A single center experience of feasibility of a novel self-expanding metallic airway stent (Bonastent): A case series Journal Article


Authors: Makkar, P.; Revelo, A.; Lee, R.; Chawla, M.
Article Title: A single center experience of feasibility of a novel self-expanding metallic airway stent (Bonastent): A case series
Abstract: Background:Central airway obstruction (CAO) is defined as obstruction of the airway lumen in the trachea or mainstem bronchi, most commonly due to primary or metastatic malignancy; and is classified as extraluminal, endoluminal, or mixed. The majority of malignant CAO are advanced stage and require a multimodality palliative approach, including stent placement. We describe a retrospective review of a novel self-expandable metallic stent, the Bonastent; a fully covered, nitinol-braided airway stent which conforms to airway tortuosity without loss of diameter in the management of CAO.Methods:We performed a retrospective chart review of patients with CAO who underwent Bonastent placement at a single center between February 2017 and March 2018. Ease of stent placement, short-term complications (within 24 h of stent placement) and long-term complications (within 3 mo of stent placement) were recorded.Results:Eleven patients were identified, reviewed and included in the study. Thirteen stents in 11 patients were placed for predominantly malignant CAO. One patient had a short-term complication of stent migration. Four patients had long-term complications; of which 3 patients had in-stent mucus impaction requiring bronchoscopy. In our study, the stent-related complication rates were comparable to the reported literature.Conclusion:In our experience, Bonastent is an easy to use option which adds to the armamentarium of the self-expandable metallic stent to treat malignant CAO. © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: airway stent; malignant central airway obstruction; rigid bronchoscopy; self-expanding metallic airway stent
Journal Title: Journal of Bronchology and Interventional Pulmonology
Volume: 26
Issue: 4
ISSN: 1944-6586
Publisher: Lippincott Williams & Wilkins  
Date Published: 2019-10-01
Start Page: 254
End Page: 259
Language: English
DOI: 10.1097/lbr.0000000000000603
PUBMED: 31188158
PROVIDER: scopus
PMCID: PMC6961133
DOI/URL:
Notes: Source: Scopus
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MSK Authors
  1. Mohit Chawla
    48 Chawla
  2. Robert Piljae Lee
    31 Lee
  3. Priyanka Sham Makkar
    12 Makkar