Bronchoscopy and Central Airway Disorders

Contents

Preface

How to Use This Book: The "Four Box" Approach

Section 1. Practical Approach to Benign Exophytic Airway Obstruction

1. Rigid Bronchoscopy With Laser Resection for Tracheal Obstruction From Recurrent Respiratory Papillomatosis

2. Endoscopic therapy of endobronchial typical carcinoid

3. Bronchoscopic treatment of silicone stent–related granulation tissue

4. Bronchoscopic Removal of a Broncholith From the Lateral Wall of the Proximal Bronchus Intermedius

5. Treatment of tracheobronchial aspergillosis superimposed on post tuberculosis-related tracheal stricture

Section 2. Practical Approach to Benign Tracheal Stenosis

6. Bronchoscopic Treatment of Idiopathic Laryngotracheal Stenosis With Glottis Involvement

7. Idiopathic subglottic stenosis without glottis involvement

8. Post Intubation Tracheal Stenosis

9. Bronchoscopic Treatment of Post Tracheostomy Tracheal Stenosis With Chondritis

10. Bronchoscopic Treatment of Wegener’s Granulomatosis-Related Subglottic Stenosis

Section 3. Practical Approach to Expiratory Central Airway Collapse

11. Silicone Stent Insertion for Focal Crescent Type Tracheomalacia in a Patient With sarcoidosis

12. Stent insertion for diffuse circumferential tracheobronchomalacia caused by relapsing polychondritis

13. CPAP treatment for moderate diffuse excessive dynamic airway collapse caused by Mounier-Kuhn syndrome

14. Stent insertion for severe diffuse excessive dynamic airway collapse caused by COPD

Section 4. Practical Approach to Mediastinal Lymphadenopathy (EBUS and alternatives)

15. EBUS-TBNA for Right Upper Lobe Mass and Right Lower Paratracheal Lymphadenopathy

16: EBUS-TBNA of right lower paratracheal lymph node (station 4R)

17: EBUS-TBNA of a left lower paratracheal node (level 4L) in a patient with a left upper lobe lung mass and suspected lung cancer

18. EBUS-TBNA for Subcentimeter PET Negative Subcarinal LAD (Station 7) and a Right Lower Lobe Pulmonary Nodule

19. EBUS-Guided TBNA for isolated subcarinal lymphadenopathy (station 7).

Section 5. Practical Approach to Malignant Central Airway Obstruction

20. Stent insertion for extrinsic tracheal obstruction caused by thyroid carcinoma

21. Rigid bronchoscopy tumor debulking and silicone stent insertion for mixed malignant tracheal obstruction caused by esophageal carcinoma

22. Rigid bronchoscopy with laser and stent placement for bronchus intermedius obstruction from lung cancer involving the right main pulmonary artery

23: Photodynamic therapy for palliation of infiltrative endoluminal obstruction at left secondary carina and left lower lobe bronchus

24. Rigid Bronchoscopy With Y Stent Insertion at Left Secondary Carina

Section 6. Practical Approach to Other Central Airway Disease Processes

25: Rigid bronchoscopy for removal of a foreign body lodged in the right lower lobe bronchus

26. Treatment of critical left main bronchial obstruction and acute respiratory failure in the setting of right pneumonectomy

27. Stent insertion for tracheo-broncho-esophageal fistula at the level of lower trachea and left mainstem bronchus

28. Rigid bronchoscopic intervention for central airway obstruction and concurrent superior vena cava syndrome caused by small cell carcinoma

29. Bronchoscopic treatment of a large right mainstem bronchial stump fistula

30. Hemoptysis caused by distal left main bronchial tumor in a patient with primary lung adenocarcinoma

Section 7. Case-Based Self-Assessment Questions

Index

• • Master various bronchoscopic approaches and techniques necessary to treat a variety of malignancies that may occur in the trachea or lungs.

• • Consider the rationale and weigh the consequences of each approach. Case resolutions at the end of each chapter --with commentary and alternative approaches from 36 key experts in interventional bronchoscopy -- illustrate the decision-making process from patient evaluation through long-term management.

• • Reinforce learning by correlating key concepts and practice through study questions related to each clinical scenario.

• • See exactly how to proceed with high-quality videos online that capture crucial teaching moments and provide a walkthrough of sometimes complex procedures including the placement of airway stents via bronchoscopy for a variety of diseases and complications, such as airway collapse due to COPD.

• • Systematically think through diagnostic and interventional (therapeutic) bronchoscopic procedures using Dr. Colt’s unique "Four Box" approach: Initial Evaluation; Procedural Techniques and Results; Procedural Strategies; and Long-term Management Plan.

• Access the full text online at www.expertconsult.com, along with image and video libraries, review questions, and more!