dc.contributor.author | Mathew, Roshen | |
dc.contributor.author | Hibare, Kedar | |
dc.contributor.author | Dalar, Levent | |
dc.contributor.author | Roy, Winnie Elma | |
dc.date.accessioned | 2020-12-02T18:01:23Z | |
dc.date.available | 2020-12-02T18:01:23Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 2072-1439 | |
dc.identifier.issn | 2077-6624 | |
dc.identifier.uri | https://doi.org/10.21037/jtd-20-2080 | |
dc.identifier.uri | http://hdl.handle.net/11446/3594 | |
dc.description | WOS: 000583404900028 | en_US |
dc.description | PubMed: 33209383 | en_US |
dc.description.abstract | Background: Tracheobronchial stents types, uses, techniques for deployment and extraction have practice variations around the world. Methods: We collected responses by sending an online survey of 8 questions to world interventional bronchology member societies and social media groups. Results: There were 269 respondents from 47 countries. Europe had 97 respondents from 22 countries. There were 8 respondents from Australia, 7 from Africa (3 countries) and 7 from 4 countries in South America (SA). North America (NA) had 72 respondents from 3 countries. Asia had 78 respondents from 14 countries. For stent placements 15% [41] used fiberoptic bronchoscope (FB) only. Rigid bronchoscopy (RB) was solely utilized by 38% [102]. Forty-six percent [123] used a combination of RB and FB (P value <0.00001). For stent extraction 13% [19] used FB alone, 57% [85] used RB, and 36% [54] used a combination of RB and FB (P value <0.00001). Placement of stents were 50.5% [135] only by direct visualization. Twenty-three percent [61] always used fluoroscopic guidance. Twenty-six-point-five percent [71] used fluoroscopy in certain cases (P value <0.00001). Sixty percent [162] decided stent sizing by measurements of stenotic and non-stenotic areas on radiology. Twelve percent [32] respondents used sizing devices. Sixty-five percent [177] used a ruler and bronchoscope to measure stenotic areas. Thirty-eight percent [104] used visual estimation and experience. Seven percent [19] used serial balloon dilatation size. To prevent clogging of stents, 22% [59] prescribed mucolytics. Seventy-three percent [195] nebulized saline, 26% [70] had Mucomyst Nebulization, 24% [65] Nebulized bronchodilators and other methods 11% [30] were advised. Covered self-expandable metal stents (SEMS) 44% was the commonest type of stent used around the world. Silicone stents 37%, Y stents 15%, uncovered SEMS 12%, Montgomery T tube 5% followed. Polyflex stents 3% and custom-made stents 3% were least used. Biodegradable stents were used by 7.5%, and not used by 92.5%. Conclusions: Tracheobronchial stent practice norms have slowly evolved, but its practice variations lack uniformity, and have sparse evidence-based studies for its direction. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Ame Publ Co | en_US |
dc.identifier.doi | 10.21037/jtd-20-2080 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Tracheobronchial stents | en_US |
dc.subject | interventional pulmonology | en_US |
dc.subject | biodegradable stents | en_US |
dc.subject | rigid bronchoscopy | en_US |
dc.subject | fluoroscopy | en_US |
dc.title | Tracheobronchial stent sizing and deployment practices airway stenting practices around the world: a survey study | en_US |
dc.type | article | en_US |
dc.relation.journal | Journal of Thoracic Disease | en_US |
dc.department | DBÜ | en_US |
dc.identifier.issue | 10 | en_US |
dc.identifier.volume | 12 | en_US |
dc.identifier.startpage | 5495 | en_US |
dc.identifier.endpage | + | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.department-temp | [Mathew, Roshen] Huntsville Dist Mem Hosp, Dept Internal Med, UAB Sch Med, Huntsville, AL USA; [Hibare, Kedar] Narayana Hlth, Dept Intervent Pulmonol, Bangalore, Karnataka, India; [Dalar, Levent] Istanbul Bilim Univ, Sch Med, Dept Pulm Med, Istanbul, Turkey; [Roy, Winnie Elma] UAB Sch Publ Hlth, Birmingham, AL USA | en_US |