Two fatal complications after parallel tracheal-esophageal stenting

Christoph A. Binkert, Bryan D. Petersen

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Two patients with malignant obstructions of both the trachea and esophagus underwent parallel stent placement with Gianturco-Rösch Z (GRZ) stents for palliation of symptoms. Fatal hemorrhage occurred in both patients 2 and 3 weeks after stent placement respectively. An autopsy performed on one of these patients demonstrated esophageal tissue necrosis and erosion with perforation of both the tracheal and esophageal walls at sites where the stent struts were in direct opposition, leading to bleeding from the esophageal venous plexus. GRZ stents have been successful in the treatment of both solitary tracheal and esophageal stenoses. However, parallel tracheal-esophageal stenting with GRZ stents places patients at high risk for complications due to the high radial force exerted by this particular stent and the minimal amount of intervening tissue between the two structures.

Original languageEnglish (US)
Pages (from-to)144-147
Number of pages4
JournalCardiovascular and interventional radiology
Volume25
Issue number2
DOIs
StatePublished - Mar 1 2002

Keywords

  • Esophageal stenosis
  • Palliation
  • Stents and endoprostheses
  • Tracheal stenosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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