Combined Tracheal and Esophageal Stenting for Palliation of Tracheoesophageal Symptoms From Mediastinal Lymphoma  Andy C. Fan, MD, Todd H. Baron, MD,

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Combined Tracheal and Esophageal Stenting for Palliation of Tracheoesophageal Symptoms From Mediastinal Lymphoma  Andy C. Fan, MD, Todd H. Baron, MD, James P. Utz, MD  Mayo Clinic Proceedings  Volume 77, Issue 12, Pages 1347-1350 (December 2002) DOI: 10.4065/77.12.1347 Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Chest computed tomogram performed at the level of the aortic arch shows extravasation of contrast medium (arrow) from the compressed esophageal lumen into the trachea (T). A silastic tracheal stent can be seen in the trachea. Mayo Clinic Proceedings 2002 77, 1347-1350DOI: (10.4065/77.12.1347) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Endoscopic photograph of tracheoesophageal fistula visualized at the time of esophageal stent placement. A guidewire is seen passing through the esophageal lumen (E). The fistula is readily apparent (arrow). Mayo Clinic Proceedings 2002 77, 1347-1350DOI: (10.4065/77.12.1347) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Endoscopic photograph taken immediately after deployment of covered esophageal stent. No fistula is present. Mayo Clinic Proceedings 2002 77, 1347-1350DOI: (10.4065/77.12.1347) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Chest computed tomogram performed at the level of the aortic arch shows excellent position of esophageal stent with patent esophageal lumen (E). The tracheal lumen (T) is patent, although the tracheal stent is not seen as well as in Figure 1. Mayo Clinic Proceedings 2002 77, 1347-1350DOI: (10.4065/77.12.1347) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions