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Journal of Bronchology & Interventional Pulmonology

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https://www.readbyqxmd.com/read/30179922/cone-beam-ct-with-augmented-fluoroscopy-combined-with-electromagnetic-navigation-bronchoscopy-for-biopsy-of-pulmonary-nodules
#1
Michael A Pritchett, Stéphanie Schampaert, Joris A H de Groot, Charles C Schirmer, Imramsjah van der Bom
BACKGROUND: Electromagnetic navigation bronchoscopy (ENB) has been widely adopted as a guidance technique for biopsy of peripheral lung nodules. However, ENB is limited by the lack of real-time confirmation of the biopsy devices. Intraprocedural cone-beam computed tomography (CBCT) imaging can be utilized to assess or confirm the location of biopsy devices. The aim of this study is to determine the safety and diagnostic yield (DY) of image fusion of intraprocedural CBCT data with live fluoroscopy (augmented fluoroscopy) during ENB-guided biopsy of peripheral lung nodules...
September 1, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30179921/three-dimensional-3d-printed-model-to-plan-the-endoscopic-treatment-of-upper-airway-stenosis
#2
Alfonso Fiorelli, Roberto Scaramuzzi, Ivana Minerva, Emanuele De Ruberto, Teresa Califano, Alfonso Reginelli, Roberto Grassi, Mario Santini
INTRODUCTION: Endoscopic management of tracheal stenosis may be challenging, especially in the case of complex stenosis placed near the vocal folds, and needing stent placement. Herein, we evaluated the utility of the three-dimensional (3D) airway model for procedural planning in a consecutive series of patients with complex airway stenosis and scheduled for endoscopic treatment. METHODS: This strategy was applied to 7 consecutive patients with tracheal stenosis unfit for surgery...
September 1, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30179920/peripheral-lung-nodule-diagnosis-and-fiducial-marker-placement-using-a-novel-tip-tracked-electromagnetic-navigation-bronchoscopy-system
#3
Adam R Belanger, Allen C Burks, David M Chambers, Sohini Ghosh, Christina R MacRosty, Anna J Conterato, M Patricia Rivera, Jason A Akulian
BACKGROUND: Electromagnetic navigation (EMN) has improved bronchoscopic access to peripheral pulmonary nodules. A novel EMN system utilizing novel tip-tracked instruments for endobronchial [electromagnetic navigation bronchoscopy (ENB)] as well as transthoracic lung biopsy [electromagnetic-guided transthoracic needle aspiration (EMTTNA)] has become available. The system provides real-time feedback as well as the ability to biopsy lesions outside of the airway. These advances have the potential to improve diagnostic yield over previous EMN systems...
September 1, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30179919/high-riding-superior-pericardial-recess-a-key-pitfall-in-misinterpretation-during-ct-evaluation-of-the-mediastinum
#4
Stephen J Kuperberg, Eugene Shostak
An understanding of thoracic computed tomographic anatomy is vital for procedural planning in bronchoscopy. When reviewing computed tomographic images in preparation for endobronchial ultrasound-directed staging for lung cancer, the presence of fluid in pericardial recesses can often be mistaken for mediastinal lymphadenopathy, potentially causing pitfalls in radiologic interpretation. We describe 2 cases of a high-riding superior aortic recess extending into right paratracheal lymph node station mimicking paratracheal lymphadenopathy...
September 1, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30138251/management-of-lung-transplant-bronchial-stenosis-with-mitomycin-c
#5
Kevin R Davidson, Mary Elmasri, Momen M Wahidi, Scott L Shofer, George Z Cheng, Kamran Mahmood
BACKGROUND: Bronchial stenosis is a significant source of morbidity among lung transplant recipients, with etiologies including infection and ischemia of the airways. Current management with balloon bronchoplasty and stents is imperfect and a subset of patients requires multiple procedures to maintain airway patency. Mitomycin C (MMC) has been utilized for its antifibrotic properties in nonmalignant tracheobronchial stenosis but its application is not well studied in post-lung transplant stenosis...
August 22, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30119069/preoperative-staging-by-ebus-in-cn0-n1-lung-cancer-systematic-review-and-meta-analysis
#6
Tracy L Leong, Paula M Loveland, Alexandra Gorelik, Louis Irving, Daniel P Steinfort
BACKGROUND: Performance of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for staging the radiologically normal mediastinum has been reported with inconsistent findings. We assessed the sensitivity of systematic staging using EBUS-TBNA for detection of radiologically occult mediastinal metastases in cN0/N1 lung cancer. METHODS: Studies evaluating EBUS-TBNA for systematic mediastinal staging in cN0/N1 lung cancer were identified by systematic review...
August 22, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30124515/protocolized-thoracic-ultrasonography-in-transbronchial-lung-cryobiopsies-a-potential-role-as-an-exclusion-study-for-pneumothorax
#7
Ismael Matus, Haroon Raja
BACKGROUND: Widespread implementation of transbronchial lung cryobiopsy (TBLCB) in the diagnostic approach to diffuse parenchymal lung disease has prompted a call for standardization of technique to optimize safety and diagnostic yield. Thoracic ultrasound (TUS) is proving effective in detecting postconventional transbronchial biopsy pneumothorax (PTX). However, TUS does not obviate the need for chest radiography (CXR) which quantifies and guides treatment of PTX. To our knowledge, this is the first experience evaluating TUS's reliability to rule-out PTX post-TBLCB in diffuse parenchymal lung disease...
August 17, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30080759/endobronchial-kaposi-sarcoma
#8
Ramon G Valentin, Peter A Drew, Lauryn A Benninger, Pichapong Tunsupon
No abstract text is available yet for this article.
August 4, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30048420/prevalence-and-characteristics-of-tracheal-lesions-observed-in-tracheostomized-patients
#9
Fernando Planells, Dario Villalba, Feld Viviana, Valeria Leiva, Mariana Scrigna, Eduardo Distéfano, Jessica Collins, Ana Rocco, Amelia Matesa, Laura Áreas, Nicolas Golfarini, Gregorio Gil-Rossetti, María P Pini, Marcos Hannun, Sabrina Boni, Sabrina Grimaldi, Paula Pedace, Pablo Díaz-Ballvé, Mauro Andreu, Pablo Buñirigo, Diego Noval
BACKGROUND: Our objective was to describe the prevalence and characteristics of tracheal lesions observed in flexile bronchoscopies of tracheostomized patients, and to determine those factors associated with severe injuries. METHODS: This is an analytical, observational, and transversal study. The flexible bronchoscopies of tracheostomized patients from our database were reviewed to assess their lesions. The tracheal lesions were classified according to their severity; lesions obstructing above 50% of the lumen were interpreted as severe and those obstructing <50% as mild...
July 25, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30048419/endobronchial-myxoma-an-uncommon-entity
#10
Arindam Mukherjee, Ritesh Agarwal, Sahajal Dhooria, Pawan Singh, Amanjit Bal, Harkant Singh, Inderpaul S Sehgal
A 31-year-old woman presented with progressive breathlessness since 1 year. Flexible bronchoscopy revealed a vascular tumor completely occluding the right main bronchus. A diagnosis of primary endobronchial myxoma was made. Tumor debulking was performed using rigid bronchoscopy. This enabled right lower lobectomy. A literature search yielded 12 cases of primary pulmonary myxoma, and only 2 previous reports of endobronchial myxoma. Most tumors were incidentally detected and were cured surgically. Endobronchial myxomas are rare and are usually asymptomatic...
July 25, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30048418/bronchoscopically-delivered-thermal-vapor-ablation-of-human-lung-lesions
#11
J Scott Ferguson, Erik Henne
BACKGROUND: The discovery that early diagnosis can reduce the mortality of lung cancer provides firm evidence that early surgical intervention is effective. However, surgical resection is available only to those who are healthy enough to tolerate the procedure. Vapor ablation may provide an additional method of treating the lung cancer patient, and has been studied in humans for emphysema treatment. In swine, we previously demonstrated that bronchoscopically delivered thermal vapor ablation (BTVA) could be accurately applied, was uniform, anatomically confined, and was tolerated by the animal...
July 25, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30048417/optimizing-the-approach-to-patients-with-pleural-effusion-and-radiologic-findings-suspect-for-cancer
#12
Bashar Alzghoul, Ayoub Innabi, Swathi Subramany, Bradley Boye, Kshitij Chatterjee, Vikas S Koppurapu, Thaddeus Bartter, Nikhil K Meena
BACKGROUND: When patients present with pleural effusion and structural abnormalities consistent with malignancy on imaging, the traditional approach has been to perform a thoracentesis and await the results before proceeding to more invasive diagnostic procedures. The objective of this study was to evaluate whether concurrent thoracentesis and tissue biopsy is superior to sequential sampling. METHODS: Retrospective chart review was performed for patients who had a pleural cytology from May 2014 until January 2017...
July 25, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30048416/yield-of-malignant-pleural-effusion-for-detection-of-oncogenic-driver-mutations-in-lung-adenocarcinoma
#13
Andrew DeMaio, Jeffrey M Clarke, Rajesh Dash, Siby Sebastian, Momen M Wahidi, Scott L Shofer, George Z Cheng, Xuechan Li, Xiaofei Wang, Kamran Mahmood
BACKGROUND: Pleural fluid can be used to assess targetable mutations in patients with lung adenocarcinoma. The primary objective of this study was to assess the yield of pleural fluid cytology for targetable oncogenic mutations (EGFR, KRAS, BRAF, ALK, and ROS1 gene rearrangements). We also assessed pleural fluid volume necessary for molecular testing. METHODS: Retrospective review was performed of 134 consecutive patients with lung adenocarcinoma associated malignant pleural effusions...
July 25, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/30048415/prospective-experience-of-high-flow-nasal-oxygen-during-bronchoscopy-in-182-patients-a-feasibility-study
#14
Jennifer A Service, Jennifer S Bain, Clare P Gardner, Alistair F McNarry
BACKGROUND: High-flow nasal oxygen (HFNO) has recently gained popularity during administration of anesthesia in a variety of circumstances, including apneic oxygenation. Fully qualified anesthesiologists provide sedation for our outpatient bronchoscopy service. We adopted this therapy to assess its efficacy providing optimal conditions (using a variety of sedation regimens) for patient and bronchoscopist. METHODS: We aimed to conduct a prospective feasibility evaluation...
July 25, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29944599/juvenile-bronchopulmonary-fibrosarcoma
#15
Rami Elleuch, Hassen Rgaieg
No abstract text is available yet for this article.
July 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29944598/transbronchial-lung-cryobiopsy-with-2-bronchoscopes-new-novum-new-magna
#16
Thitiwat Sriprasart, Alejandro Aragaki-Nakahod, Sadia Benzaquen
No abstract text is available yet for this article.
July 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29944597/synchronic-diagnosis-of-non-hodgkin-lymphoma-and-lung-adenocarcinoma-via-ebus-guided-tbna
#17
George Samuel, Michael Simoff, Said Chaabaan, Javier Diaz-Mendoza
No abstract text is available yet for this article.
July 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29944596/accessory-cardiac-bronchus-usual-images-to-remember-an-unusual-finding
#18
M Aurora Mendes, Raquel Marçôa, Sérgio Campainha
No abstract text is available yet for this article.
July 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29944595/bronchoscopic-management-of-endobronchial-tumor-in-patient-with-hemoptysis-and-acute-myocardial-infarction
#19
Carlos Perez, Fayez Kheir, Marianne Barry, Yaron Gesthalther, Adnan Majid
No abstract text is available yet for this article.
July 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29944594/sevelamer-aspiration
#20
Catherine F Roy, Simon F Roy, Lara Richer, Richard Fraser, Sean Gilman
No abstract text is available yet for this article.
July 2018: Journal of Bronchology & Interventional Pulmonology
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