Therapeutic bronchoscopy for central airway diseases.

European Respiratory Review : an Official Journal of the European Respiratory Society
Antoni Rosell, Grigoris Stratakos

Abstract

Over the past century rigid bronchoscopy has been established as the main therapeutic means for central airway diseases of both benign and malignant aetiology. Its use requires general anaesthesia and mechanical ventilation usually in the form of manual or high-frequency jet ventilation. Techniques applied to regain patency of the central airways include mechanical debulking, thermal ablation (laser, electrocautery and argon plasma coagulation) and cryo-surgery. Each of these techniques have their advantages and limitations and best results can be attained by combining different modalities according to the type, location and extent of the airway blockage. If needed, deployment of airway endoprostheses (stents), as either fixed-diameter silicone or self-expandable metal stents, may preserve the airways patency often at the cost of several complications. Newer generation of customised stents either three-dimensional printed or drug-eluting stents constitute a promise for improved safety and efficacy results in the near future. Treating central disease of benign or malignant aetiology, foreign body aspiration or massive bleeding in the airways requires a structured approach with combined techniques, a dedicated team of professiona...Continue Reading

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Citations

Jul 24, 2021·Breathe·Chris KyriakopoulosKonstantinos Kostikas
Aug 18, 2021·Respiratory Medicine Case Reports·Christos KyriakopoulosKonstantinos Kostikas

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