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Tracheobronchial stents in patients with malignant airway disease: Finnish tertiary care experience
- Source :
- Interact Cardiovasc Thorac Surg
- Publication Year :
- 2021
-
Abstract
- OBJECTIVES Tracheobronchial stenting has an established role in the palliation of malignant central airway obstruction (CAO). The purpose of this study is to describe the experience with self-expanding metal airway stents in 2 tertiary referral centres, covering a third of the population of Finland. METHODS Patients referred to and treated with airway stenting for malignant CAO using self-expanding metal-stents were identified from electronic patient records, and data were collected using a structured Endoscopic Lower Airway Management instrument. Statistical analysis to reveal factors affecting patient benefit and survival was carried out. RESULTS A total of 101 patients (mean age 65.8) and 116 procedures were identified. Procedure-related mortality was rare (3/101 patients) and complications infrequent. The median survival was 2.3 months [95% confidence interval (CI): 1.4–3.1). Stent benefit was not significantly affected by clinical characteristics. Survival was impacted by the use of adjunct procedures [hazard ratio (HR) 0.36, 95% CI: 0.23–0.58, P CONCLUSIONS The beneficial impact observed supports the further use of tracheobronchial stenting in malignant CAO. The use of self-expanding metal stents is encouraged.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Palliative care
medicine.medical_treatment
Thoracic
Population
Constriction, Pathologic
03 medical and health sciences
0302 clinical medicine
medicine
Humans
030212 general & internal medicine
education
Finland
Aged
Retrospective Studies
education.field_of_study
business.industry
Tertiary Healthcare
Hazard ratio
Palliative Care
Stent
Airway obstruction
medicine.disease
Surgery
Airway Obstruction
Treatment Outcome
030228 respiratory system
Airway management
Stents
Cardiology and Cardiovascular Medicine
Airway
business
Chemoradiotherapy
Subjects
Details
- ISSN :
- 15699285
- Volume :
- 33
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Interactive cardiovascular and thoracic surgery
- Accession number :
- edsair.doi.dedup.....4d220def6f88f5c2c48cadaf4a96623b