Tracheal Stent Safely Removed After 12.5-years Stenting Because of Tracheal Sclerosis: Case Report

DOI
  • Kamimura Go
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Aoki Masaya
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Tokunaga Takuya
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Harada Aya
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Nagata Toshiyuki
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Otsuka Tsunayuki
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Yokomakura Naoya
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Kariatsumari Kota
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Nakamura Yoshihiro
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Sato Masami
    Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University

Bibliographic Information

Other Title
  • 12.5年間のステント留置により気管の剛性が回復しステント抜去できた1例

Search this article

Abstract

<p>Background. There have been few case reports regarding the long-term follow-up of tracheal stents. Case. A 40-year-old woman took organic phosphorus to commit suicide. She needed mechanical ventilation support and underwent tracheostomy. She was found to have airway stenosis due to a granulation tissue lesion, and a T-tube stent was left in place after laser and balloon dilation. Destruction of tracheal cartilage was observed by radial probe endobronchial ultrasound. A silicone stent was used to replace a T-tube. Frequent silicone stent exchange and laser resection were necessary. We fixed the silicone stent to the trachea using nylon sutures, which enabled long-term stenting without the need for bronchial toilet. Twelve and a half years later, the patient presented to our hospital complaining of breathing difficulty. A bronchoscopic examination revealed granulation tissue at the caudal end of the stent. After the removal of the stent and granulation tissue, airway obstruction and stenosis were not observed. Re-insertion of the stent was not carried out. After 12.5 years of stenting, her trachea was thought to have sclerosed, probably due to scar formation around the trachea and aging. Conclusion. The removal of tracheal stenting was successfully performed after the longest stenting duration on record, namely 12.5 years.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top