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Parshin V.D.

National Medical Research Center for Phthisiopulmonology and Infectious Diseases;
Russian Medical Academy of Continuing Professional Education

Nikolaeva E.B.

Sklifosovsky Research Institute for Emergency Care

Rusakov M.A.

National Medical Research Center for Phthisiopulmonology and Infectious Diseases;
Sechenov First Moscow State Medical University

Chernousov F.A.

Sklifosovsky Research Institute for Emergency Care

Khachatryan S.A.

Sklifosovsky Research Institute for Emergency Care

Non-standard long-term tracheal stenting with silicone endoprosthesis for cicatricial stenosis

Authors:

Parshin V.D., Nikolaeva E.B., Rusakov M.A., Chernousov F.A., Khachatryan S.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(8): 69‑76

DOI: 10.17116/hirurgia202408169

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To cite this article:

Parshin VD, Nikolaeva EB, Rusakov MA, Chernousov FA, Khachatryan SA. Non-standard long-term tracheal stenting with silicone endoprosthesis for cicatricial stenosis. Pirogov Russian Journal of Surgery. 2024;(8):69‑76. (In Russ.)
https://doi.org/10.17116/hirurgia202408169

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Endoscopic approach with recanalization and stenting is one of the methods for cicatricial tracheal stenosis. Major complications may occur if service life of stents is not observed. However, there are currently no clear timing for stenting. In world practice, there are no indications on lifelong stenting for cicatricial tracheal stenosis. Restenosis is more common after stent removal and requires repeated stenting or another treatment. In case of prolonged stenting, silicone stent should be periodically replaced with a similar one due to destruction of silicone rubber. As a rule, this maneuver is necessary after 1—3 years. Currently, there is no information about maximum allowable duration of stent without replacement and possible complications. Condition of trachea after prolonged stenting is also unknown. We present long-term (27 years) tracheal stenting with a silicone stent. Stent fragmentation and dislocation throughout this period led to respiratory failure and emergency removal. Tracheal lumen was satisfactory immediately after procedure. However, restenosis appeared after 1.5 months and required endoscopic dilation with discussion of appropriate treatment option. However, the patient refused tracheal resection with anastomosis and underwent repeated stenting with similar stent and favorable immediate result.

Keywords:

surgery for cicatricial tracheal stenosis
tracheal stenting
endoscopic treatment of tracheal stenosis
tracheal stent
long-term result of stenting

Authors:

Parshin V.D.

National Medical Research Center for Phthisiopulmonology and Infectious Diseases;
Russian Medical Academy of Continuing Professional Education

Nikolaeva E.B.

Sklifosovsky Research Institute for Emergency Care

Rusakov M.A.

National Medical Research Center for Phthisiopulmonology and Infectious Diseases;
Sechenov First Moscow State Medical University

Chernousov F.A.

Sklifosovsky Research Institute for Emergency Care

Khachatryan S.A.

Sklifosovsky Research Institute for Emergency Care

Received:

19.01.2024

Accepted:

03.02.2024

List of references:

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