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Comparison of silicon and metallic bifurcated stents in patients with malignant airway lesions
- Source :
- The Clinical Respiratory Journal. 14:198-204
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Introduction and objective Silicon and metallic are two types of stents in use. In this study, we compared complications and long-term survival among patients who received silicon or fully covered, bifurcated self-expandable metallic stents (SEMS) for a malignant tracheobronchial obstruction and/or tracheo/bronchial oesophageal fistulas. Methods Patients in whom Y-shaped stents were used from January 2013 to June 2017 in our interventional pulmonology unit were evaluated retrospectively from patient files. Results Of the 47 patients, 30 (23 males, 76.7%) were in the silicon stent group and 17 (14 males, 82.4%) were in the covered SEMS group. No differences between the groups were detected in ECOG status, pathological properties of the disease, radiotherapy or chemotherapy history before the procedure, symptoms at presentation, or comorbidities. The most common symptom was dyspnoea (96.7% and 100%), and the most common comorbidity was chronic obstructive pulmonary disease (26.7% and 23.5%). A total of 20 complications (42.6%) were seen, with no significant difference between the groups (silicon, 40%; SEMS, 47.1%; P = . 62). Mean survival was 164.51 ± 38.83 days for the silicon stent group and 254.45 ± 103.32 days for the SEMS group (P = .588). No differences were observed in 30-, 90- or 180-day mortality between the two groups (P = .966, .846 and .534, respectively). Conclusions No significant differences in symptom palliation, insertion safety, complication rate or survival were detected between the two types of stent.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
Silicon
medicine.medical_specialty
medicine.medical_treatment
Self Expandable Metallic Stents
Comorbidity
Pulmonary Disease, Chronic Obstructive
03 medical and health sciences
0302 clinical medicine
Neoplasms
Bronchoscopy
medicine
Humans
Immunology and Allergy
In patient
030212 general & internal medicine
Pathological
Genetics (clinical)
Retrospective Studies
Chemotherapy
business.industry
Significant difference
Stent
equipment and supplies
medicine.disease
Survival Analysis
Surgery
Airway Obstruction
Radiation therapy
Dyspnea
Treatment Outcome
030228 respiratory system
Case-Control Studies
Female
Stents
Bronchial Fistula
Safety
Airway
business
Subjects
Details
- ISSN :
- 1752699X and 17526981
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- The Clinical Respiratory Journal
- Accession number :
- edsair.doi.dedup.....b033856579010b32767b720fe67080e2
- Full Text :
- https://doi.org/10.1111/crj.13114