Successful use of self-expandable metal stents in a case of iatrogenic tracheal rupture
Successful use of self-expandable metal stents in a case of iatrogenic tracheal rupture
Blog Article
As an alternative treatment to immediate surgical repair, endotracheal stent placement has been recently proposed in cases of iatrogenic tracheal HDMI Splitters damages.We report a case of a 91-year-old male who developed sudden subcutaneous emphysema during a total laryngectomy for laryngeal carcinoma.A tracheal tear at the distal third of the posterior tracheal wall was endoscopically assessed about 2 cm above the carina; CT confirmed the breach approximately 4 cm in length with associated pneumomediastinum and bilateral pneumothorax.Two covered self-expandable metal stents were then coaxially released under fluoroscopic control to cover the defect, restoring the tracheal integrity and leading to a normal thoracic appearance at CT and Mini Dress X-ray after 72 hours.
Keywords: Iatrogenic tracheal rupture, Pneumomediastinum, Self-expandable metal stent.