Safety and effectiveness of microdebrider bronchoscopy for the management of central airway obstruction

Abstract

Microdebrider bronchoscopy is a potentially safe and effective way to manage central airway obstruction of both malignant and benign origin.

Therapeutic Bronchoscopy for Malignant Central Airway Obstruction

“…In many studies there was signifi cant heterogeneity in terms of patient population and indications. 1,3,4 Other studies have focused on individual technologies, such as microdebriders 3 or APC. 7 Th ese studies are useful for evaluating new technologies, but they are not designed to show comparative eff ectiveness.…”

“…Prior studies of therapeutic bronchoscopy for central airway obstruction [2][3][4][5][6] have included both malignant and benign cases, and most were done retrospectively. However, outcomes and complications diff er significantly depending upon the indication (eg, malignant airway obstruction vs postintubation tracheal stenosis).…”

Complications Following Therapeutic Bronchoscopy for Malignant Central Airway Obstruction

“…Prior studies of therapeutic bronchoscopy for central airway obstruction [2][3][4][5][6][7][8][9][10][11][12] have included both malignant and benign cases, and most were done retrospectively, although some have focused on malignant disease. [13][14][15][16][17][18] Reported complication rates are low, but complications and outcomes diff er signifi cantly depending on the indication for the procedure (ie, malignant vs benign disease, isolated hemoptysis vs central airway obstruction), and in most studies, signifi cant heterogeneity existed in terms of patient population and indications.…”

Successful Recanalization of a Complete Lobar Bronchial Stenosis in a Lung Transplant Patient Using a Combined Percutaneous and Bronchoscopic Approach

“…However, endobronchial debridement can be challenging in case of stenosis of the lobar, segmental, or subsegmental bronchi and, although infrequent, complications such as bleeding or pneumomediastinum have been occasionally reported [7]. After bronchial occlusion, the lung parenchyma behind the stenosis can remain ventilated for some days or weeks for the presence of collateral ventilation; later, the parenchyma collapses and can become easily infected.…”