230 – Bronchial Stent

230 - Aneumatosis of the lower right lobe

Aneumatosis of the right inferior lobe with evolution to atelectasis due to a carcinoma that occludes its bronchus.

The fissure in this lobe will move towards the vertebral column during collapse.

231 - Conical Stent

The indication of stents in distal or lobar bronchi was controversial (Journal of Bronchology & Interventional Pulmonology 24: 3; 211-215.2017).

Here from the inside of a prosthesis in the intermediate bronchus a small cone-shaped stent implanted after resection of the tumor and allowing the re-expansion of the right lower lobe is observed.

German Hospital

218 – Stent Cut

218 - Stent cutting

Side cut scissors in “penguin head” ready to make a window in the wall of a silicone stent implanted in the left source bronchus.

A positional defect caused the stent to partially obstruct the entry of the ipsilateral upper lobe bronchus, despite several attempts to reposition the prosthesis.

219 - Stent cutting

Now a metal spike with the hooked end takes the edge of the stent and offers it to the scissors to make the first cut.

220 - Stent cutting

View of the metal spike with a hooked end.

217 – Stent on Omega

217 - "Omega" layout of a stent

Arrangement in “omega” of a stent released inside the bronchial lumen.

Different maneuvers will be necessary to complete its expansion.

This task will be rewarded by the absence of migration that occurs after the implantation of stents that do not expand spontaneously and immediately.

This occurs when prostheses of a wide diameter are chosen in relation to the light of the airway to be treated.