+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Neodymium-YAG laser treatment of intrabronchial lesions. A new mapping technique via the flexible fiberoptic bronchoscope



Neodymium-YAG laser treatment of intrabronchial lesions. A new mapping technique via the flexible fiberoptic bronchoscope



Chest 87(4): 418-427



We report the results of the treatment of 45 patients (38 with malignant and seven with benign disease) with intrabronchial lesions using the neodymium-YAG laser via the flexible fiberoptic bronchoscope. Multiple treatment sessions were used with treatment intervals varying from four days to four weeks. Additional debridement procedures were also necessary in select cases. (There was total of 109 treatments in 45 patients). Over 70 percent (81 of 109) of all treatments were done without intubation and with sedation techniques, and topical lidocaine application similar to that used in standard fiberoptic bronchoscopy. Laser treatment of the less extensive segmental lesion resulted in very meaningful palliation and laser therapy need not be reserved for extensive central disease only. In our judgment, this can most safely be done with a "real time, intrabronchial mapping technique." The Mill Rose (W-22-13) transbronchial needle was used intraoperatively to perforate blind intrabronchial obstructions. Renografin (Ren-M-60 M) was then hand injected to locate and fluoroscopically visualize the postobstructive bronchial remnant. Precise laser penetration into the postobstructive remnant was then possible by following the same pathway. This technique greatly extended our ability to safely perforate segmental and even blind central obstructing lesions. In our judgment, without a "real time intrabronchial mapping technique," vascular and bronchial perforations would be more likely when treating the more distal lobar and segmental obstructions.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 040780095

Download citation: RISBibTeXText

PMID: 2579776

DOI: 10.1016/s0169-5002(85)80121-5


Related references

Neodymium-YAG Laser Treatment of Intrabronchial Lesions. Chest Journal 87(4): 418-427, 1985

Neodymium yag laser treatment of intrabronchial lesions a 5 year experience with 605 applications. American Review of Respiratory Disease 141(4 Part 2): A400, 1990

Leiomyoma of the bronchus report of a case successfully treated by neodymium yag laser via fiberoptic bronchoscope. Taiwan yixuehui zazhi 89(11): 1012-1014, 1990

Treatment for collapsed lung in critically ill patients. Selective intrabronchial air insufflation using the fiberoptic bronchoscope. Chest 97(2): 435-438, 1990

Flexible fiberoptic bronchoscopy and laryngoscopy in children under 2 years of age: diagnostic and therapeutic applications of a new pediatric flexible fiberoptic bronchoscope. Critical Care Medicine 10(11): 770-772, 1982

Operative technique and advantages of a new flexible fiberoptic bronchoscope. Carleton, Richard A , David W Cugell, Edward A Gaensler 11th International Congress on Diseases Of The Chest Symposium 18p American College Of Chest Physicians: Chicago, Ill , U S A 9-10, 1970

Bronchial brushing through the flexible fiberoptic bronchoscope in the diagnosis of peripheral pulmonary lesions. Chest 67(2): 179-184, 1975

Laser coagulation via the flexible fiber bronchoscope for the treatment of stenosing lesions of the central airways. Nederlands Tijdschrift Voor Geneeskunde 128(5): 214-217, 1984

Flexible fiberoptic bronchoscopy for neodymium yag laser delivery to tracheobronchial neoplasms. Chest 92(2 Suppl.): 135S, 1987

Placement of self-expandable metallic stents with a laryngeal mask and a fiberoptic flexible bronchoscope for obstructive tracheobronchial lesions. Journal of Thoracic and Cardiovascular Surgery 124(5): 1032-1034, 2002

A reliable alternative of fiberoptic bronchoscope in unanticipated difficult airway: Flexible fiberoptic cystoscope. Saudi Journal of Anaesthesia 12(1): 158-159, 2018

A flexible thin needle for transbronchial aspiration biopsy thorugh the flexible fiberoptic bronchoscope. Endoscopy 12(4): 180-182, 1980

A basic study of the neodymium yttrium aluminum garnet laser irradiation via the fiberoptic bronchoscope in the trachea chronological studies of dog trachea by irradiation to the normal tracheal ring. Journal of the Japan Broncho-Esophagological Society 35(5): 354-360, 1984

The flexible fiberoptic bronchoscope. American Journal of Nursing 73(10): 1776-1778, 1973

The Flexible Fiberoptic Bronchoscope. Annals of Thoracic Surgery 14(6): 686-688, 1972