Palliative Therapy with Argon Plasma Coagulation in Post-Intubation Tracheal Stenosis

2012 ◽  
Vol 13 (3) ◽  
pp. 137-140
Author(s):  
Aydan Mertoglu ◽  
Yelda Vatansever ◽  
Gunseli Balci ◽  
Naime Tasdogen ◽  
Rifat Ozacar
2015 ◽  
Vol 3 (9) ◽  
pp. 14
Author(s):  
Audra Fuller ◽  
Mark Sigler ◽  
Shrinivas Kambali ◽  
Raed Alalawi

Tracheal stenosis is an uncommon but known complication of endotracheal intubation and tracheostomy. Surgery is currently the definitive treatment for tracheal stenosis but carries a significantly higher risk for adverse events as it often involves complex procedures.  Here we present our experience using topical application of mitomycin C, along with various bronchoscopic interventions, as a treatment for tracheal stenosis. The patients in our series developed tracheal stenosis post-intubation or post-tracheostomy. Each patient in our series underwent the same basic procedures involving rigid bronchoscopy and balloon dilation, ablation of granulation tissue with cryotherapy and argon plasma coagulation, and finally application of topical mitomycin C. Our experience with these four cases shows a good initial success rate with topical mitomycin C application for the treatment of tracheal stenosis. Most patients required a repeat intervention a few weeks later. Our results suggest that success with topical mitomycin C is more likely in post-intubation rather than post-tracheostomy tracheal stenosis. Bronchoscopic therapy and topical application of mitomycin C may work better as a bridge to definitive surgery rather than as a stand-alone therapy.


Respirology ◽  
2006 ◽  
Vol 11 (5) ◽  
pp. 659-662 ◽  
Author(s):  
Masanori YASUO ◽  
Tsuyoshi TANABE ◽  
Kenji TSUSHIMA ◽  
Masaru NAKAMURA ◽  
Shintaro KANDA ◽  
...  

2014 ◽  
Vol 20 (Supplement) ◽  
pp. 602-605 ◽  
Author(s):  
Kazuhide Sato ◽  
Yoshihiro Takeyama ◽  
Toshio Kato ◽  
Hiroyuki Hashimoto ◽  
Yasutaka Fukui ◽  
...  

VASA ◽  
2008 ◽  
Vol 37 (3) ◽  
pp. 289-292 ◽  
Author(s):  
Katsinelos ◽  
Chatzimavroudis ◽  
Katsinelos ◽  
Panagiotopoulou ◽  
Kotakidou ◽  
...  

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.


2015 ◽  
Vol 28 (01) ◽  
Author(s):  
A Genthner ◽  
A Eickhoff ◽  
J Albert ◽  
MD Enderle ◽  
W Linzenbold

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