PT  - JOURNAL ARTICLE
AU  - Nicolas Guibert
AU  - Julien Mazieres
AU  - Charles-Hugo Marquette
AU  - Damien Rouviere
AU  - Alain Didier
AU  - Christophe Hermant
TI  - Integration of interventional bronchoscopy in the management of lung cancer
AID  - 10.1183/16000617.00010014
DP  - 2015 Sep 01
TA  - European Respiratory Review
PG  - 378--391
VI  - 24
IP  - 137
4099  - http://err.ersjournals.com/content/24/137/378.short
4100  - http://err.ersjournals.com/content/24/137/378.full
SO  - EUROPEAN RESPIRATORY REVIEW2015 Sep 01; 24
AB  - Tracheal or bronchial proximal stenoses occur as complications in 20–30% of lung cancers, resulting in a dramatic alteration in quality of life and poor prognosis. Bronchoscopic management of these obstructions is based on what are known as “thermal” techniques for intraluminal stenosis and/or placement of tracheal or bronchial prostheses for extrinsic compressions, leading to rapid symptom palliation in the vast majority of patients. This invasive treatment should only be used in cases of symptomatic obstructions and in the presence of viable bronchial tree and downstream parenchyma.This review aims to clarify 1) the available methods for assessing the characteristics of stenoses before treatment, 2) the various techniques available including their preferred indications, outcomes and complications, and 3) the integration of interventional bronchoscopy in the multidisciplinary management of proximal bronchial cancers and its synergistic effects with the other specific treatments (surgery, radiotherapy or chemotherapy).Central airway obstruction is a severe complication of lung cancer that can be managed by interventional bronchoscopy http://ow.ly/OdAhF