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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Rozhl. Chir., 2000, roč. 79, č. 8, s. 380-384. |
Metal Stent as the Solution of Benign Stenosis of the Trachea Válek V. A., Štefl M. RDK, FN Brno-Bohunice, přednosta prof. MUDr. K. Benda, DrSc. |
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Summary: Objective: To demonstrate in a group of 26 patients with benign stenosis of the trachea the possibi lity to use
a Palmaz stent as the method of choice.
Material and methods: The authors introduced since 1995 to patients with benign stenosis of the trachea 36
stents (1 Wallstent, 2 Z stents and 33 Palmaz stents). The operation was performed under general anaesthesia
in an operating theatre under skiascopic and optic control. The stent was inserted along a guide. Before insertion
of the stent they dilated the stenosis by means of a balloon dilatation catheter.
Results: Respiration improved in all patients within 6 days after introduction of the stent. Within 30 days
after insertion of the stent none of the patients died. Two patients (7.7 %) died four weeks (Palmaz stent) and 11
months (Wallstent) after insertion of the stent. Restenosis was observed in 9 patients (34.6 %) 2–16 weeks after
introduction of the stent. In 5 patients restenosis developed repeatedly. At present 19 patients (73 %) are free
from complaints for 1 month to 4 years after insertion of the stent (average 28 months). 5 patients (19 %) had
a tracheostomy and insertion of the stent in these patients did not produce so far the anticipated result.
Conclusion: The authors assume that the use of Palmaz stent is in patients with benign stenosis of the trachea
in indicated cases the method of choice.
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