Citations 2
Iatrogenic Subglottic Stenosis in Mast Cell Activation Syndrome: A Sentinel Case and Narrative Review
Weiss, Natalie , Elijah, Isaac, Dahiya, Rockey , Menton, Stacey M. , Ishmael, Leah, Rutt, Amy L. , Menton, Stacey, Rutt, Amy L. , Elijah, Isaac , Ishmael, Leah
Ear, Nose & Throat Journal | February 17, 2026 | Volume: No volume available | Issue: No issue available | Pages: No page available
Subglottic stenosis (SGS) may arise from both mechanical and inflammatory airway injury. Patients with mast cell activation syndrome (MCAS) are uniquely vulnerable, due to both direct effects of systemic inflammation and indirect effects of repeated intubation for anaphylaxis that can converge to cause life-threatening airway compromise. We describe a sentinel case of a 34-year-old female with MCAS and multiple prior intubations who presented with progressive dyspnea. Flexible laryngoscopy revealed grade III SGS. She underwent urgent endoscopic intervention, including balloon dilation, carbon dioxide (CO 2 ) laser radial incisions, and steroid injection. Airway patency was restored, and postoperative care focused on optimizing systemic mast cell control with cromolyn, fexofenadine, montelukast, and omalizumab. Literature review supports a mechanistic role for mast cell mediators in airway fibrosis and impaired wound healing, compounding the effects of mechanical trauma in MCAS. This sentinel case highlights clinically significant risk of SGS in patients with MCAS. By integrating case findings with mechanistic insights, this report underscores the urgent need for interdisciplinary awareness, proactive airway evaluation, and research into surveillance and prevention strategies in MCAS and related disorders. Level of Evidence: Level V/Case Report and Narrative Review.
Endoconduit: Utilizing the “Pave-and-Crack” Technique to Treat an Abdominal Aortic Aneurysm—A Contemporary Literature Review, and “How We Do It”
Garner, Sydney , Alsabbagh, Yaman , Sorrentino, Mariano, Dahiya, Rockey , Vandenberg, Jonathan , Mahajan, Biraaj, Farres, Houssam , Anderson, Erik , Fazzone, Brian , Jacobs, Christopher R. , Dahiya, Rockey , Sorrentino, Mariano, Erben, Young , Anderson, Erik , Filiberto, Amanda C. , Jacobs, Christopher
Journal of Vascular Diseases | February 12, 2025 | Volume: 4 | Issue: 1 | Pages: 6
We present an 81-year-old male with an extensive past medical history and an enlarging abdominal aortic aneurysm (AAA). Axial imaging showed dense aortoiliac calcification with a complete occlusion of the right common iliac and high-grade stenosis of the left common iliac artery (CIA). Shockwave Intravascular Lithotripsy and the pave-and-crack technique utilizing an endoconduit were used to dilate the left external iliac artery and the CIA to facilitate placement of an aortic stent graft and exclude the patient’s AAA. This method gives surgeons the ability to treat patients with AAAs endovascularly, despite a heavily diseased and/or diminutive iliac anatomy. We also present a contemporary literature review of the utilization of the pave-and-crack technique as well as tips and tricks of how we do it.