TY - JOUR
T1 - Temporary endobronchial stent as a bridge to corrective surgery for severe kyphoscoliosis-associated central-airway extrinsic compression
AU - Sriratanaviriyakul, Narin
AU - Nguyen, Lam Phuong
AU - Ismail, Heba
AU - Roberto, Rolando Figueroa
AU - Yoneda, Ken Y
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Kyphoscoliosis is known to compromise lung function, with the primary mechanism being reduced chest wall compliance with a resultant restrictive pulmonary physiology. Severe scoliosis can also cause extrinsic compression of the central airways, leading to recurrent respiratory infections, lobar atelectasis, and potentially acute respiratory failure. Definitive therapy is corrective surgery of the spine. However, patients with severe scoliosis are at a potentially high risk of perioperative pulmonary complications. To our knowledge, we report the first successful use of retrievable endobronchial stents as a bridge to corrective surgery for kyphoscoliosis-associated complete central-airway extrinsic compression in a patient who was considered as too high risk for surgical correction due to her respiratory status. After surgery, the stents were removed and our patient experienced sustained improvement in pulmonary function and the clinical respiratory status.
AB - Kyphoscoliosis is known to compromise lung function, with the primary mechanism being reduced chest wall compliance with a resultant restrictive pulmonary physiology. Severe scoliosis can also cause extrinsic compression of the central airways, leading to recurrent respiratory infections, lobar atelectasis, and potentially acute respiratory failure. Definitive therapy is corrective surgery of the spine. However, patients with severe scoliosis are at a potentially high risk of perioperative pulmonary complications. To our knowledge, we report the first successful use of retrievable endobronchial stents as a bridge to corrective surgery for kyphoscoliosis-associated complete central-airway extrinsic compression in a patient who was considered as too high risk for surgical correction due to her respiratory status. After surgery, the stents were removed and our patient experienced sustained improvement in pulmonary function and the clinical respiratory status.
KW - airway
KW - bronchial obstruction
KW - kyphoscoliosis
KW - stent
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U2 - 10.1097/LBR.0000000000000221
DO - 10.1097/LBR.0000000000000221
M3 - Article
C2 - 26496091
AN - SCOPUS:84994097147
VL - 23
SP - 337
EP - 341
JO - Journal of Bronchology and Interventional Pulmonology
JF - Journal of Bronchology and Interventional Pulmonology
SN - 1944-6586
IS - 4
ER -