Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada

Background: Central airway obstruction caused by malignant or benign lesions, associated in some cases with hemoptysis, is a condition with high morbidity and mortality. The use of electrocautery by flexible bronchoscopy is an initial treatment option with immediate improvement of obstruction sympto...

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Autores principales:	Jalilie,Alfredo, Carvajal,Juan Carlos, Aparicio,Rodrigo, Meneses,Manuel
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Bronchial Neoplasms Bronchoscopy Electrocoagulation Hemoptysis Lung Transplantation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001100007
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spelling	oai:scielo:S0034-988720160011000072017-01-25Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociadaJalilie,AlfredoCarvajal,Juan CarlosAparicio,RodrigoMeneses,Manuel Bronchial Neoplasms Bronchoscopy Electrocoagulation Hemoptysis Lung Transplantation Background: Central airway obstruction caused by malignant or benign lesions, associated in some cases with hemoptysis, is a condition with high morbidity and mortality. The use of electrocautery by flexible bronchoscopy is an initial treatment option with immediate improvement of obstruction symptoms. It is as effective as Nd: YAG laser. Aim: To describe the usefulness of electrocautery in the management of central obstruction of the airway and hemoptysis. Material and Methods: A retrospective, descriptive study of patients referred for management of central airway obstruction or associated hemoptysis. Diagnoses, symptoms (dyspnea, cough, and hemoptysis) and radiology before and after the procedures were analyzed. Results: Eighteen patients aged 59 ± 12 years (66% males) were evaluated, registering 25 endoscopic procedures. Three conditions were found: partial or complete airway obstruction, hemoptysis and post lung transplant bronchial stenosis. Seventy two percent presented with dyspnea, 61% with cough and 33% with hemoptysis. Sixty six percent of patients had airway obstruction caused by malignant metastatic lesions. After electrocautery, 17 patients (94.4%) improved their symptoms and achieved complete airway clearing. Three patients had significant bronchial stenosis after lung transplant achieving subsequent clearing after electrocautery. Conclusions: Electrocautery during flexible bronchoscopy is an effective and safe procedure for the management of central airway obstruction and associated hemoptysis.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.11 20162016-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001100007es10.4067/S0034-98872016001100007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bronchial Neoplasms Bronchoscopy Electrocoagulation Hemoptysis Lung Transplantation
spellingShingle	Bronchial Neoplasms Bronchoscopy Electrocoagulation Hemoptysis Lung Transplantation Jalilie,Alfredo Carvajal,Juan Carlos Aparicio,Rodrigo Meneses,Manuel Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
description	Background: Central airway obstruction caused by malignant or benign lesions, associated in some cases with hemoptysis, is a condition with high morbidity and mortality. The use of electrocautery by flexible bronchoscopy is an initial treatment option with immediate improvement of obstruction symptoms. It is as effective as Nd: YAG laser. Aim: To describe the usefulness of electrocautery in the management of central obstruction of the airway and hemoptysis. Material and Methods: A retrospective, descriptive study of patients referred for management of central airway obstruction or associated hemoptysis. Diagnoses, symptoms (dyspnea, cough, and hemoptysis) and radiology before and after the procedures were analyzed. Results: Eighteen patients aged 59 ± 12 years (66% males) were evaluated, registering 25 endoscopic procedures. Three conditions were found: partial or complete airway obstruction, hemoptysis and post lung transplant bronchial stenosis. Seventy two percent presented with dyspnea, 61% with cough and 33% with hemoptysis. Sixty six percent of patients had airway obstruction caused by malignant metastatic lesions. After electrocautery, 17 patients (94.4%) improved their symptoms and achieved complete airway clearing. Three patients had significant bronchial stenosis after lung transplant achieving subsequent clearing after electrocautery. Conclusions: Electrocautery during flexible bronchoscopy is an effective and safe procedure for the management of central airway obstruction and associated hemoptysis.
author	Jalilie,Alfredo Carvajal,Juan Carlos Aparicio,Rodrigo Meneses,Manuel
author_facet	Jalilie,Alfredo Carvajal,Juan Carlos Aparicio,Rodrigo Meneses,Manuel
author_sort	Jalilie,Alfredo
title	Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
title_short	Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
title_full	Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
title_fullStr	Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
title_full_unstemmed	Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
title_sort	electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001100007
work_keys_str_mv	AT jaliliealfredo electrocauterioybroncoscopiaflexiblecomoprimeramedidaenlaobstruccioncentraldelaviaaereayhemoptisisasociada AT carvajaljuancarlos electrocauterioybroncoscopiaflexiblecomoprimeramedidaenlaobstruccioncentraldelaviaaereayhemoptisisasociada AT apariciorodrigo electrocauterioybroncoscopiaflexiblecomoprimeramedidaenlaobstruccioncentraldelaviaaereayhemoptisisasociada AT menesesmanuel electrocauterioybroncoscopiaflexiblecomoprimeramedidaenlaobstruccioncentraldelaviaaereayhemoptisisasociada
_version_	1718436913897013248

Electrocauterio y broncoscopia flexible como primera medida en la obstrucción central de la vía aérea y hemoptisis asociada

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