[A new method for tracheobronchial implantation of a self expandable endoprosthesis (stent)]

Abstract

In the treatment of malignant tracheobronchial stenosis stents are playing an increasing role. Most frequently silicone stents are used. A long-term complication of brachytherapy and laser is malacia-tracheobronchial stenosis. To improve the dyspnea and stridor, a novel technique is described by implanting a self-expanding metal-stent via the flexible fiberoptic-bronchoscope only in local anaesthesia. This procedure is fast, easy to handle and atraumatic and has lower risk of perforation, fistula, migration, bleeding and plugging by phlegm. The self-expanding metal-stent is very useful and reasonably effective for palliative treatment of tracheomalacia and malignant tracheobronchial stenosis.