PURPOSE: To test an endotracheal placement procedure for malignant esophagorespiratory fistula when endoesophageal placement is inapplicable. METHODS: We report on patients with malignant esophagorespiratory fistula to which endoesophageal approaches were complicated with a complete obstruction of the hypopharynx, a collapsible tracheobronchus, or a previously placed endoesophageal stents. Gore-Tex membrane-covered Z-stents were deployed in the trachea using a coaxial introducer system in three patients. A Dumon tube was deployed in the bronchus over the bronchofiberscope in one patient. RESULTS: All fistula were completely sealed by the endotracheal or endobronchial stenting. Symptomatic and clinical improvements were immediate obtained. CONCLUSION: Endotracheal or endobronchial covered stent placement is thought to be an effective alternative method for sealing esophagorespiratory fistula.
PURPOSE: To test an endotracheal placement procedure for malignant esophagorespiratory fistula when endoesophageal placement is inapplicable. METHODS: We report on patients with malignant esophagorespiratory fistula to which endoesophageal approaches were complicated with a complete obstruction of the hypopharynx, a collapsible tracheobronchus, or a previously placed endoesophageal stents. Gore-Tex membrane-covered Z-stents were deployed in the trachea using a coaxial introducer system in three patients. A Dumon tube was deployed in the bronchus over the bronchofiberscope in one patient. RESULTS: All fistula were completely sealed by the endotracheal or endobronchial stenting. Symptomatic and clinical improvements were immediate obtained. CONCLUSION: Endotracheal or endobronchial covered stent placement is thought to be an effective alternative method for sealing esophagorespiratory fistula.
Authors: S Yata; T Kaminou; M Hashimoto; Y Ohuchi; K Sugiura; A Adachi; T Kawai; M Endo; S Takasugi; S Yamamoto; K Matsumoto; M Kodani; T Ihaya; H Suyama; T Ogawa Journal: Acta Radiol Short Rep Date: 2012-03-19