Skip to main content
SpringerLink
Log in

Combined Y-Shaped Covered Metallic Stents for Gastrobronchial Fistulas Involving the Right Intermediate Bronchus

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Gastrobronchial fistula that involves the right intermediate bronchus is an extremely rare complication of esophagectomy. In this report, two patients with gastrobronchial fistulas around the secondary right carina were treated by combined Y-shaped covered metallic stents. Four covered stents were inserted successfully at the first attempt with no complications. The gastrobronchial fistula was fully sealed in each patient, and they were able to eat without coughing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Han X, Wu G, Li Y, Li M. A novel approach: treatment of bronchial stump fistula with a plugged, bullet-shaped, angled stent. Ann Thorac Surg. 2006;81:1867–71.

    Article  PubMed  Google Scholar 

  2. Han XW, Wu G, Li YD, Zhang QX, Guan S, Ma N, et al. Overcoming the delivery limitation: results of an approach to implanting an integrated self-expanding Y-shaped metallic stent in the carina. J Vasc Interv Radiol. 2008;19:742–7.

    Article  PubMed  Google Scholar 

  3. Bi Y, Li J, Yu Z, Ren J, Wu G, Han X. Metallic small y stent placement at primary right carina for bronchial disease. BMC Pulm Med. 2018;18:182.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Turk AE, Karanas YL, Cannon W, Chang J. Staged closure of complicated bronchopleural fistulas. Ann Plast Surg. 2000;45:560–4.

    Article  CAS  PubMed  Google Scholar 

  5. Fernando HC, Sherwood JT, Krimsky W. Endoscopic therapies and stents for benign airway disorders: Where are we, and where are we heading? Ann Thorac Surg. 2010;89:S2183–7.

    Article  PubMed  Google Scholar 

  6. Murgu SD, Colt HG. Silicone Y stent placement at secondary left carina for malignant central airway obstruction. J Thorac Cardiovasc Surg. 2010;139:494–5.

    Article  PubMed  Google Scholar 

  7. Dahlqvist C, Ocak S, d’Odemont JP. New bifurcated silicone stent for the treatment of posttransplant bronchus intermedius stenosis: new silicone stent in posttransplant stenosis. Chest. 2014;145:429.

    Article  PubMed  Google Scholar 

  8. Oki M, Saka H. New dedicated bifurcated silicone stent placement for stenosis around the primary right carina. Chest. 2013;144:450–5.

    Article  PubMed  Google Scholar 

  9. Oki M, Saka H. Silicone Y-stent placement on the secondary left carina. Respiration. 2015;90:493–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by National Natural Science Foundation of China (Grant No. 81501569).

Author information

Author notes

  1. Xinwei Han and Gang Wu contributed equally to this work and share co-corresponding authors.

Authors and Affiliations

  1. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, No.1, East Jian She Road, Zhengzhou, 450052, China

    Yonghua Bi, Zepeng Yu, Xinwei Han & Gang Wu

Authors
  1. Yonghua Bi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Zepeng Yu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xinwei Han
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gang Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Xinwei Han or Gang Wu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Ethics Committee and Medical Records Management Section of the he First Affiliated Hospital of Zhengzhou University.

Informed Consent Statement

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bi, Y., Yu, Z., Han, X. et al. Combined Y-Shaped Covered Metallic Stents for Gastrobronchial Fistulas Involving the Right Intermediate Bronchus. Cardiovasc Intervent Radiol 42, 927–930 (2019). https://doi.org/10.1007/s00270-019-02180-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-019-02180-2

Keywords

Search

Navigation