Format

Send to

Choose Destination
Chest. 2019 Aug 28. pii: S0012-3692(19)33463-4. doi: 10.1016/j.chest.2019.08.1919. [Epub ahead of print]

Electrosurgical and Laser Therapy Tools for the Treatment of Malignant Central Airway Obstructions.

Author information

1
Interventional Pulmonology and Complex Airways Disease Program, Division of Thoracic Surgery and Interventional Pulmonology, Inova Fairfax Medical Center, Falls Church, VA. Electronic address: amit.mahajan@inova.org.
2
Division of Pulmonary and Critical Care Medicine, University of Connecticut Medical School, Hartford, CT.
3
Division of Pulmonary, Critical Care Medicine, Clinical Immunology, and Allergy, David Geffen School of Medicine at UCLA, Los Angeles, CA.
4
Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
5
Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Abstract

Central airway obstruction (CAO) is associated with significant morbidity and increased mortality. Bronchoscopic electrosurgical and laser ablative tools have proven to be safe and effective instruments for the treatment of malignant CAO. Although therapeutic modalities such as electrocautery, argon plasma coagulation, and laser have been used for decades, additional tools including radiofrequency ablation catheters continue to be developed for the treatment of CAO. These modalities are considered safe in the hands of experienced operators, although serious complications can occur. This review describes various electrosurgical and laser therapy tools used for the treatment of malignant CAO along with the specific advantages and disadvantages of each device.

KEYWORDS:

airway obstruction; electrosurgical tools; lung cancer

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center