scott@vtx-cpd.com
Forum Replies Created
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Replying to Karin V. 04/09/2024 - 13:01
Hi Karin,
I’m also looking forward to hearing Liz’s perspective on this topic, but I thought I’d share some of my own insights. From my experience, tracheal stenting can be a life-saving procedure for patients with very severe tracheal collapse. However, I often see referrals for patients with suspected tracheal collapse, even in the early stages, where stenting is being considered as though it’s a universally life-improving procedure that can be done at any time without complications. That’s simply not the case, and I think this paper highlights that well.
For me, it’s crucial to optimize medical management first, using combinations of antibiotics, steroids, and antitussive medications before even considering tracheal stenting. In my experience, many patients can be managed well for quite some time on medical therapy alone, even those with more advanced disease.
I actually have a patient this week (I’ve shared the radiographs below) who had a tracheal stent placed about two years ago but continues to experience recurrent bouts of bronchial pneumonia. This patient still coughs even with the stent in place, which is an important consideration when discussing long-term outcomes.
Looking forward to hearing your thoughts!
Best,
Scott
