Balloon-guided, tapered, Polyflex stent guidance: An atraumatic technique for successful stent placement through tight, rigid airway stenoses Moishe.

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Presentation transcript:

Balloon-guided, tapered, Polyflex stent guidance: An atraumatic technique for successful stent placement through tight, rigid airway stenoses Moishe Liberman, MD, John C. Wain, MD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 1, Pages 248-249.e1 (July 2010) DOI: 10.1016/j.jtcvs.2009.09.061 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The Polyflex stent delivery system. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 248-249.e1DOI: (10.1016/j.jtcvs.2009.09.061) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Pulmonary balloon dilator with the tip protruding from the delivery system by approximately 10 mm. B, The balloon is guided down to and through the stenosis over a guidewire under fluoroscopic guidance. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 248-249.e1DOI: (10.1016/j.jtcvs.2009.09.061) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

The entire remaining left main stem bronchus and carina appeared to be involved in the iridium damage and he only had a 7-mm segment of damaged airway between the carina and the stenosis. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 248-249.e1DOI: (10.1016/j.jtcvs.2009.09.061) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

A 12-mm balloon was placed within the stent and this allowed easy passage through the stenosis over a guidewire under fluoroscopic guidance. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 248-249.e1DOI: (10.1016/j.jtcvs.2009.09.061) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions