Oki stent application in different indications: Six cases

Clin Respir J. 2018 Jan;12(1):234-240. doi: 10.1111/crj.12521. Epub 2016 Jul 13.

Abstract

Introduction: We have used Oki stents for a number of different indications. After discovering that there are limited reports in the literature on these stents, we were motivated to share our experiences in Oki stenting.

Objectives: While there is vast knowledge on double Y-stents, the Oki stent is a relatively recent development in pulmonology. Here, we demonstrate that stenting of the right secondary carina using an Oki stent should be considered for obstructions in this region.

Methods: We placed 13 mm × 10 mm × 9 mm Oki stents in six patients under general anesthesia via rigid bronchoscopy.

Results: Three cases were post-transplant patients with malacia, stenosis, and bronchopleural fistula. One case had an airway obstruction due to malignant disease, another case had a right aortic arc and aberrant left subclavian artery anomaly, and the final case had bronchopleural fistula. No serious complications were observed during stent placement.

Conclusions: Oki stents can safely be used for many clinical conditions. Patients benefit greatly from stenting; however, two of our cases died due to infection, and one case died due to malignancy.

Keywords: bronchomalacia; lung neoplasms; lung transplantation; silicones; stents.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Airway Obstruction / diagnosis
  • Airway Obstruction / etiology
  • Airway Obstruction / surgery*
  • Aorta, Thoracic / abnormalities
  • Bronchial Fistula / complications
  • Bronchial Fistula / diagnosis
  • Bronchoscopy / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Prosthesis Design
  • Radiography, Thoracic
  • Retrospective Studies
  • Stents*
  • Thoracic Surgical Procedures / methods*
  • Tomography, X-Ray Computed
  • Vascular Malformations / complications
  • Vascular Malformations / diagnosis