Self-expanding metal stents allow the extubatation of many ventilator-dependent children with congenital cardiac defects and airway obstruction, although long-term outcomes remain uncertain.
Some young children with congenital cardiac defects and airway obstructions become dependent on ventilator support and management of such children is often difficult. Clinicians only infrequently stent airways in these patients and, usually, only "in dire circumstances."
Against this background, researchers from the Royal Brompton Hospital, London, England, retrospectively reviewed their use of self-expanding metal stents in four boys and one girl between 1996-2000. The children were aged between two and 14 months (mean 7.4 months). Four children could not be weaned from the ventilator after congenital cardiac surgery. The five children were dependent on ventilators for between 40 and 210 days (mean 112 days)….
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