A New Endoluminal Resection Technique and Device: Resector Balloon

Until now, interventional therapies for patients with chronic obstructive pulmonary disease have been available in the form of lung volume reduction procedures as end-stage options. Currently, the range of indications is expanding to include earlier stages of the diseases. Lung denervation is available for moderate COPD, and patients with chronic bronchitis are being evaluated for endoscopic goblet cell ablation. Rheoplasty, metered spray cryo technique, and Karakoca resector balloon are used for this indication. But also, for patients with severe uncontrolled asthma, several techniques are available today. In addition to thermoplasty as a long-proven procedure, new and currently under investigation is the targeted lung denervation.Most of these techniques are currently being tested in large pivotal trials and it will soon become clear in which phenotype which technique will be used in the different forms and stages of obstructive diseases. The current paper presents the techniques and the currently available literature.

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“…There are positive data in small cohorts for this procedure, which is currently used only in Turkey. 26…”

Section: Chronic Bronchitismentioning

confidence: 99%

“…There are positive data in small cohorts for this procedure, which is currently used only in Turkey. 26 Regarding the evidence, there are only data from the working group of the developer, with a limited number of patients. This describes the bioptic effects on the bronchial mucosa as well as the improvement of clinical parameters.…”

Section: Resector Balloonmentioning

confidence: 99%

Endoscopic Options for Moderate COPD, Chronic Bronchitis, and Uncontrolled Asthma

Herth

Kontogianni

Brock

2022

Semin Respir Crit Care Med

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“…Some authors have proposed a new resection technique using a special balloon covered with an hexagonal mesh structure that cut and destructs the tumoural tissue [24].…”

Section: Coring Outmentioning

confidence: 99%

Palliative Therapy

Milani

Simonassi²,

Salio

2015

Monaldi Arch Chest Dis

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Endoskopische Palliation bei Ösophagus- und Bronchialkarzinomen

Gottlieb

Wedemeyer

2010

Internist

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Luminal obstruction from tumor growth can in relation to bronchial carcinoma lead to airway and/or esophageal obstruction in breathlessness or swallowing difficulties respectively. Self-expanding stents have become an established method of restoring luminal patency in both the esophagus and central airways, leading to significant symptomatic improvement. Due to anatomical constraints particularly in processes around the tracheal carina, stent implantation within the bronchial system often poses greater difficulty than within the esophagus. Technical difficulties do however arise in the esophagus, specifically in relation to stenotic high-cervical tumors, as well as distal stenosis. In this regard, advances in stent development have resulted in significantly improved outcomes with modern stents. In high-cervical esophageal tumors as well as locally invasive tumors with evidence of tracheobronchial fistulae a shared interdisciplinary care between the gastroenterology and pulmonary teams is necessary for a satisfactory outcome.

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A New Endoluminal Resection Technique and Device: Resector Balloon

Cited by 11 publications

References 7 publications

Endoscopic Options for Moderate COPD, Chronic Bronchitis, and Uncontrolled Asthma

Endoscopic Options for Moderate COPD, Chronic Bronchitis, and Uncontrolled Asthma

Palliative Therapy

Endoskopische Palliation bei Ösophagus- und Bronchialkarzinomen

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