Current Practice of Airway Stenting in the Adult Population in Europe: A Survey of the European Association of Bronchology and Interventional Pulmonology (EABIP)
Journal
Respiration
Date Issued
2007-05-30
Author(s)
Hervé D.
Breen D.
Bugalho A.
Dalar L.
Daniels J.
Dooms C.,
Eberhardt R.
Ek L.
Encheva M.
Febvre M.
Hackl M
Marran S.
Papai-Szekely Z
Perch M.
Roglic M.
Rosell A.
Rozman A.
Shah P.L
Simon M.
Szlubowski A.
Stratakos G.
Sundset A.
Uibu T.
Von Garnier C.
Zaric B.
Zuccatosta L.
Bokan D ·
Arshad Husain S
Bilaceroglu S.
Gasche-Soccal P.
Gasparini S
Herth F.J.F
Munavvar M.
DOI
10.1159/000480152
Abstract
Background: Airway stenting (AS) commenced in Europe
circa 1987 with the first placement of a dedicated silicone
airway stent. Subsequently, over the last 3 decades, AS was
spread throughout Europe, using different insertion techniques
and different types of stents. Objectives: This study
is an international survey conducted by the European Association
of Bronchology and Interventional Pulmonology
(EABIP) focusing on AS practice within 26 European countries.
Methods: A questionnaire was sent to all EABIP National
Delegates in February 2015. National delegates were
responsible for obtaining precise and objective data regarding
the current AS practice in their country. The deadline for
data collection was February 2016. Results: France, Germany,
and the UK are the 3 leading countries in terms of number
of centres performing AS. These 3 nations represent the
highest ranked nations within Europe in terms of gross national
income. Overall, pulmonologists perform AS exclusively
in 5 countries and predominately in 12. AS is performed
almost exclusively in public hospitals. AS performed
under general anaesthesia is the rule for the majority of institutions,
and local anaesthesia is an alternative in 9 countries.
Rigid bronchoscopy techniques are predominant in 20
countries. Amongst commercially available stents, both Dumon
and Ultraflex are by far the most commonly deployed.
Finally, 11 countries reported that AS is an economically viable
activity, while 10 claimed that it is not. Conclusion: This
EABIP survey demonstrates that there is significant heterogeneity
in AS practice within Europe. Therapeutic bronchoscopy
training and economic issues/reimbursement for procedures
are likely to be the primary reasons explaining these
findings.
circa 1987 with the first placement of a dedicated silicone
airway stent. Subsequently, over the last 3 decades, AS was
spread throughout Europe, using different insertion techniques
and different types of stents. Objectives: This study
is an international survey conducted by the European Association
of Bronchology and Interventional Pulmonology
(EABIP) focusing on AS practice within 26 European countries.
Methods: A questionnaire was sent to all EABIP National
Delegates in February 2015. National delegates were
responsible for obtaining precise and objective data regarding
the current AS practice in their country. The deadline for
data collection was February 2016. Results: France, Germany,
and the UK are the 3 leading countries in terms of number
of centres performing AS. These 3 nations represent the
highest ranked nations within Europe in terms of gross national
income. Overall, pulmonologists perform AS exclusively
in 5 countries and predominately in 12. AS is performed
almost exclusively in public hospitals. AS performed
under general anaesthesia is the rule for the majority of institutions,
and local anaesthesia is an alternative in 9 countries.
Rigid bronchoscopy techniques are predominant in 20
countries. Amongst commercially available stents, both Dumon
and Ultraflex are by far the most commonly deployed.
Finally, 11 countries reported that AS is an economically viable
activity, while 10 claimed that it is not. Conclusion: This
EABIP survey demonstrates that there is significant heterogeneity
in AS practice within Europe. Therapeutic bronchoscopy
training and economic issues/reimbursement for procedures
are likely to be the primary reasons explaining these
findings.
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