Airway Stents: Current Practice and Future Directions

ISSN: 1875-6387 (Online)
ISSN: 1573-398X (Print)


Volume 10, 4 Issues, 2014


Download PDF Flyer




Current Respiratory Medicine Reviews

Aims & ScopeAbstracted/Indexed in


Submit Abstracts Online Submit Manuscripts Online

Editor-in-Chief:
Joseph Varon
The University of Texas Health Science Center
Houston, TX
USA


View Full Editorial Board

Subscribe Purchase Articles Order Reprints


Airway Stents: Current Practice and Future Directions

Author(s): Juan F. Sanchez, Christopher Henry, Heath D. White and Shekhar A. Ghamande

Affiliation: Baylor Scott & White Health, 2401 South 31st Street, Temple, Texas 76508, USA.

Abstract

Historical evolution of airway stents began with the adaptation of endoprosthesis used in vascular and gastrointestinal procedures. In 1990, Jean-Francois Dumon published the first report of a dedicated silicone airway stent with a unique delivery system that continues to be used nowadays. Since then, additional developments in airway stenting have occurred such as the development of new alloys for self exapandable metallic stents with and without coverings.

Stents are currently used for a wide variety of indications such as treatment of benign or malignant tracheobronchial stenosis with good symptom relief, quality of life and performance status scores in patients undergoing treatment for malignant airway involvement. Airway stents are also indicated in selected cases of benign airway obstruction and closure of trachea-esophageal or other types of fistulous tracts involving the central airways. Self-expandable metallic stents offer distinct advantages such as ease of placement, avoidance of use of general anesthetics and specific disadvantages such as granulation tissue formation and difficulty in manipulation and removal after placement.

Current challenges in airway stenting include short and long term complications such as migration, granulation tissue, airway secretion management and stent infections. New technology is currently under development including drug-eluting airway stents, biodegradable stents and three-dimensional printing to achieve better conformation to the size and anatomy of the airway.





Keywords: Benign airway obstruction, biodegradable stents, drug eluting stents, dyspnea relief, malignant airway obstruction, metallic stents, quality of life, silicone stents.

Download Free Rights and Permissions

  
  



Article Details

Volume: 10
Issue Number: 1
First Page: 38
Last Page: 43
Page Count: 6
DOI: 10.2174/1573398X10666140626230623
Advertisement

Related Journals




Webmaster Contact: urooj@benthamscience.org Copyright © 2014 Bentham Science