Skip to main content

Advertisement

SpringerLink
Log in

Double stenting with silicone and metallic stents for malignant airway stenosis

  • How to Do It
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

For severe malignant airway stenosis, there are several types of commercially available airway stents, and each has its own advantages and disadvantages. We herein describe the safety and efficacy of combination stenting with silicone and metallic stents for patients with extended malignant airway stenosis. Seven patients with malignant airway stenosis were treated via combination stenting with a silicone stent and a metallic stent for extended airway stenosis from the central to peripheral airways. Five patients were diagnosed with advanced esophageal cancer, two of whom had tracheoesophageal fistulas. One patient had adenoid cystic carcinoma, and another had mediastinal tumor. There were no specific complications related to the double stenting. Combination stenting with silicone and metallic stents proved to be a safe option for patients with severe, extended, and complicated malignant airway stenosis.

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

References

  1. Seijo LM, Ancochea J. In search of the ideal tracheobronchial stent: metal or silicone? Arch Bronconeumol. 2004;40:293–94.

    Article  CAS  PubMed  Google Scholar 

  2. Freitag L, Tekolf E, Stamatis G, Greschuchna D. Clinical evaluation of a new bifurcated dynamic airway stent: a 5-year experience with 135 patients. Thorac Cardiovasc Surg. 1997;45:6–12.

    Article  CAS  PubMed  Google Scholar 

  3. Bolliger CT, Breitenbuecher A, Brutsche M, Heitz M, Stanzel F. Use of studded Polyflex stents in patients with neoplastic obstructions of the central airways. Respiration. 2004;71:83–7.

    Article  CAS  PubMed  Google Scholar 

  4. Gildea TR, Downie G, Eapen G, Herth F, Jantz M, Freitag L. A prospective multicenter trial of a self-expanding hybrid stent in malignant airway obstruction. J Bronchol. 2008;15:221–4.

    Article  Google Scholar 

  5. Su JM, Wu TC, Wu MF, Chang H, Chou MC. Management of malignant tracheobronchial stenoses with the use of airway stents. J Chin Med Assoc. 2004;67:458-0.64.

  6. Lund ME, Garland R, Ernst A. Airway stenting: Applications and practice management considerations. Chest. 2007;131:579–87.

    Article  PubMed  Google Scholar 

  7. Kim J, Shin JH, Kim JH, Song HY, Song SY, Park CK. Metallic stent placement for the management of tracheal carina strictures and fistulas: technical and clinical outcomes. Am J Roentgenol. 2014;202:880–5.

    Article  Google Scholar 

  8. Hamai Y, Hihara J, Emi M, Aoki Y, Miyata Y, Okada M. Airway stenting for malignant respiratory complications in esophageal cancer. Anticancer Res. 2012;32:1785–90.

    PubMed  Google Scholar 

  9. Furukawa K, Ishida J, Yamaguchi G, Usuda J, Tsutsui H, Saito M, et al. The role of airway stent placement in the management of tracheobronchial stenosis caused by inoperable advanced lung cancer. Surg Today. 2010;40:315–20.

    Article  PubMed  Google Scholar 

  10. Tsukioka T, Takahama M, Nakajima R, Kimura M, Tei K, Yamamoto R. Sequential stenting for extensive malignant airway stenosis. Ann Thorac Cardiovasc Surg. 2015;21:114–8.

    Article  PubMed  Google Scholar 

  11. Dutau H, Toutblanc B, Lamb C, Seijo L. Use of the Dumon Y-stent in the management of malignant disease involving the carina: a retrospective review of 86 patients. Chest. 2004;126:951–8.

    Article  PubMed  Google Scholar 

  12. Chung FT, Chen HC, Chou CL, Yu CT, Kuo CH, Kuo HP, Lin SM. An outcome analysis of self-expandable metallic stents in central airway obstruction: a cohort study. J Cardiothorac Surg. 2011;6:46–53.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kosmidis P, Mylonakis N, Nicolaides C, Kalophonos C, Samantas E, Boukovinas J, et al. Paclitaxel plus carboplatin versus gemcitabine plus paclitaxel in advanced non-small-cell lung cancer: a phase III randomized trial. J Clin Oncol. 2002;20:3578–85.

    Article  CAS  PubMed  Google Scholar 

  14. Sweeney CJ, Zhu J, Sandler AB, Schiller J, Belani CP, Langer C, et al. Outcome of patients with a performance status of 2 in Eastern Cooperative Oncology Group Study E1594: a Phase II trial in patients with metastatic nonsmall cell lung carcinoma. Cancer. 2001;92:2639–47.

    Article  CAS  PubMed  Google Scholar 

  15. Alberola V, Camps C, Provencio M, Isla D, Rosell R, Vadell C, et al; Spanish Lung Cancer Group. Cisplatin plus gemcitabine versus a cisplatin-based triplet versus nonplatinum sequential doublets in advanced non-small-cell lung cancer: a Spanish Lung Cancer Group phase III randomized trial. J Clin Oncol. 2003;21:3207–13.

    Article  CAS  PubMed  Google Scholar 

  16. Herskovic A, Martz K, al-Sarraf M, Leichman L, Brindle J, Vaitkevicius V, et al. Combined chemotherapy and radiotherapy compared with radiotherapy alone in patients with cancer of the esophagus. N Engl J Med. 1992;326:1593–8.

    Article  CAS  PubMed  Google Scholar 

  17. Al-Sarraf M, Martz K, Herskovic A, Leichman L, Brindle JS, Vaitkevicius VK, et al. Progress report of combined chemoradiotherapy versus radiotherapy alone in patients with esophageal cancer: an intergroup study. J Clin Oncol. 1997;15:277–84.

    Article  CAS  PubMed  Google Scholar 

  18. Van Hagen P, Hulshof MC, van Lanschot JJ, Steyerberg EW, van Berge Henegouwen MI, Wijnhoven BP, et al. CROSS Group. Preoperative chemoradiotherapy for esophageal or junctional cancer. N Engl J Med. 2012;366:2074–84.

    Article  PubMed  Google Scholar 

  19. Langer C, Lilenbaum R. Role of chemotherapy in patients with poor performance status and advanced non-small cell lung cancer. Semin Oncol. 2004;31:8–15.

    Article  CAS  PubMed  Google Scholar 

  20. Koike R, Nishimura Y, Nakamatsu K, Kanamori S, Shibata T. Concurrent chemoradiotherapy for esophageal cancer with malignant fistula. Int J Radiat Oncol Biol Phys. 2008;70:1418–22.

    Article  PubMed  Google Scholar 

  21. Miyazaki T, Yamasaki N, Tsuchiya T, Matsumoto K, Takagi K, Nagayasu T. Airway stent insertion simulated with a three-dimensional printed airway model. Ann Thorac Surg. 2015;99:e21–e3.

    Article  PubMed  Google Scholar 

  22. Chin CS, Litle V, Yun J, Weiser T, Swanson SJ. Airway stents. Ann Thorac Surg. 2008;85:S792–6.

    Article  PubMed  Google Scholar 

  23. Saji H, Furukawa K, Tsutsui H, Tsuboi M, Ichinose S, Usuda J, et al. Outcomes of airway stenting for advanced lung cancer with central airway obstruction. Interact Cardiovasc Thorac Surg. 2010;11:425–8.

    Article  PubMed  Google Scholar 

  24. Chan KP, Eng P, Hsu AA, Huat GM, Chow M. Rigid bronchoscopy and stenting for esophageal cancer causing airway obstruction. Chest. 2002;122:1069–72.

    Article  PubMed  Google Scholar 

  25. Alexander EP, Trachiotis GD, Lipman TO, Wadleigh RG. Evolving management and outcome of esophageal cancer with airway involvement. Ann Thorac Surg. 2001;71:1640–4.

    Article  CAS  PubMed  Google Scholar 

  26. Belleguic C, Lena H, Briens E, Desrues B, Bretagne JF, Delaval P, et al. Tracheobronchial stenting in patients with esophageal cancer involving the central airways. Endoscopy. 1999;31:232–6.

    Article  Google Scholar 

  27. Vonk-Noordegraaf A, Postmus PE, Sutedja TG. Tracheobronchial stenting in the terminal care of cancer patients with central airways obstruction. Chest. 2001;120:1811–4.

    Article  CAS  PubMed  Google Scholar 

  28. Gotoh M, Miyata H, Hashimoto H, Wakabayashi G, Konno H, Miyakawa S, et al. National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency. Surg Today. 2016;46:38–47.

    Article  PubMed  Google Scholar 

  29. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Katayama H, Kurokawa Y, Nakamura K, Ito H, Kanemitsu Y, Masuda N, Tsubosa Y, et al. Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today. 2016;46:668–85.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan

    Keitaro Matsumoto, Naoya Yamasaki, Tomoshi Tsuchiya, Takuro Miyazaki, Ryotaro Kamohara, Go Hatachi & Takeshi Nagayasu

  2. Medical-Engineering Hybrid Professional Development Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Keitaro Matsumoto, Naoya Yamasaki & Takeshi Nagayasu

Authors
  1. Keitaro Matsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Naoya Yamasaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tomoshi Tsuchiya
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takuro Miyazaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ryotaro Kamohara
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Go Hatachi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Takeshi Nagayasu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Keitaro Matsumoto.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest or financial ties to disclose.

Human rights statement

All procedures were performed in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Informed consent

Informed consent or its equivalent was obtained from all patients for report participation.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Matsumoto, K., Yamasaki, N., Tsuchiya, T. et al. Double stenting with silicone and metallic stents for malignant airway stenosis. Surg Today 47, 1027–1035 (2017). https://doi.org/10.1007/s00595-016-1466-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-016-1466-6

Keywords

Search

Navigation