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7Feb, 2017

Tracheobronchial Stenting, Cicatricial Stenosis of the Left Main Bronchus.

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49 years old patient on 2007 was treated with anti TB chemotherapy due to pulmonary TB. On 2015 was relapse. During many years the patient has dyspnea, increased breathing failure, why he often was hospitalised. Spirometry showed severe obstruction of airways. CT scan revealed severe fibrosis of the upper lobe of the right lung, giant emphysematous bullas in the lower lobe. Narrowing lumen of the left main bronchus less then 3 mm. Bronchoscopy showed cicatricial stenosis of the left main bronchus. Patient's condition was gettig worse. Because of suffocation he often was forced to call an ambulance. It was decided to perform tracheobronchial stenting as the only way out. Under the general anesthesia, using the rigid bronchoscope and radiological control, was inserted self expandable tracheobronchial stent (M.D.-18mm;T.L.-40mm;L-14mmX25mm;R-14mmX25mm). After stenting the patient's condition improved significantly. 1 month after procedure patient feels well.
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22Dec, 2016

Stenting of the Right Main Bronchus; Malignant Stenosis

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65 years old male. 2016 Nov he was admitted to National Center for Tuberculosis and Lung Diseases for suspected TB of the right lung. He complained of hemoptysis with episodes of bleeding from airways, severe dyspnea, insomnia. Bronchoscopy revealed malignant stenosis of the right main bronchus. CT 1 Dec 2016 showed central cancer of the right upper lobe with spreading on the main bronchus and invasion in the mediastinum. The patient was redirected to the oncologist. Together we decided to perform stenting for improve the patient's condition and stop bleeding. After stenting the patient's condition improved immediatly: feeling of suffocation dissapeared, bleeding has stopped.
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8Sep, 2016

Tracheal Stenting; NSCLC

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41 years old male. On october of 2015 he was diagnosed with right lung cancer. Despite of chemo and radiation therapy his condition worsened. He developed stridor, suffocation, shortness of breath while resting. Chest CT revealed enlarged lymph nodes, which surrounded trachea and narrowed it critically. Thoracic surgeons considered impossible to perform tracheostomy. Under vital indications was decided perform tracheal stenting. Because of the impossibility of intubation, the manipulation was performed under the local anesthesia. Before stenting the patient had a breathing exercise, as a result he was able to hold his breath for up to 10 seconds while stent was opened. The result was immediate. Stridor was disappeared, saturation increased to 96-97%.
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21Jul, 2013

Stenting; NSCLC

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56-year-old man was admitted to the department with complaints of continuous coughing and severe shortness of breath. CT of the chest showed 35-52mm tumor tissue, which partially blocked the lumen of the left main bronchus and completely blocked the lumen of the left lower lobe bronchus, causing atelectasis of the left lower lobe. Endobronchial biopsy showed adenosquamous carcinoma. Under general anesthesia 2 expandable, uncovered stents were inserted into the lower lobe and main bronchi. Bronchography taken after stent placement showed freely passed left main and lower lobe bronchus.
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18Jun, 2011

Stenting; Cicatrical post-TB bronchial stenosis

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A 24-year-old woman, after treatment with antituberculous medications for pulmonary tuberculosis, suffered by cough, dyspnea, wheezing. CT scan showed stricture of the left main bronchus starting from bifurcation to the end and having a lumen diameter 2mm. Bronchoscopic examination revealed focal narrowing to pinhole size to the left main bronchus with severe fibrotic changes. Under general anesthesia, balloon-expendable, metallic, non-covered stent (Medtronic) was inserted across the stenotic lesion and was expanded under the pressure of 9 atmospheres using Indeflator Perouse Medical. Bronchography, taken immediately after stent insertion, showed an expanded left main bronchus.
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