Chest
Endobronchial Electrocautery
Section snippets
METHODS
Procedures were performed in the endoscopy laboratory. Anesthesia was primarily local, but in select cases, general anesthesia was used when an extremely large lesion was present, when the patient's clinical situation dictated careful airway control, or when a long procedure was anticipated.
All procedures performed were done with a fiberoptic bronchoscope. Intubation was carried out only in those patients who received general anesthesia. Patients were prepared with a cautery grounding plate
RESULTS
To date, we have performed 32 cautery procedures in 18 patients. Four patients and 15 procedures have previously been reported. Our experience is reported in Table 1. A majority of the patients underwent snare resection which was usually accomplished in one procedure. Four patients had two snare procedures each. The use of the cautery probe as a technique to destroy tissue was used in four patients, and two of those have been previously reported.
The diagnoses of the patients who underwent
DISCUSSION
This experience demonstrates the value and relative safety of using cautery wire snares to diagnose and treat endobronchial lesions. Endoscopic electrosurgical techniques have been used safely for removal of colonic polyps and for controlling gastrointestinal bleeding.2, 3, 4, 5 The electrocautery snare can be used to obtain large biopsies of airway lesions, to debulk and remove malignant tissue in the airway, and to treat benign lesions. Our experience supports all of these applications.
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Cited by (64)
Electrosurgical and Laser Therapy Tools for the Treatment of Malignant Central Airway Obstructions
2020, ChestCitation Excerpt :This tool delivers current while taking a biopsy specimen, resulting in coagulation and vaporization (Fig 2A).11 The electrocautery knife is used to cut web-like stenoses before dilation.12 The round or blunt electrocautery probe can be used to achieve both coagulation and cutting effects and is either flexible (Fig 2C) or rigid.
Therapeutic Bronchoscopy
2015, Murray and Nadel's Textbook of Respiratory Medicine: Volume 1,2, Sixth EditionEndobronchial electrocautery wire snare prior to wedge bronchoplastic lobectomy for central-type lung cancer: A case report
2015, International Journal of Surgery Case ReportsCitation Excerpt :The treatment used for each case is determined by the actual condition of the patient [1,2]. The effectiveness and safety of endobronchial electrocautery using the snare wire or laser have been reported for the treatment of respiratory tract tumor [3–5]. Wahidi et al. [5] described the treatment of 117 cases using endobronchial electrocautery wire snare.
The use of electrocautery as the primary ablation modality for malignant and benign airway obstruction
2011, Journal of Thoracic OncologyCitation Excerpt :Three of these cases were successful in relieving major airway obstruction, and the fourth was successful in obtaining a diagnosis. They followed this up with a more extensive series in 1988 of 18 patients, 13 with malignant disease and five with nonmalignant airways disease.17 The majority of these patients were treated with electrocautery snare.
British Thoracic Society guideline for advanced diagnostic and therapeutic flexible bronchoscopy in adults
2011, ThoraxCitation Excerpt :In the largest series this occurred in 1:56 cases.29 Airway fire has been described.30–32 To avoid this complication, a fractional inspired oxygen (Fio2) of 0.4 or less is recommended, and some groups recommend switching off supplemental oxygen during diathermy use.33
Bronchoscopic balloon dilatation of tracheobronchial stenosis: Long-term follow-up
2010, European Journal of Cardio-thoracic Surgery
Manuscript received August 27; revision accepted February 9.