Skip to main content

Main menu

  • Home
  • Current issue
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Peer reviewer login
  • Journal club
  • Alerts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Peer reviewer login
  • Journal club
  • Alerts
  • Subscriptions

Interventional bronchoscopy in the management of thoracic malignancy

Georgia Hardavella, Jeremy George
Breathe 2015 11: 202-212; DOI: 10.1183/20734735.008415
Georgia Hardavella
1Dept of Thoracic Medicine, University College London Hospitals, London, UK
2Dept of Respiratory Medicine, King’s College Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeremy George
1Dept of Thoracic Medicine, University College London Hospitals, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: georgiahardavella@hotmail.com
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Relationship between the rigid and flexible bronchoscopes and the laser fibre. The tip of the optical fibre must always protrude well beyond the bronchoscope to avoid thermal damage. Reproduced from [23] with permission from the publisher.

  • Figure 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2

    a) Flow–volume loops obtained before and after laser treatment for a patient with an adenoid cystic carcinoma of the trachea (b). The patient was originally misdiagnosed as having severe COPD. Reproduced from [23] with permission from the publisher.

  • Figure 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3

    a typical carcinoid situated in close proximity to the main carina a) before and b) after endoscopic laser resection.

  • Figure 4
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 4

    Cryoprobe console.

  • Figure 5
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 5

    A large piece of tumour removed from the promixal right main bronchus with a cryoprobe. Reproduced from [23] with permission from the publisher.

  • Figure 6
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 6

    An endobronchial stent in place with granulation tissue present at the distal end.

  • Figure 7
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 7

    Stent deploying system (Aero; Merit Endotek).

  • Figure 8
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 8

    Another stent deploying system (Polyflex stent, Boston Scientific).

  • Figure 9
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 9

    Treatment of an early lung cancer with PDT. The PDT fibre is placed alongside early cancer.

  • Figure 10
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 10

    Debris present during post-PDT bronchoscopy.

Tables

  • Figures
  • Table 1

    Indications, contraindications and complications from endobronchial laser treatment

    IndicationsContraindicationsComplications
    PalliationExtrinsic compressionFire
    Debulking of endobronchial tumour and immediate palliation of endobronchial obstruction due to lung primary/metastasis (e.g. prostate, oesophagus, colon, etc.)Broncho-oesophageal fistulaFistula formationHypoxaemia
    TreatmentCoagulopathyBleeding
    Endobronchial early stage lung cancer not amenable to conventional treatment (surgery, radiotherapy), including typical carcinoidsAirway wall necrosis
    Endobronchial stenosis due to benign conditionsAir embolism
    Previous intubation/tracheostomy, granulomatosis with polyangiitis, sarcoidosis etc.Respiratory insufficiency secondary to aspiration of smoke produced by laser
    Benign endobronchial lesions e.g. papilloma, fibroma, leiomyoma etcPneumothorax
    Peri-/postoperative cardiac-cerebral incidents
    Pneumomediastinum
    Debris/blood clot formation
  • Table 2

    Indications for endobronchial brachytherapy

    IndicationsCurativePalliation
    Early invasive mucosal or submucosal non-small cell lung cancer in poor candidates for radical treatments and/or poor performance status√
    Infiltrative tumour with endobronchial disease not causing life threatening airway obstruction (locally advanced central lung cancer)√
    Endobronchial boost to full course external beam radiation therapy with incomplete response/recurrence√
    Post-operatively in the presence of positive resection margins√
PreviousNext
Back to top
Vol 11 Issue 3 Table of Contents
Breathe: 11 (3)
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Interventional bronchoscopy in the management of thoracic malignancy
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Citation Tools
Interventional bronchoscopy in the management of thoracic malignancy
Georgia Hardavella, Jeremy George
Breathe Sep 2015, 11 (3) 202-212; DOI: 10.1183/20734735.008415

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Interventional bronchoscopy in the management of thoracic malignancy
Georgia Hardavella, Jeremy George
Breathe Sep 2015, 11 (3) 202-212; DOI: 10.1183/20734735.008415
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
Full Text (PDF)

Jump To

  • Article
    • Abstract
    • Abstract
    • Principles of treatment
    • Tumour debulking
    • Endobronchial brachytherapy
    • Stents
    • Photodynamic therapy
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Subjects

  • Lung cancer
  • Pulmonary pharmacology and therapeutics
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

  • Holistic management of patients with progressive pulmonary fibrosis
  • Mimics of pathology on paediatric chest imaging studies
  • Routine FEV1 measurement in diagnosis and monitoring of childhood asthma
Show more Reviews

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About Breathe

  • Journal information
  • Editorial board
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Intructions for authors
  • Publication ethics and malpractice
  • Submit a manuscript

For readers

  • Alerts
  • Subjects
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Print ISSN: 1810-6838
Online ISSN: 2073-4735

Copyright © 2023 by the European Respiratory Society