ABSTRACT
In this study a novel therapeutic bronchoscopic technique, balloon bronchoplasty with resector balloon, was used in 128 procedures for 112 consecutive patients with airway obstruction from lung cancer or granulation tissue. All procedures, except 4, were performed with a rigid bronchoscope under general anesthesia. The remainder were performed with a flexible bronchoscope under local anesthesia. In all procedures, balloon bronchoplasty was the primary method and we achieved 100% success with no major immediate or long-term complications. The technique also facilitated submucosal and distal tumor resection. We found balloon bronchoplasty using resector balloon to be a safe, effective, fast, easy, and potentially cost-effective method in the management of airway obstruction from endobronchial submucosal lesions.
ABSTRACT
PURPOSE: We have developed a new resection technique and designed a special balloon by which resection of endoluminal airway lesions can be safely and successfully done. DESCRIPTION: From April to December 2006, 38 interventions were done in 30 patients; endobronchial tumor or granulation tissues were mechanically removed by a catheter by which the balloon was covered with a polyurethane mesh structure. Acute and long-term complications, results, advantages, and disadvantages of this new technique and device were determined. EVALUATION: Resection of endobronchial tumors and also control of bleeding and dilatations were successfully performed in 30 patients. CONCLUSIONS: As an alternative to other endobronchial treatments, this new technique and device can be used as a safe method. In addition, the utilization of this new device does not need as much experience as other techniques. On the other hand this method does not need very expensive equipment, such as a laser or cryotherapy equipment.
Subject(s)
Airway Obstruction/therapy , Bronchial Neoplasms/therapy , Catheterization/instrumentation , Lung Neoplasms/therapy , Neoplasm Recurrence, Local/pathology , Adult , Aged , Airway Obstruction/etiology , Airway Obstruction/mortality , Bronchial Neoplasms/complications , Bronchial Neoplasms/mortality , Bronchial Neoplasms/pathology , Catheterization/methods , Female , Follow-Up Studies , Humans , Lung Neoplasms/complications , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Male , Middle Aged , Neoplasm Recurrence, Local/mortality , Neoplasm Recurrence, Local/therapy , Risk Assessment , Survival Rate , Treatment OutcomeABSTRACT
Benign airway obstruction is known as curable by therapeutic bronchoscopic methods. Compared by surgical therapies it is comfortable and has no risks for the patients. For five patients who applied our clinic after tracheostomy and endotracheal intubation stenosis we used therapeutic bronchoscopic methods; "laser-stenotic silicon stent". In two patients after vaporization of membranous stricture by Neodimum Yttrium Aliminum Pevroskite Laser (Nd-YAP laser) who were seen posttracheostomy and postentubation; stenotic stent was implanted mechanically and/or by means of baloon dilatation. Membranous stricture area was coagulated by Nd-YAP-laser in other three cases and anatomic airway diameter was achieved mechanically and by baloon dilatation. In the follow up period we applied stenotic silicon stent implantation after second laser resection in whom restenosis observed. In conclusion; patients who had stenotic silicon stent implantation and having no problems in the follow up this therapeutic method is found to be curative.
