Expiratory Central Airway Collapse in Adults: Corrective Treatment (Part 2)

Ricardo Diaz Milian, Edward Foley, M. Bauer, Andrea Martinez-Velez, Manuel R. Castresana

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Corrective treatment of expiratory central airway collapse (ECAC) consists of placement of airway stents or tracheobronchoplasty (TBP). The indication for corrective treatment is severe central airway collapse (>90 %), and severe symptoms that cause decline in quality of life. Patients are selected to undergo a trial of tracheal “Y” stent placement. If symptoms improve (positive trial) they undergo a TBP, provided they are good surgical candidates. Patients who are considered poor surgical candidates because of the severity of comorbidities can be offered permanent stenting to palliate symptoms. The anesthetic management of airway stent placement and TBP is complex. This article reviews the medical management and corrective treatment of ECAC, anesthetic management of airway stent placement, and considerations during TBP.

Original languageEnglish (US)
Pages (from-to)2555-2560
Number of pages6
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume33
Issue number9
DOIs
StatePublished - Sep 2019

Keywords

  • airway stent
  • excessive dynamic airway collapse
  • expiratory central airway collapse
  • tracheobronchomalacia
  • tracheobronchoplasty

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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