Bronchoscopic management of critical central airway obstruction by thyroid cancer: Combination airway stenting using tracheal and inverted-Y carinal self-expanding metallic stents
| Autor: | Rakesh Garg, Randeep Guleria, Prajowl Shrestha, Vijay Hadda, Karan Madan, Anant Mohan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty bronchoscopy Inverted Y self-expanding metal stent Thyroid carcinoma Airway stent 03 medical and health sciences 0302 clinical medicine Bronchoscopy Medicine Anaplastic thyroid cancer Thyroid cancer lcsh:RC705-779 medicine.diagnostic_test Newer Techniques business.industry lcsh:Diseases of the respiratory system respiratory system medicine.disease thyroid carcinoma Surgery respiratory tract diseases Airway Compromise 030228 respiratory system Respiratory failure 030220 oncology & carcinogenesis central airway obstruction Radiology business Airway |
| Zdroj: | Lung India : Official Organ of Indian Chest Society Lung India, Vol 34, Iss 2, Pp 202-205 (2017) |
| ISSN: | 0970-2113 |
| Popis: | Central airway obstruction (CAO) can result from various benign and malignant etiologies. Anaplastic thyroid cancer (ATC) is the most aggressive form of thyroid cancer. Rapid airway compromise is the main cause of death in ATC. We report a patient with ATC who presented with a large neck mass leading to CAO with long segment tracheal and right main bronchial compression and respiratory failure. Urgent Rigid Bronchoscopy was performed for airway stabilization and patient was managed with a combination airway stenting approach. A combination of self expanding, metallic, covered inverted Y and straight tracheal stents was used to stabilize the near complete airway structure. We herein highlight the role of therapeutic rigid bronchoscopy with airway stenting as an efficacious treatment modality for management of malignant CAO. |
| Databáze: | OpenAIRE |
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