Radiology-guided forceps biopsy and airway stenting in severe airway stenosis

Li, Zong Ming; Wu, Gang; Han, Xiaodan; Ren, Ke; Zhu, Ming

doi:10.5152/dir.2014.12118

Cited by 7 publications

(3 citation statements)

References 11 publications

(13 reference statements)

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“…This technique allowed us to obtain samples effectively and rapidly for histopathologic analysis with accurate localization, high technical success, and safety. 3 Simultaneous airway imaging was used to identify specific parts of the tumor that involved the airway, and these data was used to create a unique airway stent. The Y-shaped stent successfully relieved the airway stenosis.…”

Section: Discussionmentioning

confidence: 99%

Sequential interventional treatment of right-sided lung cancer with complete lung atelectasis: A case report

Jiao

et al. 2016

The Journal of Thoracic and Cardiovascular Surgery

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Dyspnea as a result of lung cancer and concomitant atelectasis is a serious, acute respiratory condition that can result in death from asphyxiation. Bronchoscopy and biopsy are difficult to perform in dyspneic patients with severe airway stenosis or main bronchus blockage from atelectasis. The timely placement of airway stents can release airway strictures and relieve dyspnea. 1 We present a case of right lung cancer and atelectasis confirmed by airway imaging and FIGURE 1. Chest computed tomography on admission shows complete atelectasis in the lung window (A) and the mediastinal window (B). Repeated computed tomography in the lung window (C) and the mediastinal window (D) shows a reduction in the size of the tumor in the right lung hilum 1 month after bronchial artery regional perfusion chemotherapy.

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Section: Discussionmentioning

confidence: 99%

Sequential interventional treatment of right-sided lung cancer with complete lung atelectasis: A case report

Jiao

et al. 2016

The Journal of Thoracic and Cardiovascular Surgery

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“…In general, the bronchial component of the stent was slowly released 0.5 to 1 cm beyond the distal end of the stenotic component of the main bronchus. After the stent was successfully inserted, the sputum aspiration tube was introduced for sputum drainage to avoid suffocation ( 5 , 14 ).…”

Section: Methodsmentioning

confidence: 99%

Self-Expandable Metallic Stent Implantation Combined With Bronchial Artery Infusion Chemoembolization in the Treatment of Lung Cancer With Complete Atelectasis

Yin

Xie

et al. 2022

Front. Oncol.

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BackgroundAtelectasis is a common complication of lung cancer, and there are few reports about the treatment methods. This study retrospectively analyzed the safety and effectiveness of endotracheal metal stent implantation combined with arterial infusion chemoembolization in the treatment of non-small cell lung cancer with complete atelectasis.MethodsThe clinical data of patients with non-small cell lung cancer and complete atelectasis treated by self-expandable metallic stent implantation combined with arterial infusion chemotherapy were retrospectively analyzed. The clinical efficacy was evaluated and postoperative adverse reactions were observed. Progression-free survival and overall survival were analyzed by Kaplan-Meier method.ResultsIn all, 42 endotracheal metallic stents were implanted in 42 patients under fluoroscopy. 5–7 days after stent implantation, CT showed that 24 patients (57.1%) had complete lung recruitment, and that 13 (31.0%) had partial lung recruitment. The technical success rate was 100%, and the clinical success rate was 88.1% (37/42). 5–7 days after stent implantation, bronchial artery infusion chemoembolization was performed in all patients. The median progression-free survival and overall survival were 6 months (95% CI: 2.04-9.66) and 10 months (95% CI: 7.22-12.79), respectively.ConclusionSelf-expandable metallic stent implantation combined with arterial infusion chemoembolization may be an effective and safe strategy in the treatment of lung cancer with atelectasis clinically.

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“…A severely stenosed esophagus may be too narrow to pass through a fibergastroscopy; moreover, there is a risk of hemorrhage during the fibergastroscopy and biopsy. Currently, the fluoroscopic guidance forceps biopsy was used to determine the pathological cause of anastomotic stenosis after cholangiojejunostomy [ 7 ] and severe airway stenosis [ 8 ] in our department. This retrospective analysis involved 55 patients with severe anastomotic stricture after esophagogastrostomy in patients of esophageal carcinoma.…”

Section: Introductionmentioning

confidence: 99%

Fluoroscopic guidance biopsy for severe anastomotic stricture after esophagogastrostomy of esophageal carcinoma

Chen

et al. 2018

Medicine

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To determine the safety and effectiveness of fluoroscopic guidance biopsy in the diagnosis of serve anastomotic stricture after esophagogastrostomy for esophageal carcinoma.A total of 55 patients with severe anastomotic stricture were enrolled for forceps biopsy between June 2013 and July 2017. Chest computed tomography (CT) and esophagogram were used to determine the location and extent of stricture. Specimens were collected from the site of stricture by using biopsy forceps under fluoroscopic guidance. Stooler's dysphagia score was compared before and after treatment.The technical success rate of fluoroscopic guidance biopsy was 100%, with no serious complications occurred. A total of 38 patients were diagnosed as benign stricture, of which, 2 patients were further diagnosed as cancer by further biopsy, with a missed diagnosis rate of 5.3%, and 1 patient developed squamous cell carcinoma after 5 months. Thus 20 cases were diagnosed as cancer, 3 cases were adenocarcinoma and 17 cases were squamous cell carcinoma. Balloon dilation was performed for 20 patients (33 times) of benign stricture, and 9 patients (10 times) of malignant stricture. A total of 26 esophageal covered stents were implanted for benign restenosis after repeated balloon dilation. A total of 8 esophageal covered stents were implanted for malignant stricture. After esophagus stenting, dysphagia was immediately alleviated. The dysphagia score decreased from 3.4 ± 0.1 to 0.7 ± 0.1 (P < .001) after treatment.Fluoroscopic guidance biopsy is a safe and effective procedure for directing appropriate treatment of anastomotic stricture after esophagogastrostomy, and it may be an alternative approach for patients who cannot tolerate fibergastroscopy.

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Radiology-guided forceps biopsy and airway stenting in severe airway stenosis

Cited by 7 publications

References 11 publications

Sequential interventional treatment of right-sided lung cancer with complete lung atelectasis: A case report

Sequential interventional treatment of right-sided lung cancer with complete lung atelectasis: A case report

Self-Expandable Metallic Stent Implantation Combined With Bronchial Artery Infusion Chemoembolization in the Treatment of Lung Cancer With Complete Atelectasis

Fluoroscopic guidance biopsy for severe anastomotic stricture after esophagogastrostomy of esophageal carcinoma

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