PMID: 2433097Feb 1, 1987

A two-year experience with the neodymium-YAG laser in endobronchial obstruction

W M BrutinelE J Bergstralh


In the first two years after the introduction of neodymium-yttrium-aluminum-garnet (Nd: YAG) laser therapy to our practice, 116 patients were treated 176 times. One hundred six patients (91.4 percent) were treated with the flexible fiberoptic bronchoscope. General anesthesia was used in 89.7 percent of treatments; there were four transient anesthetic complications. Three deaths from massive hemorrhage occurred in the first 59 treatments (first 30 patients). After laser power settings were reduced from 90 to 40 W, there were no further incidences of massive hemorrhage or death in the subsequent 117 treatments. The airway caliber was improved in 83.4 percent of treatments. The trachea, mainstem bronchi, and bronchus intermedius airway calibers were improved more often than those of the lobar bronchi. With lower laser power settings, Nd:YAG laser therapy is a safe and effective means of relieving airway obstruction. Thirty-six percent of patients were alive at one year. The median time to retreatment or death was 130 days.


Jan 1, 1985·Lasers in Surgery and Medicine·P R JainJ C Frich
May 1, 1985·Thorax·M R HetzelA M Humberstone
Oct 1, 1984·Chest·A Arabian, S V Spagnolo
Nov 1, 1984·Chest·A F Gelb, J D Epstein
Mar 19, 1983·British Medical Journal·G Vourc'hL Toty
Oct 1, 1984·The Annals of Thoracic Surgery·G V ParrW G Atkinson


Nov 1, 1995·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·V Ninane
Nov 1, 1990·The Japanese Journal of Surgery·T FujisawaH Kimura
Jan 1, 1990·Lung·R G Vanderschueren, C J Westermann
Jan 1, 1996·Pathology Oncology Research : POR·János Strausz
Sep 28, 2006·Lasers in Medical Science·K Moghissi, Kate Dixon
Apr 29, 2006·Current Infectious Disease Reports·Ravindra M Mehta, Michael Cutaia
Feb 19, 2004·Cryobiology·M O MaiwandJ E Beeson
May 16, 1998·The Annals of Thoracic Surgery·G TellidesG L Hammond
Sep 12, 2001·International Journal of Pediatric Otorhinolaryngology·K K HandaA Arora
Apr 17, 1999·Clinics in Chest Medicine·J F Turner, K P Wang
Mar 22, 2003·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·C HennequinC Maylin
Mar 10, 2001·The New England Journal of Medicine·L M Seijo, D H Sterman
May 1, 1991·Thorax·M R Hetzel, S G Smith
Jun 10, 2004·American Journal of Respiratory and Critical Care Medicine·Armin ErnstAtul C Mehta
Mar 4, 2014·Lasers in Medical Science·John J SquiersJ Michael DiMaio
May 23, 2014·Advances in Therapy·Patrick D Mitchell, Marcus P Kennedy
Jan 16, 2015·Journal of Bronchology & Interventional Pulmonology·Andreas EspinozaErik Fosse
Apr 24, 2013·Journal of Bronchology & Interventional Pulmonology·Gella VishwanathRitesh Agarwal
Jul 28, 2011·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Momen M WahidiScott L Shofer
Nov 1, 1988·Chest·W M BrutinelU B Prakash
Apr 6, 2007·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Charles C HanGavin M Wright
Oct 8, 2013·The Annals of Thoracic Surgery·Nicolas GuibertChristophe Hermant
Sep 3, 2013·Clinics in Chest Medicine·Joseph C Seaman, Ali I Musani
Jun 1, 1989·Chest·J F BeamisJ F Dumon
Sep 1, 1991·Chest·M J Jacobson, J LoCicero
Jan 16, 2007·Chest·Momen M WahidiArmin Ernst
Jun 11, 2005·Chest·G AsimakopoulosM O Maiwand
Jan 9, 2016·Respiratory Medicine Case Reports·David McCrackenKieran McManus
May 6, 2008·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Firuz CelikogluEugene P Goldberg
May 1, 1995·Current Problems in Cancer·K A Yeh, M Goldberg
May 1, 1996·Current Problems in Cancer·M Goldberg
Oct 24, 2009·Internal Medicine Journal·J P WilliamsonP R Eastwood
Dec 1, 1991·American Journal of Surgery·N P LangR R Read
Jun 2, 1998·Cancer Treatment Reviews·C RipamontiE Bruera
Nov 1, 1990·Journal of Pediatric Surgery·A H HayashiM O'Neil
May 1, 1991·Current Problems in Cancer·D C Ihde, J D Minna
Oct 1, 1990·Journal of Pain and Symptom Management·K Cowcher, G W Hanks
Dec 20, 2005·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Firuz CelikogluEugene P Goldberg
Apr 1, 1997·Hematology/oncology Clinics of North America·E H Baldini
Jul 1, 2011·The Korean Journal of Internal Medicine·Seon-Heui LeeKwang-Joo Park
Apr 30, 2015·Lung·Basavana G GoudraKassem Harris
Aug 30, 2008·Yonsei Medical Journal·A Faruk ZorluFadil H Akyol
Jan 3, 2001·The Journal of Thoracic and Cardiovascular Surgery·S OkadaY Tanaba
Jan 22, 1998·The Journal of Thoracic and Cardiovascular Surgery·J S McCaughan, T E Williams
Apr 3, 2004·Technology in Cancer Research & Treatment·M O Maiwand, G Asimakopoulos
Mar 5, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Irena Vaitkeviciute, Jan Ehrenwerth
Aug 1, 1990·Chest·A L ChanR P Allen
May 11, 1991·The Annals of Otology, Rhinology, and Laryngology·J F BeamisS M Shapshay
Jul 11, 1992·The Annals of Otology, Rhinology, and Laryngology·E E RebeizS M Shapshay
May 16, 2007·The American Journal of Hospice & Palliative Care·Andrew R Haas
Jun 9, 2018·Expert Review of Respiratory Medicine·Christopher MallowLonny Yarmus
Dec 4, 2015·Breathe·Georgia Hardavella, Jeremy George
Sep 2, 2015·European Respiratory Review : an Official Journal of the European Respiratory Society·Nicolas GuibertChristophe Hermant
Aug 3, 2001·Cancer Control : Journal of the Moffitt Cancer Center·M J Simoff
Feb 11, 1999·Anesthesia and Analgesia·G MediciW C Hop
Mar 1, 1997·Postgraduate Medicine·D E Midthun
Jun 14, 2019·Annals of the American Thoracic Society·Udit ChaddhaSeptimiu Murgu
Feb 6, 2020·American Journal of Respiratory and Critical Care Medicine·Gerard J CrinerFelix J Herth

Related Concepts

Bronchoscopic Surgical Procedures
Bronchogenic Carcinoma
Malignant Neoplasm of Lung
Palliative Surgery
Laser Surgery

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Carcinoma, Bronchogenic

Bronchogenic Carcinoma is a malignant lung cancer arising in the epithelium of the bronchus or bronchiole. Discover the latest research on Bronchogenic Carcinoma here.