TY - JOUR T1 - Bronchoscopic management of post intubation tracheal stenoses JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2015.PA4869 VL - 46 IS - suppl 59 SP - PA4869 AU - Luis Martins AU - Cátia Santos AU - Salvato Feijó AU - Paula Monteiro AU - J. Rosal Gonçalves AU - Cristina Bárbara Y1 - 2015/09/01 UR - http://erj.ersjournals.com/content/46/suppl_59/PA4869.abstract N2 - Post intubation tracheal stenosis (PiTS) is a rare (1/1000 ICU patients) but life-threatening condition. The optimal management of PiTS is not well defined.Between 2010 and 2014 all new patients with PiTS for initial treatment were eligible for this study. All patients were submitted to diagnostic flexible bronchoscopy. Patients asymptomatic or with no criteria for “true” PiTS were excluded. Forty-four patients (25 F; 19 M; with a mean age of 55, 74 years-old) were identified: 28 complex (63,63%) and 16 (36,36%) web-like stenoses.All web-ring stenoses were successfully treated with dilation or Blade Assisted Mechanical Dilation (BAMD). In the group of complex stenoses, 2 (7,15%) required only BAMD and 26 (92,85%) required BAMD/LAMD (Laser Assisted Mechanical Dilation) and silicon stent placement: fourteen (53,84%) had the stent removed in this time period.As we think that PiTS retractile cicatricial fibrosis is time dependent, we tend to maintain the stents in place for a period of 36 months. A mean value of 2,17 per patient, bronchoscopic procedures were performed. No serious complications were observed and no patients were referred to surgery. ER -