Therapeutic Bronchoscopic Intervention With Resector Balloon

Abstract

In this study a novel therapeutic bronchoscopic technique, balloon bronchoplasty with resector balloon, was used in 128 procedures for 112 consecutive patients with airway obstruction from lung cancer or granulation tissue. All procedures, except 4, were performed with a rigid bronchoscope under general anesthesia. The remainder were performed with a flexible bronchoscope under local anesthesia. In all procedures, balloon bronchoplasty was the primary method and we achieved 100% success with no major immediate or long-term complications. The technique also facilitated submucosal and distal tumor resection. We found balloon bronchoplasty using resector balloon to be a safe, effective, fast, easy, and potentially cost-effective method in the management of airway obstruction from endobronchial submucosal lesions.

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

“…The treatment is performed in a single session, and in total 100 to 300 segmental bronchi could be treated during a 60-minute bronchoscopy. 25 The use was then extended to patients with severe COPD, where bronchiolitis contributed mainly to the airflow limitation. Studies have shown that bioptically the number of goblet cells was reduced, so that regeneration of the bronchial mucosa is assumed to be the mechanism of action.…”

New bronchoscopic treatment modalities for patients with chronic bronchitis

“…Description of treatment The Karakoca resector balloon developed for the treatment of airway obstruction [41] has been found a place in the management of chronic bronchitis patients. The device consists of a latex balloon covered with a mesh structure of 0.2-mm polyurethane/lycra fibres, mounted onto the distal end of long single-lumen polyethylene tube.…”