Customized Hinged Covered Metallic Stents for the Treatment of Benign Main Bronchial Stenosis Xinwei Han, MD, PhD, Quazi Al-Tariq, MD, PhD, Yanle Zhao,

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Customized Hinged Covered Metallic Stents for the Treatment of Benign Main Bronchial Stenosis Xinwei Han, MD, PhD, Quazi Al-Tariq, MD, PhD, Yanle Zhao, MD, PhD, Lei Li, MD, PhD, Zhe Cheng, MD, PhD, Huaqi Wang, MD, PhD, Chao Liu, MD, PhD, Dechao Jiao, MD, PhD, Gang Wu, MD, PhD The Annals of Thoracic Surgery Volume 104, Issue 2, Pages 420-425 (August 2017) DOI: 10.1016/j.athoracsur.2017.01.116 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 In a 32-year-old man, 3 months after left chest trauma, chest computed tomography scan in the mediastinal window displays (A) left main bronchial stenosis, (B) partial left lung atelectasis, and (C) a small amount of pleural effusion. (D) Anterior chest computed tomography scan (before stent removal) shows a suitable stent position and complete reexpansion of the lung. The Annals of Thoracic Surgery 2017 104, 420-425DOI: (10.1016/j.athoracsur.2017.01.116) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Hinged self-expandable covered metallic stent. The Annals of Thoracic Surgery 2017 104, 420-425DOI: (10.1016/j.athoracsur.2017.01.116) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Stent implantation procedure: (A) transcatheter radiography showing serious irregular stenosis of the left main bronchus and lower left lung atelectasis; (B) balloon dilation of the left main bronchial stenosis segment; (C) complete release of bronchial component; and (D) complete release of stent. The Annals of Thoracic Surgery 2017 104, 420-425DOI: (10.1016/j.athoracsur.2017.01.116) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Stent removal procedure: (A) hooking branch part of the stent using a stent extractor; (B) pulling the inverted bronchial component into the trachea and (C) into the upper tracheal segment after the stent is completely pulled out. The Annals of Thoracic Surgery 2017 104, 420-425DOI: (10.1016/j.athoracsur.2017.01.116) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions