Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Silicone Stent Placement for Primary Tracheal Amyloidosis Accompanied by Cartilage Destruction

  • Ryu, Duck Hyun (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Eom, Jung Seop (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeong, Ho Jung (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jung Hoon (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Ji Eun (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jun, Ji Eun (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Song, Dae Hyun (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Han, Joungho (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Hojoong (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2014.01.29
  • Accepted : 2014.03.12
  • Published : 2014.06.30
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Abstract

Primary tracheal amyloidosis (PTA) can lead to airway obstructions, and patients with severe PTA should undergo bronchoscopic interventions in order to maintain airway patency. Focal airway involvements with amyloidosis can only be treated with mechanical dilatation. However, the PTA with diffused airway involvements and concomitant cartilage destructions requires stent placement. Limited information regarding the usefulness of silicone stents in patients with PTA has been released. Therefore, we report a case of diffused PTA with tracheomalacia causing severe cartilage destruction, which is being successfully managed with bronchoscopic interventions and silicone stent placements.

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References

  1. Gillmore JD, Hawkins PN. Amyloidosis and the respiratory tract. Thorax 1999;54:444-51. https://doi.org/10.1136/thx.54.5.444
  2. Piazza C, Cavaliere S, Foccoli P, Toninelli C, Bolzoni A, Peretti G. Endoscopic management of laryngo-tracheobronchial amyloidosis: a series of 32 patients. Eur Arch Otorhinolaryngol 2003;260:349-54. https://doi.org/10.1007/s00405-003-0592-0
  3. Ryu YJ, Kim H, Yu CM, Choi JC, Kwon YS, Kwon OJ. Use of silicone stents for the management of post-tuberculosis tracheobronchial stenosis. Eur Respir J 2006;28:1029-35. https://doi.org/10.1183/09031936.00020906
  4. Park HY, Kim H, Koh WJ, Suh GY, Chung MP, Kwon OJ. Natural stent in the management of post-intubation tracheal stenosis. Respirology 2009;14:583-8. https://doi.org/10.1111/j.1440-1843.2009.01498.x
  5. Berraondo J, Novella L, Sanz F, Lluch R, de Casimiro E, Lloret T. Management of tracheobronchial amyloidosis with therapeutic bronchoscopic techniques. Arch Bronconeumol 2013;49:207-9.
  6. Alloubi I, Thumerel M, Begueret H, Baste JM, Velly JF, Jougon J. Outcomes after bronchoscopic procedures for primary tracheobronchial amyloidosis: retrospective study of 6 cases. Pulm Med 2012;2012:352719.
  7. Howard ME, Ireton J, Daniels F, Langton D, Manolitsas ND, Fogarty P, et al. Pulmonary presentations of amyloidosis. Respirology 2001;6:61-4. https://doi.org/10.1046/j.1440-1843.2001.00298.x
  8. Fiorelli A, Accardo M, Galluccio G, Santini M. Tracheobronchial amyloidosis treated by endobronchial laser resection and self expanding Y stent. Arch Bronconeumol 2013;49:303-5.
  9. Stephens KE Jr, Wood DE. Bronchoscopic management of central airway obstruction. J Thorac Cardiovasc Surg 2000;119:289-96. https://doi.org/10.1016/S0022-5223(00)70184-X
  10. Lund ME, Force S. Airway stenting for patients with benign airway disease and the Food and Drug Administration advisory: a call for restraint. Chest 2007;132:1107-8. https://doi.org/10.1378/chest.07-0242