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Direct Erosion and Prolapse of Esophageal Stents into the Tracheobronchial Tree Leading to Life-threatening Airway Compromise  Konstantinos Katsanos,

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Presentation on theme: "Direct Erosion and Prolapse of Esophageal Stents into the Tracheobronchial Tree Leading to Life-threatening Airway Compromise  Konstantinos Katsanos,"— Presentation transcript:

1 Direct Erosion and Prolapse of Esophageal Stents into the Tracheobronchial Tree Leading to Life-threatening Airway Compromise  Konstantinos Katsanos, MD, PhD, Tarun Sabharwal, FRCSI, FRCR, Efstratios Koletsis, MD, PhD, Nicos Fotiadis, MD, FRCR, Shuvro Roy-Choudhury, FRCS, FRCR, Dimitrios Dougenis, MD, PhD, Andreas Adam, FRCP, FRCS, FRCR  Journal of Vascular and Interventional Radiology  Volume 20, Issue 11, Pages (November 2009) DOI: /j.jvir Copyright © 2009 SIR Terms and Conditions

2 Figure 1 (a) Esophagogram obtained 9 hours after co-axial placement of two overlapping Ultraflex stents inside the old Polyflex stent (arrows point to the characteristic radiopaque bands of the Polyflex plastic stent). Note stasis of the contrast medium in the upper esophagus and right-sided displacement of the proximal stent segment toward the trachea (arrowheads). (b) Urgent CT scan shows complete displacement of the proximal stent into the trachea (arrow). Extensive aspiration pneumonia was also seen (image not shown). (c) Final fluoroscopic image after endoscopic removal of the stent and radiologic placement of another covered stent to seal the eroded tracheal wall. Note the cephalad extension of the second co-axial covered stent (black arrowline). Journal of Vascular and Interventional Radiology  , DOI: ( /j.jvir ) Copyright © 2009 SIR Terms and Conditions

3 Figure 2 Multiplanar reformatted CT scan depicts erosion and prolapse of the Flamingo Wallstent into the left main stem bronchus, causing almost complete luminal obstruction (arrow). Journal of Vascular and Interventional Radiology  , DOI: ( /j.jvir ) Copyright © 2009 SIR Terms and Conditions

4 Figure 3 Axial (a) and midline sagittal (b) cross-sectional CT scans show erosion of the posterior tracheal wall and stent prolapse into the airway with severe lumen compromise (arrows). Journal of Vascular and Interventional Radiology  , DOI: ( /j.jvir ) Copyright © 2009 SIR Terms and Conditions


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