Abstract | OBJECTIVE: In addition to use of a laser, argon plasma coagulation, electrocautery, or coring with a rigid bronchoscope, tumor debulking with a flexible cryoprobe is used for therapeutic bronchoscopy with an immediate effect for endobronchial pathologies. We performed this analysis to determine the usefulness, efficacy, and safety of the flexible cryorecanalization in a large population under routine conditions. METHODS: We identified 225 bronchoscopic interventions that were done as cryorecanalization with a flexible cryoprobe. All patients had symptomatic airway stenosis. We determined the endoscopic success rate and safety ( bleeding and perforation) of the procedure. RESULTS: Successful cryorecanalization was achieved in 205 (91.1%) of 225 patients. The flexible cryoprobe was used with all patients, in most patients in combination with flexible bronchoscopy and only in a minority (n = 31, 13.8%) in combination with a rigid bronchoscope. Additional interventional techniques used were endobronchial stents (n = 11, 4.9%) and argon plasma coagulation (n = 37, 16.4%). Mild bleeding (if ice-cold NaCl or epinephrine solution was necessary) occurred in 9 (4.0%) patients, moderate bleeding (if argon plasma coagulation or a bronchus blocker was required) occurred in 18 (8.0%) patients, and severe bleeding (events with hemodynamic instability) never occurred. CONCLUSIONS: Cryorecanalization with the flexible cryoprobe for treatment of symptomatic endobronchial tumor stenosis is a safe technique with a high success rate and immediate treatment effect.
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Authors | Christian Schumann, Martin Hetzel, Alexander J Babiak, Jürgen Hetzel, Tobias Merk, Thomas Wibmer, Philipp M Lepper, Stefan Krüger |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 139
Issue 4
Pg. 997-1000
(Apr 2010)
ISSN: 1097-685X [Electronic] United States |
PMID | 19716140
(Publication Type: Journal Article)
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Copyright | Copyright 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Airway Obstruction
(etiology, surgery)
- Bronchial Diseases
(complications, surgery)
- Bronchial Neoplasms
(complications, surgery)
- Bronchoscopy
- Constriction, Pathologic
- Cryosurgery
(instrumentation)
- Female
- Humans
- Male
- Middle Aged
- Tracheal Diseases
(complications, surgery)
- Tracheal Neoplasms
(complications, surgery)
- Treatment Outcome
- Young Adult
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