Sealing of Airway Fistulas for Metallic Covered Z-type Stents
Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for t...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Chinese Anti-Cancer Association; Chinese Antituberculosis Association
2011-08-01
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| Series: | Chinese Journal of Lung Cancer |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 |
| _version_ | 1811256495953674240 |
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| author | Hongwu WANG Dongmei LI Nan ZHANG Hang ZOU Lingfei LUO Hongming MA Yunzhi ZHOU Jing LI Sujuan LIANG |
| author_facet | Hongwu WANG Dongmei LI Nan ZHANG Hang ZOU Lingfei LUO Hongming MA Yunzhi ZHOU Jing LI Sujuan LIANG |
| author_sort | Hongwu WANG |
| collection | DOAJ |
| description | Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina. |
| first_indexed | 2024-04-12T17:42:04Z |
| format | Article |
| id | doaj.art-1044aa931983431cb374f82aa0bbb3bc |
| institution | Directory Open Access Journal |
| issn | 1009-3419 1999-6187 |
| language | zho |
| last_indexed | 2024-04-12T17:42:04Z |
| publishDate | 2011-08-01 |
| publisher | Chinese Anti-Cancer Association; Chinese Antituberculosis Association |
| record_format | Article |
| series | Chinese Journal of Lung Cancer |
| spelling | doaj.art-1044aa931983431cb374f82aa0bbb3bc2022-12-22T03:22:47ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872011-08-0114867968410.3779/j.issn.1009-3419.2011.08.08Sealing of Airway Fistulas for Metallic Covered Z-type StentsHongwu WANGDongmei LINan ZHANGHang ZOULingfei LUOHongming MAYunzhi ZHOUJing LISujuan LIANGBackground and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina.http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08Lung neoplasmsEsophageorespiratory fistulaBronchopleural fistulaStents |
| spellingShingle | Hongwu WANG Dongmei LI Nan ZHANG Hang ZOU Lingfei LUO Hongming MA Yunzhi ZHOU Jing LI Sujuan LIANG Sealing of Airway Fistulas for Metallic Covered Z-type Stents Chinese Journal of Lung Cancer Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents |
| title | Sealing of Airway Fistulas for Metallic Covered Z-type Stents |
| title_full | Sealing of Airway Fistulas for Metallic Covered Z-type Stents |
| title_fullStr | Sealing of Airway Fistulas for Metallic Covered Z-type Stents |
| title_full_unstemmed | Sealing of Airway Fistulas for Metallic Covered Z-type Stents |
| title_short | Sealing of Airway Fistulas for Metallic Covered Z-type Stents |
| title_sort | sealing of airway fistulas for metallic covered z type stents |
| topic | Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents |
| url | http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 |
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