Korean J Radiol.  2012 Aug;13(4):515-520. 10.3348/kjr.2012.13.4.515.

Covered Bronchial Stent Insertion to Manage Airway Obstruction with Hemoptysis Caused by Lung Cancer

• Lee SA
• Kim DH
• Jeon GS

• KMID: 1383867
• DOI: http://doi.org/10.3348/kjr.2012.13.4.515

Abstract

Malignant airway obstruction and hemoptysis are common in lung cancer patients. Recently, airway stent is commonly used to preserve airway in malignant airway obstruction. Hemoptysis can be managed through various methods including conservative treatment, endobronchial tamponade, bronchoscopic intervention, embolization and surgery. In our case studies, we sought to investigate the effectiveness of airway stents for re-opening the airway as well as tamponade effects in four patients with malignant airway obstruction and bleeding caused by tumors or lymph node invasions.

Keyword

Bronchial stent; Malignant airway obstruction; Hemoptysis; Lung cancer

MeSH Terms

Aged
Airway Obstruction/*etiology/pathology/*therapy
Alloys
Bronchoscopy
Carcinoma, Non-Small-Cell Lung/*complications
Fatal Outcome
Fluoroscopy
Hemoptysis/*etiology/pathology/*therapy
Humans
Lung Neoplasms/*complications
Male
Middle Aged
*Stents

Figure

• 

  Fig. 1 77-year-old male (patient 1) with non-small cell lung cancer. A. Multi-planar reformatted oblique coronal CT image shows bronchial wall thickening with narrowing in right main bronchus and bronchus intermedius (not shown) and total atelectasis of right upper lobe due to obstruction of right upper lobar bronchus. B. Fluoroscopic image shows bronchial stent and aerated right basal lung.

• 

  Fig. 2 72-year-old male (patient 2) with left main bronchial stricture non-small cell lung cancer. A. Multi-planar reformatted oblique coronal CT image shows extremely stenotic left main bronchus. B. Fluoroscopic image shows bronchial stent and immediately improved aeration in left lung.

• 

  Fig. 3 46-year-old male (patient 3) with non-small cell lung cancer. Patient has had history of left pneumonectomy 30 months earlier. A. Multi-planar reformatted oblique coronal CT image shows narrowing of distal trachea and right main bronchus by recurred mass and conglomerated metastatic lymph nodes in subcarinal and paratracheal areas. B. Fluoroscopic image shows two overlapped bronchial stents.

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