Ventilation catheter-assisted airway stenting under local anaesthesia for patients with airway stenosis: initial clinical experience

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• 作者：Ning Wei ; Yu-Fei Fu ; Ke Zhang ; Hao-Guang Wan ; Hao Xu
• 关键词：Ventilation catheter ; Airway stenting ; Airway stenosis ; Local anaesthesia
• 刊名：La radiologia medica
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：120
• 期：4
• 页码：338-344
• 全文大小：692 KB
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• 刊物主题：Imaging / Radiology; Diagnostic Radiology; Interventional Radiology; Neuroradiology; Ultrasound;
• 出版者：Springer Milan
• ISSN：1826-6983

文摘

Purpose This report details our preliminary results of ventilation catheter-assisted airway stenting under local anaesthesia for airway stenosis. Materials and methods Fifteen consecutive patients with airway stenosis underwent ventilation catheter-assisted airway stenting under local anaesthesia. A 4F angiographic catheter was used as the ventilation catheter. During the treatment, the distal tip of the ventilation catheter was placed across the stenosis into one of the main bronchi and the proximal tip of the catheter was linked to the oxygen tube for oxygen supplementation. Airway stenting was performed under ventilation support. Patients maintained autonomous respiration throughout the procedures. Data on technical success, clinical outcome and follow-up were collected and analysed. Results Ventilation catheter-assisted airway stenting under local anaesthesia was technically successful and well tolerated in all patients. Respiratory difficulty was improved in all patients after treatment. The average Hugh–Jones classification grade, arterial oxygen saturation value, and respiratory rate improved from 4.20?±?0.68, 80.60?±?3.83?%, and 30.33?±?2.02 times/min, respectively, before stenting to 1.47?±?0.52 (P?P?P? Conclusions Ventilation catheter-assisted airway stenting under local anaesthesia can be an effective, simple and safe method for airway stenosis.