Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Factors to Obstructive Granulation Tissue Formation After Ultraflex Stenting in Benign Tracheal Narrowing
This study is aimed to determine factors leading to obstructive granulation tissue formation after placement of Self-Expandable Metallic Stent (SEMS) in patients with benign tracheal diseases.
From August 2001 to September 2007, patients with benign tracheal stenosis who underwent
endoscopic tracheal stent placements at the Chang Gung Memorial Hospital, a
university-affiliated hospital in Northern Taiwan, were evaluated.
Definition of airway conditions Dynamic collapse (tracheao-malacia) was defined as tracheal
lumen narrowing on expiration under bronchoscopic examination. Structural tracheal stenosis
was defined as tracheal stenosis excluding dynamic collapse. Etiologies of structural
tracheal stenosis were post-intubation or tracheostomy, post-tuberculosis infection,
granulation tissue formation cause previous SEMS re-stenosis, previous SEMS fracture,
corrosive injury with stricture, mediastinitis cause airway stricture, and goiter
compression.
Obstructive granulation tissue formation after SEMS implantation was defined as granulation
tissue obstructing the lumen of the SEMS under bronchoscopic examination, including the
proximal and distal ends.
Significant variables, such as structural obstruction airway before SEMS implantation was
entered into a forward logistical regression analysis to determine the net effect of each
predictor while controlling the net effects of others to obstructive granulation tissue
formation. Obstructive granulation tissue formation curves between patients with and those
without structural tracheal stenosis before SEMS implantation were compared by log rank
test.
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Observational Model: Cohort, Time Perspective: Retrospective
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