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Long‐term pneumatic stenting with positive expiratory pressure therapy for severe expiratory central airway collapse

Authors :
Rodrigo Funes‐Ferrada
Alanna Barrios‐Ruiz
Alejandra Yu Lee‐Mateus
Margaret M. Johnson
Sebastian Fernandez‐Bussy
David Abia‐Trujillo
Source :
Respirology Case Reports, Vol 12, Iss 5, Pp n/a-n/a (2024)
Publication Year :
2024
Publisher :
Wiley, 2024.

Abstract

Abstract Expiratory central airway collapse (ECAC) comprising excessive central airway collapse (EDAC) and tracheobronchomalacia. Treatment is challenging for severe cases that are not candidates for surgical management. We report a case of severe ECAC successfully managed with continuous positive airway pressure (CPAP) therapy. A 75‐year‐old female patient status post right pneumonectomy, presented with chronic cough. Dynamic bronchoscopy evaluation showed severe EDAC which improved with intraprocedural noninvasive positive pressure (NIPPV) therapy. Due to patients' comorbidities, she was not a candidate to surgical tracheobronchoplasty. Therefore, we attempted pneumatic stenting with long‐term CPAP therapy resulting in improvement of symptoms and functional capacity. The long‐term efficacy of pneumatic stenting has not been clearly established yet. Literature review of management of ECAC with NIPPV consist primarily of case reports and there is only one clinical trial being conducted to assess the efficacy of CPAP therapy in ECAC. While NIPPV arises as a sufficient alternative for management of severe ECAC, larger scale studies are needed to prove the real efficacy of NIPPV in this setting.

Details

Language :
English
ISSN :
20513380
Volume :
12
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Respirology Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.6e2692f9ccfc4bc18bcd5882738371a1
Document Type :
article
Full Text :
https://doi.org/10.1002/rcr2.1367