Management of tracheal obstruction caused by benign or malignant thyroid disease using covered retrievable self-expandable nitinol stents

Won Kyeong Kim, Ji Hoon Shin, Jin Hyoung Kim, Jin Woo Song, Ho Young Song

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background: Curative resection is often contraindicated in patients with airway obstruction by aggressive thyroid disease. Purpose: To evaluate the safety and clinical effectiveness of covered retrievable self-expandable nitinol stents placed in patients with airway obstruction caused by benign or malignant thyroid disease. Material and Methods: From 1996 to 2009, covered retrievable self-expandable nitinol stents were placed in nine symptomatic patients with malignant (n7) or benign (n2) thyroid disease. Improvement in patient respiratory status, complications and their management, and survival data were evaluated. Stents were removed if stent-related complications occurred or the stents were no longer necessary. Results: A total of 11 stents were successfully placed without procedure-related complications. Improvement of more than one dyspnea grade was seen in eight of nine patients (89%), while the ninth patient underwent intubation due to upper airway swelling. Stent migration, sputum retention, and tumor overgrowth occurred in 27.3% (n3), 9.1% (n1), and 9.1% (n1) of the stents, respectively. A total of six stents were successfully removed because of stent-related complications (n4) or after total thyroidectomy (n2). In two patients with benign thyroid goiters, a stable airway was maintained until total thyroidectomy. Conclusion: Placement of covered retrievable self-expandable nitinol stents was safe and effective in patients with airway obstruction caused by benign or malignant thyroid disease. Stent retrievability was very useful in cases of stent-related complications. In patients with benign thyroid disease, stent placement can serve as an effective bridge to surgery.

Original languageEnglish (US)
Pages (from-to)768-774
Number of pages7
JournalActa Radiologica
Volume51
Issue number7
DOIs
StatePublished - Sep 1 2010
Externally publishedYes

Keywords

  • Airway stent
  • Thyroid carcinoma
  • Thyroid goiter

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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