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Electrosurgical and Laser Therapy Tools for the Treatment of Malignant Central Airway Obstructions

Published on Feb 1, 2020in Chest9.657
路 DOI :10.1016/j.chest.2019.08.1919
Amit K. Mahajan7
Estimated H-index: 7
,
Omar Ibrahim (UConn: University of Connecticut)+ 3 AuthorsErik Folch17
Estimated H-index: 17
(Harvard University)
Abstract
Central airway obstruction (CAO) is associated with significant morbidity and increased mortality. Bronchoscopic electrosurgical and laser ablative tools have proven to be safe and effective instruments for the treatment of malignant CAO. Although therapeutic modalities such as electrocautery, argon plasma coagulation, and laser have been used for decades, additional tools including radiofrequency ablation catheters continue to be developed for the treatment of CAO. These modalities are considered safe in the hands of experienced operators, although serious complications can occur. This review describes various electrosurgical and laser therapy tools used for the treatment of malignant CAO along with the specific advantages and disadvantages of each device.
  • References (26)
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References26
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#1Eun Jeong Gong (UOU: University of Ulsan)H-Index: 8
#2Ji Yong Ahn (UOU: University of Ulsan)H-Index: 12
Last. Hak Jae Kim (UOU: University of Ulsan)H-Index: 108
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Background and Aim Argon plasma coagulation (APC) is a safe alternative treatment for gastrointestinal neoplasms and precancerous lesions. However, the extent of thermal damage after APC is difficult to predict. We investigated the effects of APC on human stomach tissue. Methods Argon plasma coagulation was performed on 10 freshly resected human stomachs that were obtained after total gastrectomy. The effects on tissue were compared across power settings (40, 60, and 80聽W), durations (5, 10, 15,...
4 CitationsSource
#1A. KamalH-Index: 1
#2Abd Elmoety AaH-Index: 1
Last. A. ZeidH-Index: 1
view all 4 authors...
Abstract Our aim was to study the efficacy and the safety of argon plasma coagulation (APC) in secondary prophylaxis against esophageal varices in view of many contraindications and side effects to 尾-blockers in cirrhotic patients. Rebleeding rates from esophageal varices after endoscopic variceal ligation (EVL) are high; thus, the current recommendation is to combine nonselective 尾-blockers to it, but side effects and relative contraindications to nonselective 尾-blockers hinder their usage or r...
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#1David Ost (University of Texas MD Anderson Cancer Center)H-Index: 30
#2Armin ErnstH-Index: 65
Last. Michael Simoff (University of Texas MD Anderson Cancer Center)H-Index: 21
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BACKGROUND There is significant variation between physicians in terms of how they perform therapeutic bronchoscopy, but there are few data on whether these differences impact effectiveness. METHODS This was a multicenter registry study of patients undergoing therapeutic bronchoscopy for malignant central airway obstruction. The primary outcome was technical success, defined as reopening the airway lumen to > 50% of normal. Secondary outcomes were dyspnea as measured by the Borg score and health-...
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#1John J. Squiers (UTSW: University of Texas Southwestern Medical Center)H-Index: 8
#2William A. Teeter (University of Maryland Medical Center)H-Index: 8
Last. J. Michael DiMaio (Baylor University Medical Center)H-Index: 5
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Patients suffering from severe tracheobronchial obstruction are vulnerable to dyspnea, respiratory failure, obstructive pneumonia, and death. Treatment with a holmium:YAG laser, an alternative to the neodymium:YAG laser, may provide symptomatic relief. This is the largest case series to date describing the application of the holmium:YAG laser via bronchoscopy for benign and malignant obstructive disease. The data were retrospectively collected from 99 patients, with either benign or malignant tr...
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#1Branislav Perin (University of Novi Sad)H-Index: 11
#2Bojan Zaric (University of Novi Sad)H-Index: 13
Last. Milan Antonic (University of Novi Sad)H-Index: 5
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Introduction: Neodymium:yttrium aluminum garnet (Nd:YAG) laser resection is one of the most established interventional pulmonology techniques for immediate debulking of malignant central airway obstruction (CAO). The major aim of this study was to investigate the complication rate and identify clinical risk factors for complications in patients with advanced lung cancer. Methods: In the period from January 2006 to January 2011, data sufficient for analysis were identified in 464 patients. Nd:YAG...
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#1Yasmeen ShawH-Index: 1
#2Ken Y. YonedaH-Index: 18
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Argon plasma coagulation (APC) is a common and safe bronchoscopic technique used in the management of obstructing lesions and hemorrhage in the central airways. Complications of bronchoscopic APC are
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#2Mark A. Unroe (Duke University)H-Index: 4
Last. Scott Shofer (Duke University)H-Index: 17
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Background Laser has been the main ablative modality in the airways, but a growing experience with endobronchial electrocautery suggests a comparable efficacy and safety profile. Objectives To evaluate the efficacy and safety of electrocautery as the primary heat therapy for malignant and benign airway obstruction. Methods A retrospective review of all patients undergoing endobronchial electrocautery, alone or in combination with other airway tools, at Duke University Medical Center between Apri...
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#1David S. Ettinger (Johns Hopkins University)H-Index: 62
#2Wallace Akerley (UofU: University of Utah)H-Index: 39
Last. Douglas E. Wood (Fred Hutchinson Cancer Research Center)H-Index: 43
view all 25 authors...
In 2010, approximately 222,520 new cases of lung or bronchial cancer will be diagnosed in the USA, and 157,300 patients are expected to die of this disease [1]. Lung cancer is the leading cause of cancer-related death in both men and women, and non-small cell lung cancer (NSCLC) accounts for about 80 % of these cases. Lung cancer is most often asymptomatic in its early stages; consequently, the disease is usually diagnosed at an advanced stage, when it is much more difficult to treat. One or mor...
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#1Chakravarthy Reddy (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
#2Adnan Majid (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 22
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Thermal ablation using argon plasma coagulation (APC) is a commonly used modality in the bronchoscopic management of central airway obstruction and hemoptysis. In experienced hands, APC is considered to be a relatively safe tool. Reported complications associated with APC use are rare and include hemorrhage, airway perforation, or airway fires. Systemic gas embolism has been reported with APC during laparoscopic hepatic surgeries, and we have reported one case of systemic gas embolism with cardi...
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