Fluoroscopically guided balloon dilation for postintubation tracheal stenosis.

Abstract

PURPOSE:

Little was known about the safety and long-term efficacy of fluoroscopically guided balloon dilation for postintubation tracheal stenosis. The purpose of this study was to evaluate the safety and long-term efficacy of fluoroscopically guided balloon dilation in patients with postintubation tracheal stenosis.

METHODS:

From February 2000 to November 2010, 14 patients underwent fluoroscopically guided balloon dilation for postintubation tracheal stenosis. Technical success, clinical success, and complications were evaluated. Patients were followed up for recurrent symptoms.

RESULTS:

In all patients, fluoroscopically guided balloon dilation was technically and clinically successful with no major complications. Following the initial procedure, six patients (43 %) remained asymptomatic during a follow-up period. Obstructive symptoms recurred in eight patients (57 %) within 6 months (mean, 1.7 months), who were treated with repeat balloon dilation (n = 4) and other therapies. Of the four patients who underwent repeat balloon dilation, three became asymptomatic. One patient became asymptomatic after a third balloon dilation. On long-term (mean, 74 months) follow-up, 71 % of patients experienced relief of symptoms following fluoroscopically guided balloon dilation.

CONCLUSIONS:

Fluoroscopically guided balloon dilation may be safe, is easy to perform, and resulted in effective treatment in patients with postintubation tracheal stenosis.

• Authors: Woong Hee Lee, Jin Hyoung Kim, Jung-Hun Park
• Journal: Cardiovascular and interventional radiology (Cardiovasc Intervent Radiol) Vol. 36 Issue 5 Pg. 1350-4 (Oct 2013) ISSN: 1432-086X [Electronic] United States
• PMID: 23354966 (Publication Type: Journal Article)

Chemical References

• Contrast Media
• Iohexol
• iopromide

Topics

• Adult
• Aged
• Catheterization (methods)
• Contrast Media
• Female
• Fluoroscopy
• Follow-Up Studies
• Humans
• Imaging, Three-Dimensional (methods)
• Intubation, Intratracheal (adverse effects)
• Iohexol (analogs & derivatives)
• Male
• Middle Aged
• Radiographic Image Enhancement (methods)
• Radiography, Interventional (methods)
• Retrospective Studies
• Tomography, X-Ray Computed (methods)
• Tracheal Stenosis (diagnostic imaging, etiology, therapy)
• Treatment Outcome
• Young Adult