{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T21:00:32Z","timestamp":1780347632611,"version":"3.54.1"},"reference-count":31,"publisher":"European Respiratory Society (ERS)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2009,4,17]]},"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:p>Airway complications affect 20% of all lung transplant recipients. Self-expandable metallic stents (SEMS) are one treatment option but their use in benign airway disorders is controversial. We studies the long-term safety of SEMS in lung transplant recipients.<\/jats:p><jats:p>Between January 1998 and February 2008, all lung transplant recipients with SEMS were analysed retrospectively at a single centre. Complications were recorded until September 2008. In 65 (9.2%) out of 706 recipients, 111 (91% noncovered) bronchial SEMS were implanted a median (range) 133 (55\u2013903)\u2005days after lung transplantation; follow-up was 777 (7\u20133.655)\u2005days. Clinical improvement was noted in 80% of recipients. The forced expiratory volume in 1\u2005s increased by (mean\u00b1<jats:sc>sd<\/jats:sc>) 21\u00b133%.<\/jats:p><jats:p>Most frequent early complications were migration (3%) and mucus plugging (11%). No procedure-related deaths were noted. Re-stenosis occurred in 34 (52%) out of 65 recipients 85 (7\u2013629)\u2005days after insertion. In multivariate analysis, stent insertion before post-operative day 90 was independently associated with an increased risk of re-stenosis (HR 3.29, 95% CI 1.50\u20137.18; p\u200a=\u200a0.003). In 40% of recipients, new bacterial airway colonisation occurred after SEMS insertion. In SEMS patients, 5-yr survival was significantly lower than in the total cohort (60%<jats:italic>versus<\/jats:italic>76%; p\u200a=\u200a0.02).<\/jats:p><jats:p>Late complications in lung transplant recipients treated with SEMS are frequent. The major problems are re-stenosis and airway colonisation.<\/jats:p>","DOI":"10.1183\/09031936.00041909","type":"journal-article","created":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T00:46:00Z","timestamp":1242348360000},"page":"1417-1422","source":"Crossref","is-referenced-by-count":69,"title":["Are metallic stents really safe? A long-term analysis in lung transplant recipients"],"prefix":"10.1183","volume":"34","author":[{"given":"J.","family":"Gottlieb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Fuehner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Dierich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Wiesner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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