ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Simon Ashiku
Robert L. Thurer
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lunn, W.
Right arrow Articles by Ernst, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lunn, W.
Right arrow Articles by Ernst, A.

Ann Thorac Surg 2005;80:1485-1488
© 2005 The Society of Thoracic Surgeons

New technology

Microdebrider Bronchoscopy: A New Tool for the Interventional Bronchoscopist

William Lunn, MD a , Robert Garland, RRT b , Simon Ashiku, MD b , Robert L. Thurer, MD b , David Feller-Kopman, MD a , Armin Ernst, MD a , *

a Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
b Thoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts

Accepted for publication December 20, 2004.

* Address reprint requests to Dr Ernst, Interventional Pulmonology, BIDMC, 330 Brookline Ave, Boston, MA 02215 (Email: aernst{at}bidmc.harvard.edu).

PURPOSE: We report our experience with a new airway tool, the microdebrider, in treating central airway obstruction.

DESCRIPTION: From April 2002 to April 2004, 23 patients undergoing treatment of central airway obstruction were managed with the microdebrider. All procedures were done under general anesthesia with either a rigid bronchoscope (19 patients) or a suspension laryngoscope (4 patients). The microdebrider was used in an oscillating mode with rotation speeds of 1,000 to 3,000 rpm to resect obstructing tissue.

EVALUATION: Fourteen patients (61%) had tracheal granulation tissue from prior intubation or tracheostomy, 6 (26%) had idiopathic subglottic stenosis, and 3 (26%) had malignant disease. Obstructing lesions were rapidly removed in all patients with interventions lasting between 2 and 15 minutes. There were no procedure-related complications. No patients required reoperation for airway obstruction in follow-up ranging from 1 to 24 months.

CONCLUSIONS: Microdebrider bronchoscopy is a new technique that allows for precise, rapid, and safe removal of lesions obstructing the central airways. Complications of thermal modalities such as airway injury, tracheoesophageal fistulas, and airway fires can be avoided.




This article has been cited by other articles:


Home page
 ChestHome page
J. Guerrero, A. Majid, and A. Ernst
Cardiogenic Shock Secondary to Tako-tsubo Syndrome After Debridement of Malignant Endobronchial Obstruction
Chest, January 1, 2009; 135(1): 217 - 220.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. M. Wahidi, F. J. F. Herth, and A. Ernst
State of the Art: Interventional Pulmonology
Chest, January 1, 2007; 131(1): 261 - 274.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M.-J. Hsieh, Y.-H. Liu, Y.-S. Yueh, and P.-J. Ko
Use of microdebrider in glottic stenosis following airway stenting.
Eur. J. Cardiothorac. Surg., August 1, 2006; 30(2): 388 - 390.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. J. Downey
Invited commentary
Ann. Thorac. Surg., October 1, 2005; 80(4): 1488 - 1488.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2005 by The Society of Thoracic Surgeons.