Details

Autor(en) / Beteiligte

• Zablah, Jenny E.
• Morgan, Gareth J.
• Gropler, Matthew C.
• Shorofsky, Michael
• Prager, Jeremy D.

Titel

Multidisciplinary approach to complex tracheobronchomalacia with a bioabsorbable stent

Ist Teil von

• Progress in pediatric cardiology, 2022-12, Vol.67, p.101576, Article 101576

Ort / Verlag

Elsevier B.V

Erscheinungsjahr

2022

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• Tracheobonchomalacia (TBM) may be a life-threatening airway condition in pediatric patients. Multiple surgical interventions exist for TBM, ranging from open to endoscopic procedures, depending in part on the etiology of the TBM. Recently the role of airway stenting has seen a resurgence with the development of bioabsorbable stents which may temporize TBM and allow for improvement over time or function as a bridge to definitive intervention (Griffiths et al. [1]). This option is available in Europe but requires emergency or compassionate use exemption in the United States. We present a patient with single ventricle physiology s/p PDA stent, single pulmonary artery (left), single bronchus (left), vascular airway compression that had a respiratory arrest upon extubation post cardiac catheterization and required ECMO support. The patient underwent a novel multidisciplinary approach with bioabsorbable stent placement and multimodality imaging for evaluation. •Airway stenting•Congenital heart disease•Bioabsorbable stents•Optical Coherence Tomography•Innovation