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Titolo:
INTERVENTIONAL BRONCHOSCOPY - 5-YEAR EXPERIENCE AT THE ACADEMIC HOSPITAL OF THE VRIJE-UNIVERSITEIT-BRUSSELS (AZ-VUB)
Autore:
NOPPEN M; MEYSMAN M; DHAESE J; SCHLESSER M; VINCKEN W;
Indirizzi:
FREE UNIV BRUSSELS,ACAD HOSP,DIV RESP,AZ VUB,LAARBEEKLAAN 101 B-1090 BRUSSELS BELGIUM
Titolo Testata:
Acta Clinica Belgica
fascicolo: 6, volume: 52, anno: 1997,
pagine: 371 - 380
SICI:
0001-5512(1997)52:6<371:IB-5EA>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
SILICONE STENTS; TRACHEOBRONCHIAL STENOSES; INSERTION TECHNIQUE; LASER THERAPY; LUNG-CANCER; MANAGEMENT; OBSTRUCTION;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
38
Recensione:
Indirizzi per estratti:
Citazione:
M. Noppen et al., "INTERVENTIONAL BRONCHOSCOPY - 5-YEAR EXPERIENCE AT THE ACADEMIC HOSPITAL OF THE VRIJE-UNIVERSITEIT-BRUSSELS (AZ-VUB)", Acta Clinica Belgica, 52(6), 1997, pp. 371-380

Abstract

Our experience with interventional bronchoscopic techniques in a University Hospital is described: in 93 patients during a 5-year period, 149 interventional procedures (i.e., Nd-YAG laser photoresection and/orairway stenting and/or balloon dilatation) have been performed. Laserresection was successful in relieving major symptoms (intractable dyspnea, hemoptysis or retro-obstructive complications) in 35/41 (85%) ofmalignant indications, and in 18/19 (94%) of benign obstructions. Major complications included one death (1.6%) early in the series, and major nonfatal hemorrhage in three patients (5%), all with malignant disease. In 31/35 (89%) of malignant central airway stenoses treated withstents, respiratory symptoms could be palliated succesfully. Mean survival after stenting was 6 +/- 5.3 months. In 20/23 (87%) of benign tracheal stenoses, temporary or permanent stenting allowed for complete restoration of airway patency. The development of inexpensive and simplified insertion techniques for existing stents, and of a new (and even less expensive) type of tracheal stent has the use of airway stenting in all categories of patients. Bronchoscopic balloon dilatation was helpful in the mechanical dilatation of stenoses, and in the unfoldingof unopened stents. Finally, a plea for an organised referral system and for active collaboration between interventional bronchoscopy centers is made.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 20:35:43