Tracheo-esophageal Fistula Treated by Esophageal Stent and Ultrasound-Guided Suture Fixation

Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.
Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of a T-fastener to anchor the stent to the esophageal wall. The second technique involves the use of a pledgeted suture that is passed with ultrasound guidance into the lumen of the stent through the esophageal wall.
Results: Both techniques successfully secured the stent to the esophageal wall, but pledgeted suture fixation across the strut is less likely to dislodge from the the esophageal stent. Ultrasound guidance is a necessary component of this technique.

Session: Podium Video Presentation

Program Number: V042

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