An update on advances in interventional bronchoscopy

David Tzeng, Andrew Chan

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Because of recent advances, more patients may potentially benefit from a variety of interventional bronchoscopic techniques. Nd:YAG laser phototherapy is the most widely used modality and is the treatment of choice for patients with endobronchial malignancies who have large-central airway obstruction. Cryotherapy may be superior to Nd:YAG phototherapy for more distal airways lesions because of the lower risk of airway perforation, but it may be suboptimal for bulky airways disease that requires quick relief of obstruction. Brachytherapy relieves symptoms, such as cough, dyspnea, and hemoptysis, in many patients who have locally invasive airway malignancies. Endobronchial ultrasonography appears to be a safe and sensitive method for staging lung cancer. In select patients with emphysema, a 1-way endobronchial valve can be used to reduce lung volumes. Bronchial thermoplasty is being studied as a potential treatment for asthma.

Original languageEnglish (US)
Pages (from-to)415-428
Number of pages14
JournalJournal of Respiratory Diseases
Volume27
Issue number10
StatePublished - Oct 2006

Keywords

  • Bronchial thermoplasty
  • Bronchogenic carcinoma
  • Bronchoscopy
  • Cryotherapy
  • Laser phototherapy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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