Tracheal Stenting

How is it Performed?

Tracheal Stenting is performed to open up a blocked or narrowed windpipe (trachea). A stent is placed inside the trachea to keep it open and allow proper airflow to the lungs.

Here’s how the whole procedure is carried out:

1. Evaluation and Planning: A thorough checkup of the patient is being done, usually with CT scan or bronchoscopy to see where and how severe the narrowing is. Some blood tests and breathing tests may also be performed.The doctor decides what type and size of stent is needed whether it would be metallic or silicone.
2. Injection of Anesthesia: The procedure is performed under the effect of local anesthesia with sedation or general anesthesia, depending on the patient’s condition. This ensures that the patient feels comfortable and pain-free during the process.
3. Bronchoscopy: A bronchoscope (a thin, flexible tube with a light and camera) is passed through the nose or mouth into the trachea. This allows the doctor to get a clear view of the airway from the inside.
4. Preparing the Airway: If the airway is blocked completely or partially, special tools may be used to clear the blockage before placing the stent. This may also involve removing a tumor, suctioning secretions, or widening the narrowed area using a balloon (balloon dilation).
5. Stent Placement: The stent is passed through the bronchoscope or a special delivery device. It is placed carefully at the exact spot where the trachea is narrow. Once it is in position, the stent expands to fit the airway and holds it open.
6. Checking Placement: After its placement, the doctor uses the bronchoscope to check if the stent is properly positioned and if air is flowing smoothly now. A chest X-ray or CT scan may also be performed to confirm its proper placement.
7. After the Procedure: The patient is kept under observation for a few hours or overnight. Most patients feel immediate relief in breathing after the treatment. You may experience a mild sore throat or cough for a few days.
8. Follow-Up Care: Regular follow-ups are important to check the stent and overall airway health. If needed, the stent can be cleaned, adjusted, or replaced. The doctors may also suggest medicines to reduce cough or control infections which may happen after the treatment.