostomy technique.

Keywords: Airway stenting; Malignant tracheal stenosis; Percutaneous tracheostomy; Rigid bronchoscope.

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Figures

Figure 1:
Figure 1:
Chest computed tomography scan (A) and endoscopy (B and C) showed the malignant stricture above and below the ends of the stent.
Figure 2:
Figure 2:
Introduction of dilatator (A) and of tracheostomy cannula (B); cannula through the stent (C).
See this image and copyright information in PMC

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