Factors leading to tracheobronchial self-expandable metallic stent fracture Fu-Tsai Chung, MD, Shu-Min Lin, MD, Hao-Cheng Chen, MD, Chun-Liang Chou, MD,

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Presentation transcript:

Factors leading to tracheobronchial self-expandable metallic stent fracture Fu-Tsai Chung, MD, Shu-Min Lin, MD, Hao-Cheng Chen, MD, Chun-Liang Chou, MD, Chih-Teng Yu, MD, Chien-Ying Liu, MD, Chun- Hua Wang, MD, Horng-Chyuan Lin, MD, Chien-Da Huang, MD, Han-Pin Kuo, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 5, Pages 1328-1335 (November 2008) DOI: 10.1016/j.jtcvs.2008.05.039 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A patient with self-expandable metallic stent fracture expressed as the physical breaking of the stent. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1328-1335DOI: (10.1016/j.jtcvs.2008.05.039) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Tortuous airway expressed as failure to visualize either of the main carina from the trachea during bronchoscopic analysis. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1328-1335DOI: (10.1016/j.jtcvs.2008.05.039) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Tortuous airway on chest roentgenogram in a patient with self-expandable metallic stent implantation. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1328-1335DOI: (10.1016/j.jtcvs.2008.05.039) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Yearly overall self-expandable metallic stent (SEMS) fracture incidence in patients with tracheobronchial disease. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1328-1335DOI: (10.1016/j.jtcvs.2008.05.039) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Yearly self-expandable metallic stent (SEMS) fracture incidence in patients with or without tortuous airways. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1328-1335DOI: (10.1016/j.jtcvs.2008.05.039) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Logistic regression analysis of cumulative self-expandable metallic stent (SEMS) fracture incidence in patients with or without tortuous airways (62.6% vs 18.6%; hazard ratio, 5.59; 95% confidence interval, 2.06–14.82; P = .0007). The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1328-1335DOI: (10.1016/j.jtcvs.2008.05.039) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions