By D. Sahani, B. Bounds, W. Brugge, Peter Robert Mueller (auth.), Andreas Adam MB, BS, FRCP, FRCR, FRCS, Robert F. Dondelinger MD, Peter Robert Mueller MD (eds.)
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Additional resources for Interventional Radiology in Cancer
C A 45-mm+16-mm covered Wallstent was placed across the defect which completely closed the ﬁstula. d This esophagogram, performed the following day, shows no passage contrast medium into the trachea or bronchi were treated with Wallstent endoprostheses placed in the trachea (ﬁve patients) and left main bronchus (one patient). All ﬁstulas were sealed at the time of insertion. All esophagotracheal ﬁstulas remained sealed during follow-up. There was one recurrence at 7 days in the patient in whom the stent was placed in the left main bronchus (Sabharwal et al.
B A covered esophageal stent was deployed across the large ﬁstula, which immediately sealed the perforation. The patient’s sepsis and pleural effusions resolved and the patient was discharged from hospital 15 days later. [With permission from Morgan (2001)] b Interventional Radiology in Esophageal Cancer 41 a b Fig. 22a,b. Treatment of a malignant esophageal perforation with a covered stent. A 67-year-old patient with a lower esophageal carcinoma. a Attempted endoscopic laser therapy on the previous day failed because it was not possible to pass the endoscope through the stricture.
R. Morgan and A. 2 Results Most reports of metallic stenting in the airways in patients with esophageal cancer are limited to case reports. The largest series of esophagorespiratory ﬁstulas treated by airway stenting was recently reported by Sabharwal et al. (2000). Six patients Fig. 25a–d. Treatment of a high esophagotracheal ﬁstula with a covered tracheal stent. a This 59-year-old female with a carcinoma in the upper esophagus was treated by placement of two covered Wallstents to palliate dysphagia.
Interventional Radiology in Cancer by D. Sahani, B. Bounds, W. Brugge, Peter Robert Mueller (auth.), Andreas Adam MB, BS, FRCP, FRCR, FRCS, Robert F. Dondelinger MD, Peter Robert Mueller MD (eds.)