First experience of trachea stenting using a Y-shaped stent. Clinical observation

I. N. Iurichev, V. Vereshchak, V. E. Gruzdev, M. A. Anisimov, A. A. Filatov
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Abstract

Endoscopic trachea stenting is a pressing issue in modern endoscopy. This method is applied in various diseases including benign stenoses associated with complications after long-term mechanical ventilation, malignant stenoses (oncological diseases of the trachea itself, compression from outside by esophageal or mediastinal tumors), post-injury stenoses and developmental defects.Currently, a certain contingent of patients exists for whom trachea prosthesis and its bifurcation remain the only possible option for stepwise or final treatment. If the lower third of the trachea, bifurcation zone or the main bronchi are affected, the optimal technique is stenting with Y-shaped stents which provide maximal patency of the airways.
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第一次使用y形支架进行气管支架置入。临床观察
内镜下气管支架置入术是现代内镜研究的热点问题。该方法适用于多种疾病,包括长期机械通气后合并并发症的良性狭窄、恶性狭窄(气管本身的肿瘤性疾病、食管或纵隔肿瘤的外部压迫)、损伤后狭窄和发育缺陷。目前,有一部分患者的气管假体及其分叉仍然是逐步或最终治疗的唯一可能选择。如果气管的下三分之一、分叉区或主支气管受到影响,最佳的技术是使用y型支架,以提供最大的气道通畅。
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