{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:29:48Z","timestamp":1785364188571,"version":"3.55.0"},"reference-count":25,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respiration"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; The third-generation fully covered self-expandable metallic stent (SEMS) has been developed to solve the problems of difficult removal and in-stent granuloma formation related to the uncovered or partially covered type. There are few written reports about the performance of this type of stents with early encouraging results. &lt;b&gt;&lt;i&gt;Objectives:&lt;\/i&gt;&lt;\/b&gt; To report and analyse our experience with the Silmet\u00ae stent in the management of malignant and benign tracheobronchial disorders. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We retrospectively reviewed medical records of patients who underwent fully covered SEMS Silmet placement at the Interventional Pulmonology Unit, La Maddalena Cancer Center, Palermo, Italy, between May 2010 and August 2013. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Stents were placed in 52 patients with malignant (n = 49) and benign airway obstruction (n = 2) and broncho-oesophageal fistula (n = 1). SEMSs were inserted into the trachea (n = 19), the main bronchi (n = 21) and the peripheral bronchi (n = 31). Besides 1 procedural dislocation, the deployment was successful in all patients with an immediate significant improvement of symptoms (Barthel Index p &lt; 0.001; Medical Research Council score p &lt; 0.001). A radiographic improvement was detected in 48% of patients. The mean follow-up duration was 119 \u00b1 120 days (range 22-549 days). Complications observed were: migration (7.6%), tumour overgrowth (15%), infections (5.7%), granulation tissue formation (3.8%) and mucus plug (3.8%). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; The Silmet stent is effective, safe and simple to implant and remove. We suggest its use in cases of tight stenoses, in the treatment of small- to medium-caliber airways or in cases of tortuous airways.<\/jats:p>","DOI":"10.1159\/000368614","type":"journal-article","created":{"date-parts":[[2015,1,20]],"date-time":"2015-01-20T09:58:15Z","timestamp":1421747895000},"page":"49-56","source":"Crossref","is-referenced-by-count":40,"title":["Fully Covered Self-Expandable Metal Stent in Tracheobronchial Disorders: Clinical Experience"],"prefix":"10.1159","volume":"89","author":[{"given":"Roberto","family":"Marchese","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1215-888X","authenticated-orcid":false,"given":"Grazia","family":"Poidomani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Paglino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9088-5214","authenticated-orcid":false,"given":"Claudia","family":"Crimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Lo Nigro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Argano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2015,1,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000062101"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000329703"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)00033-X"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200312-1784OC"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1080\/028418500127345857"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-003-2686-x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.5.1993"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1159\/000119053"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000158487"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.107.3.741"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000075654"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1159\/000152832"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159\/000339316"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.06.093"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.65250"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1002\/9780470755969.ch10"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1378\/chest.114.1.106"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1159\/000203364"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000203803.98007.9F"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107001533"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.05.020"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.05.068"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1378\/chest.110.5.1161"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.05.039"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2011.09.008"}],"container-title":["Respiration"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/368614","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/368614","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:52:37Z","timestamp":1745430757000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000368614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2015,1,1]]},"published-print":{"date-parts":[[2015,1,29]]}},"URL":"https:\/\/doi.org\/10.1159\/000368614","archive":["Portico"],"relation":{},"ISSN":["0025-7931","1423-0356"],"issn-type":[{"value":"0025-7931","type":"print"},{"value":"1423-0356","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}