• Asian Cardiovasc Thorac Ann · Jun 2021

    PercuTwist tracheostomy in an intubated patient with tracheal stent.

    • Mary Bove, Fausto Ferraro, Floriana Morgillo, Giovanni Natale, Mario Santini, and Alfonso Fiorelli.
    • Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
    • Asian Cardiovasc Thorac Ann. 2021 Jun 1; 29 (5): 431-433.

    AbstractThe optimal placement of a tracheal tube following percutaneous dilator tracheostomy is technically demanding in patients with tracheal stents. We report a successful technique of tracheostomy tube placement with PercuTwist in an intubated patient with a tracheal stent for malignant stenosis. The endotracheal tube was replaced with a laryngeal mask, a 9.0-mm tracheostomy tube was inserted into the trachea over a PercuTwist percutaneous dilator and through the tracheal stent under video-bronchoscopic vision. The PercuTwist technique kept the lumen of trachea, a laryngeal mask enabled adequate ventilation, and a video-bronchoscope guided the prompt insertion of the tracheostomy tube through the stent.

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