Removal of self expandable metallic airway stent: A rare case report

Covered self expandable metallic airway stents (SEMS) have been used for benign tracheal stenosis, post intubation tracheal stenosis, tracheal burn or trauma, tracheo-broncho-malacia, and extrinsic compression of trachea. Their placement is considered to be permanent, with open surgery the only way...

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Main Authors: Rakesh K Chawla, Arun Madan, Ishwar Singh, Rahul Mudoiya, Aditya Chawla, Radha Gupta, Kiran Chawla, Roopam Chhabra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2013;volume=30;issue=1;spage=64;epage=66;aulast=Chawla
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author Rakesh K Chawla
Arun Madan
Ishwar Singh
Rahul Mudoiya
Aditya Chawla
Radha Gupta
Kiran Chawla
Roopam Chhabra
author_facet Rakesh K Chawla
Arun Madan
Ishwar Singh
Rahul Mudoiya
Aditya Chawla
Radha Gupta
Kiran Chawla
Roopam Chhabra
author_sort Rakesh K Chawla
collection DOAJ
description Covered self expandable metallic airway stents (SEMS) have been used for benign tracheal stenosis, post intubation tracheal stenosis, tracheal burn or trauma, tracheo-broncho-malacia, and extrinsic compression of trachea. Their placement is considered to be permanent, with open surgery the only way to remove the stent, though there are few cases reports of their removal with the bronchoscope, but the complications after their removal are very high. In our patient, one and a half years after placement of SEMS, she developed cough with dyspnoea, video bronchoscopy showed stenosis above the level of stent with granulation tissue inside the stent, stent fracture in lower part and stent migration to right main bronchus, thus she had all conceivable complications of stent placement. The stent was removed with the help of rigid bronchoscope under general anaesthesia. She was discharged the following day. The case is being reported because it was unique in having all the possible complications of stent placement, and rare as we could take out the stent in Toto. Thirdly, the stent could be removed without any complication.
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spelling doaj.art-da4c302500e44e13bcd706107cea99172022-12-21T22:27:49ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2013-01-01301646610.4103/0970-2113.106177Removal of self expandable metallic airway stent: A rare case reportRakesh K ChawlaArun MadanIshwar SinghRahul MudoiyaAditya ChawlaRadha GuptaKiran ChawlaRoopam ChhabraCovered self expandable metallic airway stents (SEMS) have been used for benign tracheal stenosis, post intubation tracheal stenosis, tracheal burn or trauma, tracheo-broncho-malacia, and extrinsic compression of trachea. Their placement is considered to be permanent, with open surgery the only way to remove the stent, though there are few cases reports of their removal with the bronchoscope, but the complications after their removal are very high. In our patient, one and a half years after placement of SEMS, she developed cough with dyspnoea, video bronchoscopy showed stenosis above the level of stent with granulation tissue inside the stent, stent fracture in lower part and stent migration to right main bronchus, thus she had all conceivable complications of stent placement. The stent was removed with the help of rigid bronchoscope under general anaesthesia. She was discharged the following day. The case is being reported because it was unique in having all the possible complications of stent placement, and rare as we could take out the stent in Toto. Thirdly, the stent could be removed without any complication.http://www.lungindia.com/article.asp?issn=0970-2113;year=2013;volume=30;issue=1;spage=64;epage=66;aulast=ChawlaGranulation tissue inside the stentstenosis above the stentstent fracturestent migration
spellingShingle Rakesh K Chawla
Arun Madan
Ishwar Singh
Rahul Mudoiya
Aditya Chawla
Radha Gupta
Kiran Chawla
Roopam Chhabra
Removal of self expandable metallic airway stent: A rare case report
Lung India
Granulation tissue inside the stent
stenosis above the stent
stent fracture
stent migration
title Removal of self expandable metallic airway stent: A rare case report
title_full Removal of self expandable metallic airway stent: A rare case report
title_fullStr Removal of self expandable metallic airway stent: A rare case report
title_full_unstemmed Removal of self expandable metallic airway stent: A rare case report
title_short Removal of self expandable metallic airway stent: A rare case report
title_sort removal of self expandable metallic airway stent a rare case report
topic Granulation tissue inside the stent
stenosis above the stent
stent fracture
stent migration
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2013;volume=30;issue=1;spage=64;epage=66;aulast=Chawla
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