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J Thorac Cardiovasc Surg 2009;138:252-253
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor

Patricia A. Thistlethwaite, MD, PhDa, James Harrell, MDb

a Division of Cardiothoracic Surgery, University of California, San Diego, San Diego, Calif
b Division of Pulmonary and Critical Care Medicine, University of California, San Diego, San Diego, Calif

The first 20% of the full text of this article appears below.

We appreciate the interest that Drs Anile and Ventura have in the management of lung transplant recipients with distal focal bronchial stenosis (type 3 disease) and diffuse distal stenosis (type 4 disease). This is a complex group of patients to manage, and their airway issues can be challenging.1Go

As a high-volume center for bronchial stent placement (for causes other than transplantation), we have been uniformly disappointed with the use of expandable metallic stents. Metallic stents in the airway are expensive and associated with fracture, overgrowth of granulation tissue, and erosion through the tracheobronchial wall. Although the cost of a single metallic stent is low in comparison with the total expense of lung transplantation, cost precludes having a large inventory of these stents available. We . . . [Full Text of this Article]






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