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Pulmonology Procedures |

Flexible Bronchoscopic Intervention in Acute Airway Obstructions

Ah Young Shin, MD; Ju Sang Kim, MD; Joong Hyun Ahn, MD; Woo Ho Ban, MD
Author and Funding Information

Incheon St. Mary's Hospital, Seoul, Republic of Korea


Chest. 2012;142(4_MeetingAbstracts):865A. doi:10.1378/chest.1389622
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Abstract

SESSION TYPE: Therapeutic Bronchoscopy

PRESENTED ON: Sunday, October 21, 2012 at 01:15 PM - 02:45 PM

PURPOSE: Recently flexible bronchoscope has been used for endobronchial obstructions commonly in some centres. Flexible bronchoscopic intervention needs skilled techniques, but it is more familiar than rigid bronchoscope, dose not require a general anesthesia, and provides access to more distal airways, so there is increasing the number of its use. However, data evaluating its outcomes and complications are lacking. This study aims to access outcomes and safety about flexible bronchoscopic intervention in acute airway obstructions.

METHODS: The data from patients who had acute airway obstructions and underwent flexible bronchoscopic intervention from December 2009 to February 2012 were collected prospectively. Argon plasma coagulation(APC), Cryotheraphy, Endobronchial electrocautery were used depending on the situation, and procedures were perfomed by a skilled pulmonologist at single center.

RESULTS: A total of 28 patients were enrolled in this study between ages 18 and 93. The majority of patients were men(24, 86%). Of all patients, 23(82%) had primary lung cancer, 5(18%) had benign lesions. Types of primary lung cancer included squamous cell carcinoma(14), adenocarcinoma(6), large cell carcinoma(2), and small cell carcinoma(1). Benign lesions included chronic inflammations(4), endobronchial lipoma(1). The anatomic locations of procedure were trachea(4), left main(3), right main(3), bronchous intermedius(4), left upper lobe(5), left lower lobe(2), right upper lobe(6), and right lower lobe(1). There was no severe complication including major bleeding, expire, except but, a case of bronchial edema occurred after the procedure.

CONCLUSIONS: A flexible bronchoscopic intervention in acute airway obstruction is safe and useful procedure when done by a skilled pulmonologist. And it can resolve more easily distal airway obstruction without a general anesthesia.

CLINICAL IMPLICATIONS: A flexible bronchoscopic intervention in acute airway obstruction is safe and useful procedure when done by a skilled pulmonologist.

DISCLOSURE: The following authors have nothing to disclose: Ah Young Shin, Ju Sang Kim, Joong Hyun Ahn, Woo Ho Ban

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