Therapeutic bronchoscopy for central airway diseases
Rosell, Antoni (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Stratakos, Grigoris (National and Kapodistrian University of Athens)
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	Over the past century rigid bronchoscopy has been established as the main therapeutic means for central airway diseases of both benign and malignant aetiology. Its use requires general anaesthesia and mechanical ventilation usually in the form of manual or high-frequency jet ventilation. Techniques applied to regain patency of the central airways include mechanical debulking, thermal ablation (laser, electrocautery and argon plasma coagulation) and cryo-surgery. Each of these techniques have their advantages and limitations and best results can be attained by combining different modalities according to the type, location and extent of the airway blockage. If needed, deployment of airway endoprostheses (stents), as either fixed-diameter silicone or self-expandable metal stents, may preserve the airways patency often at the cost of several complications. Newer generation of customised stents either three-dimensional printed or drug-eluting stents constitute a promise for improved safety and efficacy results in the near future. Treating central disease of benign or malignant aetiology, foreign body aspiration or massive bleeding in the airways requires a structured approach with combined techniques, a dedicated team of professionals and experience to treat eventual complications. Specific training and fellowships in interventional pulmonology should therefore be offered to those who wish to specialise in this field. Therapeutic bronchoscopy modalities may effectively treat difficult central airway problems in both malignant and benign diseases. This also involves responsibility for treating related complications. Training in interventional pulmonology is warranted.
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Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	European Respiratory Review, Vol. 29 (november 2020) , ISSN 1600-0617

DOI: 10.1183/16000617.0178-2019
PMID: 33208484

10 p, 528.3 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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