Interventional Therapy of Tracheal Stenosis

NCT ID: NCT05924087

Last Updated: 2024-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-01

Study Completion Date

2026-07-31

Brief Summary

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After respiratory weaning, decannulation is sought. To do this, the tracheal cannula is first unblocked, so that patients no longer breathe in and out through the cannula, but (at least partially) "passing" the cannula by the natural route. In the presence of tracheal stenosis there is increased breathing effort, possibly restlessness and stridor. This constellation of symptoms suggests the suspicion of tracheal stenosis, so in the next step a tracheoscopy is performed to confirm or exclude tracheal stenosis. In case of symptomatic tracheal stenosis and at least 30-50% stenosis of the trachea (clinical symptoms can be expected from a 30-50% stenosis) then appropriate therapy (here: cryotherapy, other techniques only in exceptional cases) is planned. The goal is to be able to remove the tracheal cannula (long term) after successful therapy, so that patients do not have to be permanently provided with a tracheal cannula. There is no definitive/evidence-based standard therapy for the treatment of tracheal stenosis. Cryotherapy is a gentle therapy that has already been applied and described for the treatment of tracheal stenosis (see above). The examination is performed as part of an analgesic dose, as is routine for a bronchoscopy (in-house SOP). After treatment, a follow-up is planned for about 10 days later.

Detailed Description

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Conditions

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Tracheal Stenosis Following Tracheostomy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Eligibility Criteria

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Inclusion Criteria

* Tracheal stenosis after percutaneous tracheotomy.

Exclusion Criteria

* Pregnant or breast-feeding women of childbearing potential who refuse pregnancy test.
* lack of consent to participate in the study.
* surgical tracheotomy.
* Involvement of the larynx (above the first tracheal brace).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asklepios Neurological Clinic Bad Salzhausen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Neurologische Klinik Bad Salzhausen

Nidda, , Germany

Site Status RECRUITING

Countries

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Germany

Facility Contacts

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Dirk Bandorski, MD, PhD

Role: primary

+496043804212

Pascal Klingenberger, MD

Role: backup

Other Identifiers

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ITTS10_06_2023

Identifier Type: -

Identifier Source: org_study_id

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