Self-expanding metallic Y-stent compared to silicone Y-stent for malignant lesions of the main carina: A single center retrospective study.
Adult
Aged
Aged, 80 and over
Airway Obstruction
/ etiology
Bronchoscopy
/ instrumentation
Constriction, Pathologic
/ therapy
Female
Humans
Lung Neoplasms
/ complications
Male
Middle Aged
Postoperative Complications
/ epidemiology
Prosthesis Design
Prosthesis Implantation
/ adverse effects
Retrospective Studies
Self Expandable Metallic Stents
/ adverse effects
Silicones
/ adverse effects
Stents
/ adverse effects
Tracheal Stenosis
/ etiology
Treatment Outcome
Bronchoscopy
Lung cancer
Rigid bronchoscopy
Stent
Journal
Respiratory medicine and research
ISSN: 2590-0412
Titre abrégé: Respir Med Res
Pays: France
ID NLM: 101746324
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
17
02
2020
revised:
04
05
2020
accepted:
08
05
2020
pubmed:
5
6
2020
medline:
28
9
2021
entrez:
5
6
2020
Statut:
ppublish
Résumé
Bifurcation stents are often required in patients with malignant airway obstruction or fistulization involving the main carina. The silicone Y stent is the most used but remains challenging to place. The self-expanding metallic Y (SEM) stent appears easy to use. The objective is to report the feasibility, efficacy, and tolerance of SEM Y stent compared to silicone Y stent in patients with malignant tumors involving the main carina. This retrospective single center study was performed between May 2004 and May 2017. All patients with malignant carina involvement treated with a bronchial Y stent were included. Forty silicone Y stents and 38 SEM Y stents were placed. Seven stenting placements failed in the silicone Y group but none in the SEM Y stent group (P=0.008). The median duration of the procedure was 80min (25-210) in the silicone Y group and.50min (25-110min) in the SEM Y group (P=0.001). There was no significant difference in terms of early or late complications between the 2 groups. Nine silicone Y stents (26.5%) and 7 SEM Y stents (18.4%) were removed (P=0.4). The median survival time following stent insertion was 171 days (Interquartile range (IQR): 53-379) in the silicone Y group and 104 days (IQR: 53-230) in the SEM Y group. If silicone Y stent remains the best solution for benign obstruction, SEM Y stent seems to be an easy alternative with no difference in terms of complication or ablation for malignant lesions involving the main carina.
Sections du résumé
BACKGROUND
BACKGROUND
Bifurcation stents are often required in patients with malignant airway obstruction or fistulization involving the main carina. The silicone Y stent is the most used but remains challenging to place. The self-expanding metallic Y (SEM) stent appears easy to use. The objective is to report the feasibility, efficacy, and tolerance of SEM Y stent compared to silicone Y stent in patients with malignant tumors involving the main carina.
PATIENTS AND METHODS
METHODS
This retrospective single center study was performed between May 2004 and May 2017. All patients with malignant carina involvement treated with a bronchial Y stent were included.
RESULTS
RESULTS
Forty silicone Y stents and 38 SEM Y stents were placed. Seven stenting placements failed in the silicone Y group but none in the SEM Y stent group (P=0.008). The median duration of the procedure was 80min (25-210) in the silicone Y group and.50min (25-110min) in the SEM Y group (P=0.001). There was no significant difference in terms of early or late complications between the 2 groups. Nine silicone Y stents (26.5%) and 7 SEM Y stents (18.4%) were removed (P=0.4). The median survival time following stent insertion was 171 days (Interquartile range (IQR): 53-379) in the silicone Y group and 104 days (IQR: 53-230) in the SEM Y group.
CONCLUSION
CONCLUSIONS
If silicone Y stent remains the best solution for benign obstruction, SEM Y stent seems to be an easy alternative with no difference in terms of complication or ablation for malignant lesions involving the main carina.
Identifiants
pubmed: 32498021
pii: S2590-0412(20)30022-2
doi: 10.1016/j.resmer.2020.100767
pii:
doi:
Substances chimiques
Silicones
0
Types de publication
Comparative Study
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
100767Informations de copyright
Copyright © 2020 SPLF and Elsevier Masson SAS. All rights reserved.