Table 5. Outcomes and Complications .
KPS: Karnofsky score
MRC: Medical Research Council
FVC: Forced expiratory capacity in liters
FEV1: Forced expiratory volume in 1 second in liters
PEF: Peak expiratory flow in liters per minute
PEFR: Peak expiratory flow rate in liters per minute
ECOG: European Cooperative Oncology Group
SE: Standard error
SD: Standard deviation
| Authors | Post procedure stenosis | Post procedure pulmonary function testing | Post procedure dyspnea grade/additional scoring systems and scales used | Post procedure blood gas parameters | Survival outcomes | Other | Complications, n (number of patients) | |
| 1. | Dalar L et al [8]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Median follow-up period: 5.3 months (range 0–100 months). Factors significantly affecting survival: Type of malignancy causing central airway obstruction (p<0.01). Site of lesion (p< 0.01) The type of endobronchial treatment modality (p=0.01). Survival (mean months with 95% confidence interval, % at 3 and 6 months): Laser only: 22.4 (16-27.8), 71 and 57. Argon plasma coagulation only: 29.7 (21.7-37.9), 58 and 49. Cryotherapy only: 20.9 (3.9-37.8), 57 and 35. Stent only: 10.7 (5.9-15.4), 38 and 26. Laser and stent: 7.9 (1.8-14.1), 42 and 11. Argon plasma coagulation and stent: 11.9 (5.7-18.1), 48 and 38. | Complication Rate: 10.8% (59 out of 547). Stent obstruction due to tumor overgrowth: 20. Complications following endobronchial treatment: 59. Arrhythmias during endobronchial treatment: 4. Hypertensive attack: 9 Oxygen desaturation: 24. Restenosis due to the tumor progression: 20. | |
| 2. | Dutau H et al [9]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | At the end of the follow up period: 11 out of 40 patients were alive in the stent arm. 10 out of 38 patients were alive in the no stent arm (7 had no recurrence, 3 had recurrence and 1 patient required re-stenting). Survival not affected by stent placement, non-significant improvements in survival times). Survival appeared to be affected by local recurrence. | Not mentioned | Death causes: Progressive cachexia: Stent arm: 17 (42.5%). No stent arm: 17 (44.7%). Progressive bronchial obstruction: Stent arm: 2 (5%). No stent arm: 3 (7.9%). Metastases: Stent arm: 2 (5%). No stent arm: 3 (7.9%). Other (including hemoptysis): Stent arm: 7 (17.5%). No stent arm: 5 (1.1%). Unknown: Stent arm: 1 (2.5%). No stent arm: 0 (0%). |
| 3. | Grosu HB et al [10]. | Degree of post procedure airway obstruction: 0 to 49%, 21 patients. 50-100%, 6 patients. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Lower respiratory tract infection: 23 (Acute bronchitis: 5. Pneumonia, not in obstruction/stent area: 2. Pneumonia distal to obstruction/stent area: 10. Pneumonia, multi-lobar: 6. Mortality/death: 32. Granulation tissue: 3. Stent obstruction due to tumor overgrowth: 15. Interventions performed for restenosis: 13. New stent placed for restenosis: 5. Stent removal required: 1. Migration: 1 Retained secretions/mucoid impaction: 5. Stent fracture: 3. |
| 4. | Huang S et al [11]. | Not mentioned | Not mentioned | The 24-hour post-stent placement mean KPS (Mean ± SD) significantly improved (79.05 ± 20.71 vs. 56.67 ± 23.52, P<0.001). By the subgroup analysis, the KPS improved in both the Lung cancer and Esophageal cancer groups (Lung cancer group: 55.45 ± 21.15 vs. 75.45 ± 22.07; P=0.001, and Esophageal cancer group: 54.29 ± 24.72 vs. 83.57 ± 16.92; P<0.001). | Not mentioned | Not mentioned | Follow up: 545 days | Infection: 3. Granulation tissue: 7. Stent obstruction due to tumor overgrowth: 3. Migration: 5. Retained secretions/mucoid impaction: 7. Stent malposition: 1. Bleeding: 1. Vocal cord paralysis: 4. Fistula: 2. Atelectasis: 1 Double placement: 10. |
| 5. | Iyoda A et al [12]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | After stenting, Median survival times: SS: 5.585 months, MS: 3.220 months. 1-year survival rates: were SS: 25.1% MS: 5.1%. 2-year survival rates: SS: 15.7% MS: 5.1%, SS patients had significantly better prognoses than MS patients (p = 0.0173). | Not mentioned | Infections: 1 (MS 1). 30-day mortality: SS 6, MS 11. On the 30-day mortality rate, there were no significant differences between SS and MS. Granulation tissue: SS 2, MS 3. Stent obstruction due to tumor overgrowth: SS 1. Migration: SS 5, MS 3. Retained secretions/mucoid impaction: SS 4, MS 6. Bleeding: SS 2. Halitosis: MS 1. |
| 6. | Lachkara S et al [13]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Mortality/death: Silicone Y group, 32 (80%) patients SEM Y group, 34 (89%) patients. Median survival: Silicone Y group, 171 days (IQR 53-379 days) SEM Y group, 104 days (IQR 53-230). | Symptom relief: Silicone Y group, 27 patients SEM Y group, 32 patients. Mean duration of stent in days: Silicone Y group, 150.2 days SEM Y group, 112 days. Stent removal: Silicone Y group, 9 days SEM Y group, 7 days. | Early complications (less than 7 days): Silicone Y group, 9 (27%) SEM Y group, 6 (15%). Late complications (more than 7 days): Silicone Y group, 15 (46%) SEM Y group, 23 (59%). Complications: Silicone Y group, 18 (55%) SEM Y group, 25 (65%). |
| 7. | Ma G et al [14]. | Not mentioned | Not mentioned | KPS value: 84.62 ± 5.03. | PaO2: 11.12 ± 0.61. PaCO2: 4.58 ± 0.30. | Three-year survival rates: Lung cancer group, 10 % Esophageal carcinoma group, 7.7% Lymphoma group, 66.7%. Average survival period: Lung cancer group, 16.3 Esophageal cancer group, 9.07 Lymphoma group 35.5 months. The three-year survival rate was significantly higher in lymphoma group than in lung cancer or esophageal cancer group (p < 0.01). | Not mentioned | Infections: 4. Stent obstruction due to tumor overgrowth: 8. Chest pain: 25. Mild fever: 5. |
| 8. | Marchese R et al [15]. | Not mentioned | Not mentioned | Statistically significant score difference in the Barthel Index: Median 69 (range 25-93) immediately post procedure, Median 90, (range 35-100) 24 hours after the procedure; p < 0.001. MRC score: Median 3 immediately post procedure, Median 1 24 hours after the procedure; p < 0.001. | Not mentioned | Follow-up, days Mean 119±120 Range 22–549 Median 74. | A radiographic improvement was detected in 48% of patients. | Infections: 3 (5.7%). Granulation tissue in 2 (3.8%). Stent obstruction due to tumor overgrowth in 8 (15%). Stent migration in 7 (13.4%): Post chemotherapy regression of tumor 3 (5.7%) Intraprocedural dislocation 1 (1.9%) Dislocation into cavity abscess 1 (1.9%) Stent-related migration in 2 (3.8). Three patients needed mechanical ventilation in the postoperative period for less than 8 hours, and 2 experienced atrial fibrillation treated with pharmacological cardioversion with success. |
| 9. | Marchese R et al [16]. | Not mentioned | Not mentioned | MMRC (modified Medical Research Counsel) dyspnea score (Mean ± SD) (2.6 ± 0.8 vs 1.2 ± 0.5; p <0.01) (immediate post procedure period and 1 month). Oxygen saturation (Mean ± SD) (95 ± 2 vs 96 ± 2.4; p <0.01) (immediate post procedure period and 1 month). | Not mentioned | Discharge occurred 2 ± 3 days after the procedure and the mean follow-up duration was 123 days ± 157 (range: 15–653 days). The median overall survival was 118 ± 21days. The survival of patients with a double airway stent was worse than patients with a single one (p <0.01). | Not mentioned | Early complications after bronchoscopy intervention: Atrial fibrillation 2 (3.9%). Respiratory distress (non-invasive ventilation) 3 (5.8%). Pneumonia 1 (1.9%) Obstruction due to tenacious secretions 1 (1.9%). Infections: 7 (13%). Granulation tissue in 4 (7.6%). Stent obstruction due to tumor overgrowth in 5 (9.8%). Migration: Post-chemotherapy regression of tumor 2 (3.9%). Dislocation into cavitary abscess 2 (3.9%). Stent related migration 2 (3.9%). |
| 10. | Marchioni A et al [17]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Median follow-up from diagnosis was 21 (IQR 9-36) months. Overall survival was longer in IT (Interventional Bronchoscopy AND chemo-radio) group vs ST (standard Treatment and chemo-radio) although not statistically significant (23.7 months vs 19.2 months, p = 0.2). IT group showed a significantly higher survival gain over ST when patients had KRAS mutation (7.6 months vs 0.8 months, p <0.0001), a lumen occlusion>65% (6.6 months vs 2.9 months, p <0.001), and no involvement of left bronchus (7 months vs 2.3 months, <0.0001). Finally, IT showed a statistically significant favorable difference in terms of overall new hospitalizations (p = 0.03), symptom free interval (p = 0.02), and onset of atelectasis (p = 0.01), but not for occurrence of infections or hemorrhage (p = 0.7 and p = 0.8 respectively, onset of respiratory failure (p = 0.1), use of palliative care (p = 0.9). | Not mentioned | Granulation tissue (8). Complications at 1-year 10 (19): Post-obstructive pneumonia, n (%) 5 (9). Granulation, n (%) 8 (15). Dislocation, n (%) 8 (15). Removal, n (%) 9 (17). Occlusion, n (%) 6 (20). |
| 11. | Miyazawa T et al [18]. | Significant improvement in obstruction of airway diameter (Mean % ± SD) : 81.6 ± 15% before vs 14.6 ± 17% on day 1, 12.6 ± 12% on day 30, and 22.6 ± 28% on day 60; p, 0.001. | VC in liters: 2.46 ± 0.60 (p <0.01). FEV1 in liters: 1.74 ± 0.52 (p <0.001). PEF in liters/second: 3.6 ± 1.2 (p<0.05). The flow volume loop after implantation of the stent showed immediate improvement of flow limitation. | The dyspnea index improved significantly after implantation (before vs days 1, 30, and 60; p, 0.001). | Not mentioned | The median survival time of patients was 3 months. The 1-year survival rate was 25.4% | Symptom improvement immediately post procedure in 82% of the patients. | Mortality: 15 cases of cachexia, 5 cases of bleeding, and 1 case of respiratory insufficiency. Granulation Tissue: 1. Stent obstruction due to tumor overgrowth: 2-month follow-up period were tumor ingrowth (24%) and tumor overgrowth (21%). Retained secretions/mucoid impaction in 9. |
| 12. | Miyazawa T et al [19]. | Not mentioned | Statistically significant improvement in spirometry and flow volume curves in all stenoses (values mentioned as mean ± SD). Tracheal stenosis: FVC = 3.15 ± 1.87. FEV1 = 2.32 ± 0.57. PEF = 4.69 ± 1.36. Vmax 50% = 2.42 ± 1.20. Vmax 25% = 0.87 ± 0.70. Carinal Stenosis: FVC= 2.73 ± 0.66. FEV1= 2.04 ± 0.55. PEF = 4.57 ± 1.74. Vmax 50% = 2.01 ± 1.00 Vmax25% = 0.59 ± 0.35. Bronchial Stenosis: FVC = 2.50 ± 0.79. FEV1 = 1.79 ± 0.55. PEF = 3.92 ± 1.82. Vmax 50% = 1.65 ± 0.72. Vmax 25% = 0.62 ± 0.35. Extensive stenosis: FVC = 2.33 ± 0.63 (After 1st stenting), 2.70 ± 0.53 (After 2nd stenting). FEV1 = 1.33 ± 0.50 (After 1st stenting), 1.91 ± 0.41 (After 2nd stenting). PEF = 2.53 ± 1.35 (After 1st stenting), 3.89 ± 0.91 (After 2nd stenting). Vmax 50% = 0.94 ± 0.42 (After 1st stenting), 1.99 ± 0.83 (After 2nd stenting). Vmax 25% = 0.34 ± 0.29 (After 1st stenting), 0.58 ± 0.42 (After 2nd stenting). | The dyspnea grades (World Health Organization Index) improved significantly in tracheal, carinal, bronchial, and extensive stenosis groups. Tracheal stenosis: 0 (6), I (14), II (0), III (0), IV (0). Carinal Stenosis: 0 (8), I (8), II (0), III (0), IV (0). Bronchial stenosis: 0 (8), I (10), II (0), III (0), IV (0). Extensive stenosis: After 1st stenting: 0 (0), I (0), II (3), III (7), IV (0). After 2nd stenting: 0 (3) ,I (7), II (0), III (0), IV (0). | Not mentioned | Median survival times (in months ± SD ) after stenting in the groups were as follows: Tracheal stenosis group, 5.9 ± 5.0; carinal stenosis group, 5.6 ± 2.6; bronchial stenosis group, 5.5 ± 3.0; and extensive stenosis group, 3.0 ± 1.0 months. | Not mentioned | Granulation tissue in 22%. Stent obstruction due to tumor overgrowth in 28%. Migration in 8%. Retained secretions/mucoid impaction in 31%. |
| 13. | Monnier P et al [20]. | Bronchial obstruction (degree in %) post operative, on day 30 and on day 90/number of patients: 0-25%: 39, 10, 7. 25-50%: 0, 2, 0. 50-75%: 0, 5, 2. 75-90%: 0, 2, 1. 90-100%: 0, 0, 0. | Not mentioned | The average Kamofsky Performance Index improved from 40 to 70 after prosthesis deployment. Dyspnea grade evaluation on day 1, 30 and 90/number of patients: 0: 7, 2: 2. 1: 14, 5: 4. 2: 13, 11: 5, 3: 3, 2: 1, 4: 2, 2: 1. | Not mentioned | Not mentioned | Not mentioned | Stent migration: 5. Retained secretions: 15. Granulation Tissue: 4. Stent obstruction due to tumor overgrowth: 10. No serious complications (death, perforation, hemorrhage, inability to remove an improperly placed prosthesis). |
| 14. | Nakajima Y et al [21]. | Not mentioned | Not mentioned | Hugh-Jones score improved by at least 1 point in 21 patients (95%). ECOG performance scale improved by al least 1 point in 17 patients (77%). | Not mentioned | Survival after stent placement was from 2 to 32 weeks with a mean of 15 weeks. | Technical success rate: In all the 22 patients (100%). | Migration: 4 presenting lethal hemoptysis. Retained secretions/mucoid impaction: 4. Stent fracture: 2 |
| 15 | Oki M et al [22]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | The survival time was significantly longer in patients who received chemotherapy and/or radiation therapy after the procedure (234 vs 37 days, respectively; p <0.001) and in chemoradiotherapy-naive patients (234 vs. 40 days, respectively; p <0.001). The median survival duration after stenting at the time of analysis was 198 days (range, 13–3,009 days). | Not mentioned | Extubation within 48 hours after stenting could be performed in 28 of 30 patients (93%). 2 patients underwent tracheostomy due to retained secretions. Granulation tissue formation in 1 patient. Pneumonia/infection in 1 patient. Additional chemo and/or radiotherapy in 21 patients (70%). |
| 16 | Özdemir C et al [23]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Respiratory insufficiency requiring noninvasive ventilation: 2. Minimal to moderate hemorrhage: 6. Retained secretions/mucoid impaction: 3. |
| 17. | Razi SS et al [24]. | Not mentioned | Not mentioned | The mean preoperative MRC dyspnea scale score of 4.40 significantly improved to 3.29 postoperatively. Mean preoperative ECOG performance status score of 3.36 significantly improved to 2.32 postoperatively. | Not mentioned | Improved survival (p 0.05) in patients with intermediate performance status, with a median survival of approximately 8 months. A significantly lower survival rate (3-month median survival) was observed in patients with a high preoperative MRC dyspnea score of 5 (hazard ratio 0.40, 95% confidence interval 0.19-0.84) as well as in patients with high preoperative ECOG performance status score of 4 (hazard ratio 0.33, 95% confidence interval 0.15 to 0.70). The overall mean survival was 128 ±15 days, with a median survival of 117 days. The overall 3-month and 6- month survival was 60% and 40%, respectively. | Performance status improved in 45 patients (90%). Significant improvement in performance status was observed in both poor and intermediate performance groups (p, 0.05). | During the follow-up period, 10 patients (20%) underwent bronchoscopy evaluation with or without intervention due to the following reasons: Mucus plugging, stent migration, and for evaluation of disease progression seen on computed tomographic scan with planned intervention at the same time. |
| 18. | Righini C et al [25]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Median survival time of these patients was 3.7 months. Duration of follow-up ranged between 1 and 1067 days, with a median of 35 days. | There was a decrease in the level of respiratory support after stent placement but this was not significant (p = 0.06). Breathing room air/number of patients: 48 before and 53 after stent placement. Oxygen therapy by nasal canula or mask/number of patients: 18 before and 15 after stent placement. Noninvasive ventilation/number of patients: 1 before and 1 after stent placement. Invasive ventilation/number of patients: 1 before and 0 after stent placement. | Infection: 2. Granulation tissue: 1. Migration: 2. Stent fracture: 2. |
| 19. | Saji H et al [26]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | 25.2% of one-year survival rate and 6.2 months of median survival time. | Not mentioned | Mortality: 5. Pneumothorax: 3. Severe mucus: 6. Idiopathic pneumothorax: 3. Idiopathic pyothorax: 2. Esophageal stenosis: 2. Acute pulmonary distress: 2. |
| 20. | Tayama K et al [27]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | The mean follow-up was 2.5 years (with follow-up ranging from 140 to 1610 days). | The patients with extraluminal compression all exhibited marked improvement in their respiratory symptoms after stenting. The patients with an intraluminal obstruction in whom the tumor reduced the lumen by < 50% of the endoluminal diameter also benefited from stenting. In the patients with an intraluminal obstruction or in whom the tumor reduced the lumen by > 50% of the endoluminal diameter, only a slight improvement was observed after stenting. | Stent obstruction due to tumor overgrowth: 8. Bleeding: 9. |
| 21. | Verma A et al [28]. | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Number of deaths: Laser only: 21 (58.3%). UFS only: 25 (83.3%). Both Laser and UFS: 5 (83.3%). Survival (months), median (range): Laser only: 12.4 (0.32-76.4) UFS only: 4.6 (0.32-52.1). Both Laser and UFS: 5.9 (0.99-56.2). Survival in trachea and main bronchi group (months), median (range): Laser only: 12 (0.32-76.4) UFS only: 4.6 (0.32-52.1). Both Laser and UFS: 5.9 (0.99-56.2). Survival in lobar bronchi group (months), median (range): Laser only: 45.6 (4.8-67.2).. Survival in patients requiring single rigid bronchoscopy (months), median (range): Laser only: 11.2 (0.32-76.4) UFS only 3.9 (0.32-52.1). Both Laser and UFS: 4.8 (0.99-8.8). Survival in patients requiring multiple rigid Bronchoscopy (months), median (range): Laser only: 27.5 (4.2-64.5) UFS only: 6.3 (0.52-19.5). Both Laser and UFS: 56.3. Survival in patients with definitive treatment (months), median (range): Laser only: 12 (4.2-62.1) UFS only: 9.9 (1.2-42.3). Both Laser and UFS: 8 (0.99-56.3). 30-day mortality/number of patients: Laser only: 3 (8.3%) UFS only: 4 (13.3%) Both Laser and UFS: 1 (16.6%). 1 year mortality/number of patients: Laser only: 14 (38.9%) UFS only: 21 (70%) Both Laser and UFS: 5 (83.4%). | Not mentioned | Any complication: Laser only: 7 (19.4%).. UFS only: 7 (23.3%). Both Laser and UFS: 0 (0%). Escalation of level of care: Laser only: 6 (16.6%). UFS only: 6 (20%). Both Laser and UFS: 0 (0%). Escalation of level of care to ICU: Laser only: 4 (11.1%). UFS only: 1 (3.3%). Both Laser and UFS: 0 (0%). 30-day mortality: Laser only: 3 (8.3%). UFS only: 4 (13.3%). Both Laser and UFS: 0 (0%). Significant bleeding: Laser only: 2 (5.5%). UFS only: 0 (0%). Both Laser and UFS: 0 (0%). Unexpected respiratory failure in 24 hours: Laser only: 1 (2.7%). UFS only: 1 (3.3%). Both Laser and UFS: 0 (0%). Complication requiring CPR: Laser only: 2 (5.5%). UFS only: 0 (0%). Both Laser and UFS: 0 (0%). |
| 22. | Wilson GE et al [29]. | Not mentioned | FEV1 in liters (Mean ± SD) = 1.38 (0.57) (p, 0.001). FVC in liters (Mean ± SD) = 2.15 (0.76) (p, <0.05). PEF rate (liter/min) (mean ± SD) = 158 (14) (p, <0.05). | MRC (Mean ± SD) = 4 ± 1. Karnofsky (Mean ± SD) = 51.8 ± 21.4. Visual analogue score, breathing (Mean ± SD) = 63 ± 22. Visual analogue score, walking (Mean ± SD) = 65 ± 25. | pH (Mean ± SD) = 7.37 ± 0.43 (results non-significant). PaO2 (Mean ± SD) = 10.24 ± 3.14 (p, <0.05). PaCO2 (Mean ± SD) = 5.4 ± 1.2 (results non-significant). | The median length of hospital stay was five days (range 1-24 days) Of the 56 patients stented, five were alive after a mean of 207 days (range 135-274) and 51 died with a mean survival of 77 days (range 1-477). | Not mentioned | Infections: 1. Mortality: 4. |
| 23. | Yerushalmi R et al [30]. | Not mentioned | Six patients (18%) had pulmonary function both before and after stent insertion, and all showed an improvement in forced expiratory volume in 1 second (5-35%) and forced vital capacity (5-15%). | Degree of dyspnea Improved. | Not mentioned | Median Survival: 6 months (range 0.25-105 months). | Not mentioned | Stent obstruction due to tumor overgrowth: 3. |
| 24. | Zwischenberger JB et al [31]. | All patients had successful stent deployment with initial relief of airway stenosis (>75% predicted diameter). | Not mentioned | Stent placement improved the dyspnea score in 7. patients (50%), with symptoms unchanged in the remainder. Upon follow up questioning, at the time of perceived maximum benefit, 6 patients felt they had achieved significant improvement in functional status. Of the 9 patients surviving greater than 2 months, the Karnofsky score improved in 4 and was unchanged in 5. | Not mentioned | Total length of stay ranged from 3 to 22 days (average, 10.2 days). 10 of the patients were deceased at 8-month follow up. Five patients died in less than 2 months. All 4 patients with stage IV disease died within 2 months of the procedure. Of those who died, 5 were able to return home before death, 4 never left the hospital or required early readmission, and 1 died at a nursing care facility. | Not mentioned | Problems identified in individuals before death included a tracheoesophageal fistula, ipsilateral pneumothorax, tracheostomy, and atrial fibrillation. |
| 25. | Akram MJ et al [32]. | Not mentioned | Not mentioned | Not mentioned | Partial pressure arterial oxygen: Mean difference ± SE: -18.16 ± 2.50. There was a statistically significant mean difference in pre- and post-procedure partial pressure arterial oxygen (Mean = 72.3, SD = 12.3 vs Mean = 90.5, SD = 15.1, p = 0.001). | The overall median (SD) survival time was 16 (3.44). The median (SD) survival time was highest in intrinsic compression of the airway [27.00 (6.51) weeks] compared to that in extrinsic compression and trachea-esophageal fistula [16.00 (9.12) and 8.00 (2.34)] weeks, respectively. Patients who received pre- and post-procedure chemotherapy and radiotherapy had a better median (SD) survival [28.00 (12.11) versus 11.00 (2.15)], p-value <0.04. | Oxygen saturation: Mean difference ± SE: -5.72 ± 0.99. There was a statistically significant mean difference in pre- and post-procedure oxygen saturation (Mean = 89.8, SD = 6.7 vs Mean = 95.5, SD = 2.54, p = 0.001). White blood cell count: Mean difference ± SE: 0.86 ± 0.63. Performance status: Mean difference ± SE: 1.06 ± 0.10. There was a statistically significant difference in pre- and post-procedure performance status (Mean = 3.65, SD = 0.6 vs Mean = 2.59, SD = 0.83, p = 0.001). Serum albumin: Mean difference ± SE: -0.35 ± 0.11. Hemoglobin: Mean difference ± SE: -0.45 ± 0.20. 29 (56.9%) patients had symptomatic improvement. | No complications: 29 (56.9). Acute Pneumothorax: 1 (2.0%). Mucous plugging: 2 (3.9%). Stent obstruction: 4 (7.8%). Recurrent Pneumonia: 5 (9.8). Stent migration: 8 (15.7). Acute respiratory distress: 2 (3.9). |
| 26. | Bolliger CT et al [33]. | Not mentioned | 1 month after stent placement: FEV1 in liters (Mean ± SD) of 20 patients = 1.9 ± 0.6. FVC in liters (Mean ± SD) of 20 patients = 2.8 ± 0.7. 3 months after stent placement: FEV1 in liters (Mean ± SD) of 20 patients = 1.5 ± 0.5. FVC in liters (Mean ± SD) of 20 patients = 2.5 ± 1.0. | 1 month after stent placement: Dyspnea index (Mean ± SD) of 20 patients: 1.5 ± 0.8. WHO activity index of 20 patients (Mean ± SD): 1.5 ± 0.9. Karnofsky scale of 20 patients (Mean ± SD): 72 ± 18. 3 months after stent placement: Dyspnea index (Mean ± SD) of 20 patients: 1.9 ± 1.2. WHO activity index of 20 patients (Mean ± SD): 1.6 ± 1.0. Karnofsky scale of 20 patients (Mean ± SD): 71 ± 21. | Not mentioned | Patients had a mean follow-up of 4.3 months (range 2 days to 23 months). At the time of writing 23 patients had died. 25 patients had far advanced intrathoracic malignancies with a poor overall prognosis (stages IIIB and IV). This is reflected by the sharp decrease of the initial 26 patients evaluable at follow-up visits: 20 at one month and only 9 at three months. | Not mentioned | Migration: 1. Tenacious secretions leading to tracheal stent obstruction: 4. |
| 27. | Chhajed PN et al [34]. | Not mentioned | Values given as out of 87 patients whose spirometry was available: FEV1 in liters (median with range) = 62% (50 to 76%). FVC in liters (median with range) = 69% (57 to 81%). | Not mentioned | Not mentioned | Median (months) with range survival values: Stent only = 2.7 (1.4-4). Laser and Stent combined = 3.0 (2-4) Laser only = 10.4 (4.9-16). % of patients surviving at 3 months: Stent only = 46. Laser and stent = 48. Laser only = 73.. % of patients surviving at 6 months: Stent only = 31. Laser and stent = 31. Laser only = 58. | Not mentioned | Infection: 1. Granulation tissue: 3. Mortality: 3 patients died within 24 hours after who developed infection, pericardial effusion and respiratory failure. Migration: 5. Mucus Plugging: 8. Stent restenosis: 21. Pericardial effusion: 1. Respiratory failure: 1. Esophago-tracheal fistula: 1 . Ventricular arrhythmias: 1. Severe cough: 1. Acute laryngospasm: 1. |