Oki stenting for anastomotic bronchomalacia in lung transplantation.

Abstract

Anastomotic airway complications are a frequent cause of disease in lung transplantation. However, there is no consensus on the type of treatment to be performed with prosthetic devices. While some recent gadgets such as the Oki stent have been proposed for main right bronchus stenosis, there are no reports of stenting using this prosthesis in cases where the main complication is malacia rather than stenosis. We present 2 patients diagnosed with main right bronchus bronchomalacia, also involving bronchius intermedius. After several attempts to bypass the anastomosis employing different types of stent, including a T-tube Montgomery device, normal sputum drainage was not possible. Oki stenting was performed without complications, with a remarkable reduction in endoscopic procedures as well as important functional improvement. For both stenosis and bronchomalacia in lung transplantation, we propose Oki stenting as the first choice of treatment.

• Authors: Daniel López-Padilla, Ricardo García-Luján, Alicia de Pablo, Eduardo de Miguel Poch
• Journal: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (Eur J Cardiothorac Surg) Vol. 48 Issue 3 Pg. e53-4 (Sep 2015) ISSN: 1873-734X [Electronic] Germany
• PMID: 26003956 (Publication Type: Case Reports, Journal Article)
• Copyright: © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Topics

• Bronchi (surgery)
• Bronchomalacia (surgery)
• Bronchoscopy
• Humans
• Lung Transplantation (methods)
• Male
• Middle Aged
• Prosthesis Implantation (methods)
• Stents