Eficácia e tolerabilidade de próteses na via aérea
Efficacy and tolerability of airway stents
Carla Valente1,
, Alexandra Catarino2, António Jorge Ferreira2, Carlos Robalo Cordeiro3, Mário Loureiro4
Corresponding author
carlavalente77@yahoo.com.br
Serviço de Pneumologia dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra.
Serviço de Pneumologia dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra.
1 Interna Complementar de Pneumologia/Resident, Pulmonology
2 Assistente Hospitalar de Pneumologia/Consultant, Pulmonology
3 Coordenador da Unidade Funcional de Técnicas de Diagnóstico e Terapêutica do Serviço de Pneumologia dos Hospitais da Universidade de Coimbra/Head, Diagnostic and Therapeutic Techniques Unit, Pulmonolgy Service, Hospitais da Universidade de Coimbra
4 Serviço de Pneumologia dos HUC/Pulmonolgy Service, HUC
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"aff0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pneumologia/<span class="elsevierStyleItalic">Consultant, Pulmonology</span>" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Coordenador da Unidade Funcional de Técnicas de Diagnóstico e Terapêutica do Serviço de Pneumologia dos Hospitais da Universidade de Coimbra/<span class="elsevierStyleItalic">Head, Diagnostic and Therapeutic Techniques Unit, Pulmonolgy Service, Hospitais da Universidade de Coimbra</span>" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Serviço de Pneumologia dos HUC/<span class="elsevierStyleItalic">Pulmonolgy Service, HUC</span>" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Serviço de Pneumologia dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Efficacy and tolerability of airway stents" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-08-06" "fechaAceptado" => "2009-10-07" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160793" "palabras" => array:2 [ 0 => "Próteses traqueobrônquicas" 1 => "broncoscopia rígida" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160792" "palabras" => array:2 [ 0 => "Tracheobronchial stent" 1 => "rigid bronchoscopy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">As próteses na via aérea têm a função de manter as estruturas tubulares abertas e estáveis. A sua colocação está indicada essencialmente na obstrução intrínseca ou compressão extrínseca da via aérea, fístulas ou traqueobroncomalacia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Com este estudo pretendeu-se determinar a tolerabilidade a eficácia de próteses na via aérea nas situações em que a sua colocação era imprescindível.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Procedeu-se ao estudo retrospectivo dos processos clínicos de 23 doentes em que se tinha procedido à colocação de próteses traqueobrônquicas através de broncoscopia rígida, durante dois anos consecutivos (2006–2007), na Unidade Funcional de Técnicas de Diagnóstico e Terapêutica, tendo sido avaliadas a indi- cação, a eficácia, a tolerabilidade, as complicações e a localização exacta da sua inserção, tendo em conta a informação imagiológica fornecida por TC do tórax. Em todas as situações foram utilizadas próteses flexíveis de silicone tipo Dumon (Tracheobronxane®), sendo previamente avaliada, através de broncoscopia flexível, a necessidade de técnicas complementares, nomeadamente laserterapia e dilatação mecânica.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O estudo efectuado permitiu concluir que a inserção de próteses não apresentou complicações, demonstrando boa tolerabilidade, tendo em conta a maioria das situações, de natureza neoplásica em estádio avançado, apenas com indicação terapêutica paliativa.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The function of airway stents is to keep the tubular structures open and stable. Their insertion is essentially indicated for intrinsic obstruction or extrinsic compression of the airway, fistulae or tracheobronchomalacia.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the tolera bility and efficacy of airway stents in situations in which their insertion was vital. A retrospective study of airway stent insertion with rigid bronchoscopy (23 patients) was carried out over a two year period (2006–2007) at the Diagnostic and Therapeutic Techniques Unit.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We assessed indication, efficacy, tolerability, complications and exact insertion based on chest CT imaging. In all situations Dumon flexible silicon stents (Tracheobronxane ®) were used, with the need for complementary techniques such as laser therapy and mechanical dilation having been previously evaluated by flexible bronchoscopy.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The authors conclude that stent insertion has no complications and good tolerability in the majority of advanced stage oncological situations with indication for palliative management.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia/Bibliography" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traitement endoscopique des sténoses trachéales post– intubation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.E. Baugnée" 1 => "C.H. 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ISSN: 21735115Original language: Portuguese
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