Silicone Stent Versus Fully Covered Metallic Stent in Malignant Central Airway Stenosis
dc.contributor.author | Ortiz-Comino, Rosa Maria | |
dc.contributor.author | Morales, Arturo | |
dc.contributor.author | López-Lisbona, Rosa | |
dc.contributor.author | Cubero, Noelia | |
dc.contributor.author | Diez-Ferrer, Marta | |
dc.contributor.author | Tebé, Cristian | |
dc.contributor.author | Rosell, Antoni | |
dc.contributor.author | ESCODULE Study Group | |
dc.date.accessioned | 2022-05-04T20:41:57Z | |
dc.date.available | 2022-05-04T20:41:57Z | |
dc.date.issued | 2021 | |
dc.description.abstract | Background: Airway stenting to restore airway patency in cases of malignant central airway obstruction is an effective palliation treatment. Our goal was to compare the efficacy after deployment and complications of a fully covered self-expandable metal stent (SEMS) (Aerstent) and a silicone stent (Dumon). Methods: This was a retrospective cohort of 2 similar groups of patients with malignant central airway obstruction treated with stents between August 2012 and July 2017. Complications were assessed bronchoscopically. A competing risk for death analysis was performed to adjust the probability of developing a complication. Results: Seventy patients (29 with silicone stents and 41 with SEMS) were included. Stent insertion was successful in all cases. Mucus retention was the most frequent complication (75.9% with silicone stents and 84.8% with SEMS; P = .51), followed by granulation tissue (51.7% with silicone stents and 41.3% with SEMS; P = .52) and migration (6.9% with silicone stents and 13.0% with SEMS; P = .47). In the first month, the cumulative incidence of a complication was 36.7% for silicone stents and 41.3% for SEMS and increased to 90.0% and 97.8% after 6 months, respectively (hazard ratio = 1.66; P = .04). A competing risk for death analysis showed an adjusted hazard ratio of 1.41 (P = .49) indicating no differences in overall complications between stents. Conclusions: Both stents were equally successful and safe. The incidence of complications increased over time to 90% at 6 months for both stents. The risk of overall complications was higher for SEMS; nevertheless, when mortality was measured in a competitive risk analysis, no differences were found between SEMS and silicone stents. | es |
dc.description.version | Versión Publicada | es |
dc.identifier.citation | Ortiz-Comino RM, Morales A, López-Lisbona R, Cubero N, Diez-Ferrer M, Tebé C, Rosell A; ESCODULE Study Group. Silicone Stent Versus Fully Covered Metallic Stent in Malignant Central Airway Stenosis. Ann Thorac Surg. 2021 Jan;111(1):283-289. doi: 10.1016/j.athoracsur.2020.04.141. Epub 2020 Jun 23. PMID: 32589886. | es |
dc.identifier.uri | https://doi.org/10.1016/j.athoracsur.2020.04.141 | es |
dc.identifier.uri | http://hdl.handle.net/11447/6057 | |
dc.language.iso | en | es |
dc.subject | Silicones | es |
dc.subject | Stents | es |
dc.subject | Adverse effects | es |
dc.title | Silicone Stent Versus Fully Covered Metallic Stent in Malignant Central Airway Stenosis | es |
dc.type | Article | es |
dcterms.source | The Annals of Thoracic Surgery | es |
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