使用氩等离子凝固技术和气道球囊术,成功治疗了一名复发性多软骨炎患者因 20 多年前放置的无盖金属支架破损而导致的气管狭窄。

IF 0.8 Q4 RESPIRATORY SYSTEM Respirology Case Reports Pub Date : 2024-09-24 eCollection Date: 2024-09-01 DOI:10.1002/rcr2.70034
Yuki Takigawa, Ken Sato, Kenichiro Kudo, Takeru Ichikawa, Yuto Sasano, Shoichiro Matsumoto, Tomoyoshi Inoue, Miho Fujiwara, Suzuka Matsuoka, Hiromi Watanabe, Akiko Sato, Keiichi Fujiwara, Takuo Shibayama
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引用次数: 0

摘要

一名 60 多岁的妇女因气道狭窄继发于未覆盖的金属支架而反复患上多软骨炎,被送入我院。她在全身麻醉下接受了支气管镜介入治疗。在手术过程中,使用氩等离子体凝固(APC)烧灼法烧灼支架断裂处,氩气流量为 1 升/分钟,功率设定为 70 瓦。氩气等离子体凝固(APC)烧灼术使支架丝呈环形弯曲,逐渐改善了狭窄情况。然后使用气道球囊进行气管扩张。球囊扩张后,细支气管镜很容易通过气管下段,并观察到左右主支气管;因此,手术顺利完成,未出现任何并发症。APC 凝血术和气道球囊术是暂时治疗金属支架断裂导致的气道狭窄的可行方法。
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Successful treatment of tracheal stenosis due to a broken uncovered metallic stent placed over 20 years ago in a patient with recurrent polychondritis using argon plasma coagulation and airway ballooning.

A woman in her mid-60s with recurrent polychondritis was admitted to our hospital due to airway stenosis secondary to an uncovered metallic stent. She underwent a bronchoscopic intervention under general anaesthesia. During the procedure, the stent fracture was cauterized using Argon Plasma Coagulation (APC) cauterisation, performed with argon flow at 1 L/min and power set at 70 W. APC cauterisation caused the stent wire to flex circularly, gradually improving the stenosis. Tracheal dilatation was then performed using an airway balloon. Following the ballooning, a thin bronchoscope was easily passed through the lower trachea, and the left and right main bronchi were observed; therefore, the procedure was completed without any complications. APC coagulation and airway ballooning are viable choices for the temporary treatment of airway stenosis due to broken metallic stents.

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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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