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Novel use of metallic stent to control post-debulking bleeding in a patient with central airway obstruction
  1. Prakash Sivaramakrishnan,
  2. Mayank Mishra,
  3. Girish Sindhwani and
  4. Prakhar Sharma
  1. Pulmonary Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Mayank Mishra; virgodrmayank{at}gmail.com

Abstract

Bronchoscopy-related bleeding is often encountered and is usually self-limiting or controllable by conservative measures. However, major bleeds can be life threatening for the patient as well as challenging for the physician to manage. There are several methods to achieve adequate haemostasis should a significant airway bleed occur. In this context, we describe a patient who had a post-bronchoscopic debulking bleed which persisted despite use of all available measures, and we deployed a self-expanding metallic stent in an attempt to control it. To the best of our knowledge, this is the first instance of a metallic airway stent being used to control bronchoscopy associated bleeding, though reports of its usage in management of intractable haemoptysis exist in the literature.

  • Cancer intervention
  • Lung cancer (oncology)
  • Respiratory cancer
  • Respiratory medicine

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Footnotes

  • Contributors MM: Concept, design, definition of intellectual content and guarantor. PSi: Literature search and preparation of first draft. All authors: Manuscript review, editing and approval of final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.