Figure 3.

Patient with a high tracheal TEF (yellow arrow) 3 cm below the vocal cords (A). Esophageal stenting caused severe airway compression which could not be resolved optimally by stent resizing or repositioning, so the stent was removed. Given the proximity of the fistula to the subglottic region, a fully covered rather than partially covered tracheal SEMS (Merit Endotek) was placed to cover the fistula (B). The next day, the stent migrated caudally, protruding into the TEF posteriorly (as evidenced by the ridge of mucosa, i.e., posterior membrane; white arrow) (C). TEF, tracheoesophageal fistula.