Airway Stents in Interventional Pulmonology

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

Summary

The manuscript discusses the use of airway stents in the field of interventional pulmonology. It covers the indications for airway stenting, reviews elements crucial for optimal patient and stent selection, and addresses the safety, efficacy, and complications associated with stent placement. The paper delves into the evolution of airway stents since their inception in the 1980s, emphasizing their role in managing various airway pathologies, predominantly malignant airway obstruction.

 

Strengths

Comprehensive Coverage: The paper thoroughly examines a range of aspects related to airway stenting, including patient selection, stent types, and post-procedure care.

Clinical Relevance: The topic is highly relevant to current practices in interventional pulmonology, addressing a critical area of patient care.

Evidence-Based Approach: References to studies and data appear to support the assertions made, indicating a research-based approach.

 

Weaknesses

Data: Based on the references and data mentioned, it is unclear if the most recent advancements and studies in the field have been considered.  Would recommend to synthesize the presented data in tabular format and date of publication for clarity.

Depth of Analysis: The paper could benefit from a deeper analysis of contrasting views or emerging techniques in airway stenting. Ie. what is the ideal stent?  When is airway stent a detriment?

 

Major Points

1.     Patient and Stent Selection Criteria: The discussion on factors influencing the choice of stent and patient eligibility is a crucial element of the paper.  A tabular format for patient selection criteria will be helpful for readers.

2.     Complications and Management: Addressing the potential complications and management strategies post-stenting provides essential insights for practitioners.  A tabular format for complications with relationship to each type of stent will be helpful.

3.     Authors suggested that Gildea et al 3D printed airway stents.  This is a misrepresentation of what Gildea et al did.  The group created 3D model of airway, then designed the stent and the injection molding parts.  They then 3D printed the mold, subsequently injection molded the personalized stent with silicone.  This is far from directly 3D printing the stent with silicone. Suggest the authors modify their document to reflect this.

Comments on the Quality of English Language

Grammatical and Structural Issues: While not central to the scientific content, the grammatical and structural issues could affect the paper's readability.

Author Response

Please see the attachment

Author Response File: Author Response.pdf

Reviewer 2 Report

Comments and Suggestions for Authors

Dear authors,

thank you for submitting this  nice review about airway stents. 

I just have a few point which should be cleared.

Can you please write an paragraph about the difference between permanent or temporary stents - replacement-remove : Indications e.c.

 

Also please mention the possibility and indications for surgical aproach at least for benign leasions and indication. When to discuss with surgeons, which information an prognosis is important. 

 

Author Response

Please see the attachment

Author Response File: Author Response.pdf