» Articles » PMID: 26807283

Rigid Bronchoscopy and Silicone Stents in the Management of Central Airway Obstruction

Overview
Journal J Thorac Dis
Specialty Pulmonary Medicine
Date 2016 Jan 26
PMID 26807283
Citations 21
Authors
Affiliations
Soon will be listed here.
Abstract

The field of interventional pulmonology has grown significantly over the past several decades now including the diagnosis and therapeutic treatment of complex airway disease. Rigid bronchoscopy is an invaluable tool in the diagnosis and management of several malignant and non-malignant causes of central airway obstruction (CAO) and has become integral after the inception of airway stenting. The management of CAO can be a complicated endeavor with significant risks making the understanding of basic rigid bronchoscopy techniques, ablative technologies, anesthetic care and stenting of utmost importance in the care of these complex patients. This review article will focus on the history of rigid bronchoscopy, the technical aspects of performing a rigid bronchoscopy as well as the use of silicone stents their indications, complications and placement techniques.

Citing Articles

Remifentanil-Propofol-Ketamine- Based Total Intravenous Anesthesia with Spontaneous Breathing for Adult Rigid Bronchoscopy.

Frasca L, Sarubbi A, Longo F, Costa F, Sarubbi D, Strumia A J Clin Med. 2025; 14(2.

PMID: 39860383 PMC: 11766425. DOI: 10.3390/jcm14020377.


Overview of malignant central airway obstruction.

Powers R, Schwalk A Mediastinum. 2023; 7:32.

PMID: 38090036 PMC: 10713238. DOI: 10.21037/med-22-44.


Intervention to severe lower trachea obstruction supported by extracorporeal membrane oxygenation in a human immunodeficiency virus patient: A case report and literature review.

Zhang X, Pan L, Wang L, Li L, Zhang P, Tang H Front Med (Lausanne). 2022; 9:965721.

PMID: 36082276 PMC: 9445275. DOI: 10.3389/fmed.2022.965721.


Central airway obstruction: is it time to move forward?.

Guedes F, Branquinho M, Sousa A, Alvites R, Bugalho A, Mauricio A BMC Pulm Med. 2022; 22(1):68.

PMID: 35183132 PMC: 8858525. DOI: 10.1186/s12890-022-01862-x.


Tracheobronchial Stent Insertion Under Venovenous Extracorporeal Membrane Oxygenation in a Patient With Coronavirus Disease 2019.

Ichinomiya T, Murata H, Sekino M, Yokoyama H, Ogami-Takamura K, Higashijima U J Cardiothorac Vasc Anesth. 2021; 36(8 Pt A):2548-2552.

PMID: 34607762 PMC: 8429073. DOI: 10.1053/j.jvca.2021.09.009.


References
1.
Sims H, Lertsburapa K . Pneumomediastinum and retroperitoneal air after removal of papillomas with the microdebrider and jet ventilation. J Natl Med Assoc. 2007; 99(9):1068-70. PMC: 2575874. View

2.
Ost D, Ernst A, Grosu H, Lei X, Diaz-Mendoza J, Slade M . Therapeutic bronchoscopy for malignant central airway obstruction: success rates and impact on dyspnea and quality of life. Chest. 2014; 147(5):1282-1298. PMC: 4420181. DOI: 10.1378/chest.14-1526. View

3.
Mathur P, WOLF K, Busk M, Briete W, Datzman M . Fiberoptic bronchoscopic cryotherapy in the management of tracheobronchial obstruction. Chest. 1996; 110(3):718-23. DOI: 10.1378/chest.110.3.718. View

4.
Marasso A, Gallo E, Massaglia G, Onoscuri M, Bernardi V . Cryosurgery in bronchoscopic treatment of tracheobronchial stenosis. Indications, limits, personal experience. Chest. 1993; 103(2):472-4. DOI: 10.1378/chest.103.2.472. View

5.
Lortet-Tieulent J, Soerjomataram I, Ferlay J, Rutherford M, Weiderpass E, Bray F . International trends in lung cancer incidence by histological subtype: adenocarcinoma stabilizing in men but still increasing in women. Lung Cancer. 2014; 84(1):13-22. DOI: 10.1016/j.lungcan.2014.01.009. View