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Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat

CASE SUMMARY: Bronchial stents may be useful to relieve clinical signs of extraluminal compression. Herein we describe a case which, to our knowledge, is the first cat where bilateral bronchial stents have been used clinically. Respiratory signs of principal bronchial compression were alleviated aft...

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Autores principales: Borgeat, Kieran, Simpson, Kerry, Reese, David, Wilson, Helen, Potter, Joanna, Ogden, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5808972/
https://www.ncbi.nlm.nih.gov/pubmed/29449956
http://dx.doi.org/10.1177/2055116917753816
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author Borgeat, Kieran
Simpson, Kerry
Reese, David
Wilson, Helen
Potter, Joanna
Ogden, Daniel
author_facet Borgeat, Kieran
Simpson, Kerry
Reese, David
Wilson, Helen
Potter, Joanna
Ogden, Daniel
author_sort Borgeat, Kieran
collection PubMed
description CASE SUMMARY: Bronchial stents may be useful to relieve clinical signs of extraluminal compression. Herein we describe a case which, to our knowledge, is the first cat where bilateral bronchial stents have been used clinically. Respiratory signs of principal bronchial compression were alleviated after the stent procedure. Minor complications occurred, specifically: severe hypoxia during stent deployment; a transient, self-limiting postoperative pneumothorax possibly associated with ventilation-induced lung injury; bronchopneumonia (possibly pre-existing); and transient worsening of cough postoperatively. Stents were well- tolerated long- term. The cat was euthanased at 44 weeks post-stent procedure, owing to clinical signs of regurgitation, seemingly related to oesophageal dysfunction associated with tumour invasion. RELEVANCE AND NOVEL INFORMATION: In this case, it appeared that bronchial stents were feasible and the procedure was associated with long-term improvement in respiratory signs related to extraluminal bronchial compression.
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spelling pubmed-58089722018-02-15 Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat Borgeat, Kieran Simpson, Kerry Reese, David Wilson, Helen Potter, Joanna Ogden, Daniel JFMS Open Rep Case Report CASE SUMMARY: Bronchial stents may be useful to relieve clinical signs of extraluminal compression. Herein we describe a case which, to our knowledge, is the first cat where bilateral bronchial stents have been used clinically. Respiratory signs of principal bronchial compression were alleviated after the stent procedure. Minor complications occurred, specifically: severe hypoxia during stent deployment; a transient, self-limiting postoperative pneumothorax possibly associated with ventilation-induced lung injury; bronchopneumonia (possibly pre-existing); and transient worsening of cough postoperatively. Stents were well- tolerated long- term. The cat was euthanased at 44 weeks post-stent procedure, owing to clinical signs of regurgitation, seemingly related to oesophageal dysfunction associated with tumour invasion. RELEVANCE AND NOVEL INFORMATION: In this case, it appeared that bronchial stents were feasible and the procedure was associated with long-term improvement in respiratory signs related to extraluminal bronchial compression. SAGE Publications 2018-02-09 /pmc/articles/PMC5808972/ /pubmed/29449956 http://dx.doi.org/10.1177/2055116917753816 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Borgeat, Kieran
Simpson, Kerry
Reese, David
Wilson, Helen
Potter, Joanna
Ogden, Daniel
Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
title Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
title_full Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
title_fullStr Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
title_full_unstemmed Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
title_short Bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
title_sort bilateral bronchial stent deployment for palliative treatment of a compressive intrathoracic mass in a cat
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5808972/
https://www.ncbi.nlm.nih.gov/pubmed/29449956
http://dx.doi.org/10.1177/2055116917753816
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