Bronchoscopic Treatment of Airway Obstructions With a Novel Electrosurgical Device

Journal of Bronchology & Interventional Pulmonology, Journal Year: 2020, Volume and Issue: 28(1), P. 34 - 41

Published: April 6, 2020

Objectives: Airway obstructions (AOs) in the central airway or lobar bronchi develop due to malignant benign disease. Because of morbidity and mortality associated with AO, it is important additional therapeutic ablative techniques. CoreCath2.7S a novel monopolar radiofrequency electrosurgical device approved treat upper tracheobronchial tree by both cutting soft tissue providing hemostasis. We present large case series describing its use. Methods: Retrospective chart review was performed all patients AO undergoing recanalization at 2 interventional pulmonology practices from October 2017 May 2019. Demographic information, etiology, location, degree, modalities used were recorded. Results: Fifty-three underwent 64 procedures for (n=30, 57%) (n=23, 43%) AOs treated trachea (n=28), mainstem (n=23), (n=17). All occluded least 50%. Adjunctive commonly (n=60, 94%), including flexible cryoprobe (n=33), balloon dilation rigid bronchoscopy (n=19), spray cryotherapy argon plasma coagulation (n=14), stenting (n=5). Restoration patency achieved cases without any periprocedural immediate postprocedural complications. Conclusion: successfully restored no It should be considered as another modality growing field techniques treatment AO.

Language: Английский

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Therapeutic bronchoscopy facilitates liberation from mechanical ventilation and improves quality of life for critically ill patients with central airway obstruction

Journal of Thoracic Disease, Journal Year: 2021, Volume and Issue: 13(8), P. 5135 - 5138

Published: June 15, 2021

Central airway obstruction (CAO) remains a challenging disease for both patients who are suffering from it and physicians managing it. Patients will frequently present with acute symptoms of respiratory failure that require management in an intensive care unit (ICU). While the true prevalence incidence CAO ICU setting is unknown, recent estimates suggest approximately 20-30% cancer diagnosis may or develop after diagnosis. Therapeutic bronchoscopy focuses on performing minimally invasive procedures using multiple ablative modalities to recanalize central alleviate obstruction. usually technically successful, they appear be underutilized. An individually tailored approach often used based patient characteristics, operator preference, available equipment. After therapeutic completed, many successfully liberated mechanical ventilation (MV) immediately transferred out ICU. Data reviewing effects have also shown success palliation symptoms, significant improvement subjective measures such as quality life dyspnea objective values like pulmonary function studies. Given potential benefits low risk profile high likelihood technical success, treatment CAOs represents reasonable consideration

Language: Английский

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Bronchoscopic Laser Resection as a Monotherapy for Bronchial Carcinoid

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 21, 2024

Lung carcinoid tumors are rare neuroendocrine cancers that primarily affect younger individuals and exhibit unique epidemiological characteristics unrelated to smoking or environmental factors. Symptoms may include coughing wheezing. Bronchoscopic biopsy is the standard for diagnosis, with surgical resection as gold treatment. Recent advances, such laser resection, offer alternative options. We present a case of 46-year-old female bronchial successfully treated using bronchoscopic diode therapy, highlighting its minimally invasive benefits. The success this approach depends on tumor location, underscoring importance considering in treatment decisions. Our report contributes evolving landscape bronchogenic management, emphasizing need continued research.

Language: Английский

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The efficacy of airway stenting combined with PD-1/L1 immune checkpoint inhibitors for malignant central airway obstruction: A retrospective cohort study

Asian Journal of Surgery, Journal Year: 2024, Volume and Issue: 47(9), P. 4147 - 4148

Published: Sept. 1, 2024

Language: Английский

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Exploring Magnetic Tractor Beam Technology for Enhanced Catheter Steering: Insights From Simulation and Experimentation

IEEE Access, Journal Year: 2024, Volume and Issue: 12, P. 125871 - 125880

Published: Jan. 1, 2024

This study explores the optimisation of catheter navigation for minimally invasive medical procedures by determining Magnetic Tractor Beam (MTB) effect. The investigation involves both experimental setups and COMSOL simulations. main emphasis is placed on examining impact factors such as co-lead magnet's quality, follower size, their arrangement in space effectiveness MTB-based steering mechanisms. research aims to identify critical variables that improve accuracy manoeuvrability through experiments advanced simulation component essential analysing understanding complex magnetic interactions involved MTB It enables an in-depth fields forces involved. comparison findings results shows there average percentage error 3.84%. a correlation between two, demonstrating simulations accurately predict practical outcomes systems. result confirms reliability advancement improvement techniques highlights potential coupling considerable development technology. method can potentially enhance safety, effectiveness, catheter-based interventions, representing significant procedures.

Language: Английский

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