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Stent Versus Balloon Dilatation in Patients With Tracheal Benign Stenosis

Stent Versus Balloon Dilatation in Patients With Tracheal Benign Stenosis

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04674995
Acronym
STROBE
Enrollment
66
Registered
2020-12-19
Start date
2012-11-01
Completion date
2020-12-01
Last updated
2022-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tracheal Stenosis

Brief summary

This is a retrospective, observational cohort study carried out in two operative Units of the University Hospital of Modena (Italy): the Diagnostic and Interventional Bronchoscopy Unit (Unit A) and the Otolaryngology Unit (Unit B). The two units have different protocols routinely applied to treat tracheal benign stenosis. In Unit A, endoscopic treatment is performed through mechanical dilatation via rigid bronchoscopy and further stent placing while in Unit B the endoscopic treatment is performed through balloon dilatation via direct laryngoscopy. The primary purpose was to compare the efficacy of the two technique on tracheal stenosis treatment over time. Patients were defined as cured if during the 2 years after 12 months since the last intervention they did not present any of the following: respiratory symptoms, need for a re-intervention or stenosis instability.

Interventions

All interventional procedures have been performed in the operating room with a Dumon rigid bronchoscope under general anesthesia. Neodymium-doped yttrium aluminium garnet laser photoresection was performed at 15-30 watts and pulse duration of 0.5-1.0s whenever indicated. A silicone stent was placed.

Sponsors

University of Modena and Reggio Emilia
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* age \>18 years, * exclusion from resection-anastomosis surgery after multidisciplinary evaluation, * Cotton Meyer \> grade II, * follow-up of at least 3 years after endoscopic surgery, * no previous tracheal surgery.

Exclusion criteria

* age \> 80, * stent intolerance which requires removal in the first year after endoscopic treatment, * performance status \> 2, * end-stage chronic pulmonary disease, * life-threatening stenosis that needs urgent endoscopic treatments, * any neoplastic stenosis of the airways, * dynamic etiology of tracheal benign stenosis (excessive dynamic airway collapse, tracheobronchomalacia).

Design outcomes

Primary

MeasureTime frameDescription
Re-stenosis rate over time36 monthsPatients were defined as cured if during the 2 years after 12 months since the last intervention they did not present any of the following: respiratory symptoms, need for a re-intervention or stenosis instability.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026