{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T19:58:25Z","timestamp":1785355105469,"version":"3.55.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"45","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11,7]]},"abstract":"<jats:sec>\n                    <jats:title>Rationale:<\/jats:title>\n                    <jats:p>Airway stenosis and tracheoesophageal fistulas are life-threatening emergencies, often complicated by asphyxia, recurrent infections, and fatal outcomes. Tracheal stent implantation is effective, but stent migration remains a critical complication, especially in subglottic high-position airway pathologies. This report aims to demonstrate an external stabilization technique to prevent stent migration in this high-risk group. Such cases are rarely reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient concerns:<\/jats:title>\n                    <jats:p>Two representative clinical cases with subglottic high-position airway pathologies requiring stent implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnoses:<\/jats:title>\n                    <jats:p>Tracheoesophageal fistula, high-position airway stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>The methods employed were either percutaneous suture fixation or snare wire anchorage, designed to achieve reliable stent immobilization. A modified snare wire fixation protocol was specifically developed to address the limitation of suture material failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>After repeated follow-up, the stents in both patients did not shift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lessons:<\/jats:title>\n                    <jats:p>The innovative utilization of either percutaneous suture fixation or snare wire anchorage achieved reliable stent immobilization. The modified snare wire fixation technique offers enhanced long-term stability by overcoming the inherent risk of suture material failure and maintained an optimal safety profile and cost-effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/md.0000000000045839","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T18:02:02Z","timestamp":1762538522000},"page":"e45839","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Clinical application of external fixation in preventing displacement of high-position airway stents: 2 case reports"],"prefix":"10.1097","volume":"104","author":[{"given":"Luna","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Jining No. 1 People\u2019s Hospital, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7877-9402","authenticated-orcid":false,"given":"Yun","family":"Liu","sequence":"additional","affiliation":[{"name":"Clinical Medical College of Jining Medical University, Jining Medical University, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yipeng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Qufu People\u2019s Hospital, Jining, Shandong Province, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinhua","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Jining No. 1 People\u2019s Hospital, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liran","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Jining No. 1 People\u2019s Hospital, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Jining No. 1 People\u2019s Hospital, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanshan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Clinical Medical College of Jining Medical University, Jining Medical University, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1112-5959","authenticated-orcid":false,"given":"Cuixia","family":"Bian","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Jining No. 1 People\u2019s Hospital, Jining, Shandong Province, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260729","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1017\/S1047951120002504","article-title":"Stent intervention for children with CHD and tracheal stenosis.","volume":"30","author":"Yang","year":"2020","journal-title":"Cardiol Young"},{"key":"R2-20260729","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s13019-018-0790-x","article-title":"Suture fixation of tracheal stents for the treatment of upper trachea stenosis: a retrospective study.","volume":"13","author":"Huang","year":"2018","journal-title":"J Cardiothorac Surg"},{"key":"R3-20260729","first-page":"1345","article-title":"Prevention and management of complications in tracheal stent placement.","volume":"34","author":"Yan","year":"2013","journal-title":"Jilin Med J"},{"key":"R4-20260729","first-page":"2015","article-title":"Clinical application of the thread-hanging method in esophageal cancer stent placement.","volume":"39","author":"Han","year":"2017","journal-title":"Hebei Med J"},{"key":"R5-20260729","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1093\/icvts\/ivy178","article-title":"A modified technique to simplify external fixation of the subglottic silicone stent.","volume":"27","author":"Andreetti","year":"2018","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000045839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T19:01:36Z","timestamp":1785351696000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000045839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,7]]},"references-count":5,"journal-issue":{"issue":"45","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000045839","relation":{},"ISSN":["0025-7974","1536-5964"],"issn-type":[{"value":"0025-7974","type":"print"},{"value":"1536-5964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,7]]},"assertion":[{"value":"2025-07-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}