Broncholith Removal using the YAG Laser

Miks, Veronica M.; Kvale, Paul A.; Riddle, Jeanne M.; Lewis, Joseph W.

doi:10.1378/chest.90.2.295

Cited by 36 publications

(12 citation statements)

References 4 publications

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“…However as yet, there is no consistent guidelines for broncholithectomy or broncholithotomy using flexible bronchoscopy. As pulling with the forceps, or using a balloon catheters3, and YAG laser incision to broncholithotomy7, a variety of methods have been performed. Moreover, surgical treatment should be considered over bronchoscopic removal when patients present with hemoptysis, the broncholith is firmly attached to the bronchial wall, or bronchoscopic excision is not available or feasible6.…”

Section: Discussionmentioning

confidence: 99%

A Promising Treatment for Broncholith Removal Using Cryotherapy during Flexible Bronchosopy: Two Case Reports

et al. 2012

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Broncholiths are defined as calcified materials that occur in a tracheobronchial tree or in a cavity communicating with that. Broncholith has variable clinical features. The therapeutic options to remove broncholiths are so variable that clinicians need to select the most safe and effective methods by mass size, mobility, and location. As yet, there is no consistent guideline removing a broncholith. We report 2 successful cases of removing a fixed broncholith by flexible bronchoscopy guided cryoadhesion. With repeated technique of thawing and freezing with ryoprobe, we could extract the fixed broncholith safely. This method is promising as a way to remove broncholith in the future.

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Section: Discussionmentioning

confidence: 99%

A Promising Treatment for Broncholith Removal Using Cryotherapy during Flexible Bronchosopy: Two Case Reports

et al. 2012

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“…As broncholiths are usually associated with extensive granulation tissue, removal of symptomatic broncholith by fiber optic bronchoscope is difficult and may cause massive bleeding14. Large broncholith can be fragmented by YAG laser and subsequently fragments can be removed by fibre optic bronchoscope15. However, safe removal of partially embedded broncholiths by flexible bronchoscopy had been reported8.…”

Section: Discussionmentioning

confidence: 99%

Broncholithiasis

2008

Lung India

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A 47 year old female who had past history of incomplete treatment for pulmonary tuberculosis presented with increased breathlessness, generalized swelling and loss of ap-petite for last one month. X-ray chest PA view showed bilateral fibrocalcific opacities with blunting of costophrenic angle on both sides. She underwent bronchoscopy to collect bronchial wash to rule out relapse of tuberculosis. On bronchoscopy a loose broncholith with sharp and speculated margins were detected in right middle lobe bronchus. This broncholith was successfully removed through flexible bronchoscope without any complications.

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“…When traditional bronchoscopic techniques with fiberoptic or rigid bronchoscopy have failed to successfully extract large stones, laser has been applied to fragment large stones into pieces more amenable to removal. 13 Laser therapy may also be employed to photocoagulate reactive tissue surrounding a broncholith, which might be causing airway obstruction. 14 Photothermal lasers, which are commonly used in urologic procedures, may be of some additional benefit in those stones resistant to the more familiar photoacoustic laser fragmentation.…”

Section: Gunn and Rosenmentioning

confidence: 99%

Bronchopulmonary Lithiasis

Gunn¹,

Rosen²

2008

Clinical Pulmonary Medicine

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Bronchopulmonary lithiasis present as calcified lesions found on chest imaging. Although "spitting of stones" has been described for centuries, the diagnosis of the disease process is often delayed for several years. The presence of nonspecific symptoms is far more common than lithoptysis. Bronchoscopy and computed tomography combined may allow for exact precision in the diagnosis of bronchopulmonary lithiasis. Therapy may involve simple bronchoscopic extraction, surgical procedures, or advanced bronchoscopic techniques in selected patients. This is a case report of an individual with hemoptysis, parenchymal cavitation, and a fistula between the thoracic esophagus and the right sided airway from bronchopulmonary lithiasis. Conservative surgical resection of the involved parenchyma and repair of the fistula was accomplished. A review of the literature is offered, focusing on the presentation, diagnosis, and management of similar patients.

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Broncholith Removal using the YAG Laser

Cited by 36 publications

References 4 publications

A Promising Treatment for Broncholith Removal Using Cryotherapy during Flexible Bronchosopy: Two Case Reports

A Promising Treatment for Broncholith Removal Using Cryotherapy during Flexible Bronchosopy: Two Case Reports

Broncholithiasis

Bronchopulmonary Lithiasis

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