Volume 131, Issue 1, Pages (January 2007)

Slides:

Advertisements

Similar presentations

Debapriya Datta, MD, FCCP, Vanessa Yap, MD CHEST

Advertisements

Volume 111, Issue 6, Pages (June 1997)

Volume 67, Issue 5, Pages (May 1975)

Navin K. Jain, MD, Thiam H. Lie, MD, FCCP CHEST

A 46-Year-Old Woman With Persistent Asthma and Lung Masses

Tracheobronchial Pulmonary Disease Associated With Pyoderma Gangrenosum Soichiro Kanoh, MD, PhD, Hideo Kobayashi, MD, PhD, Ken Sato, MD, PhD, Kazuo Motoyoshi,

Cavitary Lung Disease with Skin Lesions

Volume 120, Issue 3, Pages (September 2001)

Valve Drainage of the Pleural Cavity

Atul C. Mehta, M.D., F.C.C.P., Douglas R. Livingston, D.O. CHEST

Is Survey Cancer of the Lung Curable?

J. Wesley King, M.D., Thomas E. Walsh, M.D., F.C.C.P. CHEST

Frank W. Ewald, MD, FCCP, Albert H. Scherff, MD CHEST

Volume 150, Issue 3, Pages e87-e91 (September 2016)

Chest Pain and Progressive Miliary Infiltrates in an Elderly Man

Recent Advances in Bronchoscopic Treatment of Peripheral Lung Cancers

Volume 143, Issue 3, Pages (March 2013)

Diagnostic Surgical Pathology in Lung Cancer

A Middle-aged Asthmatic Woman With Unresolving Cough

Hiren J. Mehta, MD, Tan-Lucien Mohammed, MD, Michael A. Jantz, MD

Endoscopic and Endobronchial Ultrasonography According to the Proposed Lymph Node Map Definition in the Seventh Edition of the Tumor, Node, Metastasis.

Hidenao Kayawake, MD, Toyofumi F

A 40-Year-Old Man With a Nodular Lung Disease and Skin Rash

Virtual endobronchial ultrasound for transbronchial needle aspiration

Volume 94, Issue 5, Pages (November 1988)

Figure 1: An amyloid mass obstructed the distal trachea and the mainstem left bronchus (Part A). After its resection via rigid bronchoscope, a Y-shaped.

An Elderly Woman With Chronic Dyspnea and Endobronchial Lesion

Narrow-Band Imaging Bronchoscopy Increases the Specificity of Bronchoscopic Early Lung Cancer Detection Felix J.F. Herth, MD, Ralf Eberhardt, MD, Devanand.

Volume 139, Issue 6, Pages (June 2011)

Endobronchial Ultrasound

Airway Stenting for Patients With Benign Airway Disease and the Food and Drug Administration Advisory Lund Mark E. , MD, FCCP, Force Seth , MD, FCCP

Volume 138, Issue 6, Pages (December 2010)

Endoscopic ultrasound-guided fine needle aspiration and endobronchial ultrasound- guided transbronchial needle aspiration: Are two better than one in mediastinal.

Debapriya Datta, MD, FCCP, Vanessa Yap, MD CHEST

Septimiu D. Murgu, MD, FCCP, Henri G. Colt, MD, FCCP

Dyspnea in a Transplant Recipient With Pulmonary Nodules

The Changing Face of Outpatient Bronchoscopy in 2013

Volume 144, Issue 1, Pages (July 2013)

A “resect and watch” strategy with endoscopic resection for pharyngeal cancer with massive subepithelial invasion would not be rational Yuichi Shimizu,

Clinical-pathologic conference in general thoracic surgery: Carinal resection for endobronchial grade I neuroendocrine carcinoma Benjamin D. Kozower,

Volume 111, Issue 2, Pages (February 1997)

Imaging for the Management of Community-Acquired Pneumonia

Endobronchial Ultrasonography: Current Status and Future Directions

Diagnosis of Mediastinal Adenopathy—Real-Time Endobronchial Ultrasound Guided Needle Aspiration versus Mediastinoscopy Armin Ernst, MD, FCCP, Devanand.

Volume 150, Issue 3, Pages e87-e91 (September 2016)

Volume 143, Issue 5, Pages e263S-e277S (May 2013)

Pulmonary Artery Invasion Caused by Mycobacterium tuberculosis

Volume 148, Issue 5, Pages e142-e147 (November 2015)

Persistent Lobar Atelectasis in a Patient With Chronic Hoarseness

An 82-Year-Old Woman With Left Upper Lobe Atelectasis

Bronchiectasis Complicating Lung Volume Reduction Coil Treatment

An Elderly Woman With Stridor

A 45-Year-Old Man With Skin Lesions and Pleural Effusion

An Unexpected Endobronchial Mass Appearing During Bronchoscopy

Establishing the Diagnosis of Lung Cancer

Pyng Lee, MD, Henri G. Colt, MD, FCCP Journal of Thoracic Oncology

Aggarwal A. , MD, Tewari Sanjiv , MD, Mehta A.C. , MBBS, FCCP CHEST

Volume 98, Issue 1, Pages (July 1990)

New Forceps for Biopsy of Peripheral Airways

Controlled Suction during Flexible Fiberoptic Bronchoscopy

Thoracic Surgery Survey on Lung Cancer Management

Use of Endobronchial Ultrasound for Bedside Diagnosis of Acute Pulmonary Embolism in a Critically Ill Patient Colleen L. Channick, MD, FCCP, Richard.

Volume 108, Issue 5, Pages (November 1995)

David Feller-Kopman, MD, William Lunn, MD, Armin Ernst, MD

John Reid, MD, Donald Cockcroft, MD CHEST

Mediastinal Hematoma Following Transbronchial Needle Aspiration

Bronchography Combined with Bronchoscopy

Volume 98, Issue 1, Pages (July 1990)

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for the Diagnosis of Intrapulmonary Lesions Takahiro Nakajima, MD, Kazuhiro Yasufuku,

Richard B. Rubenstein, M.D., Craig W. Bainbridge, M.D., F.C.C.P. CHEST

Presentation transcript:

Volume 131, Issue 1, Pages 261-274 (January 2007) State of the Art Wahidi Momen M. , MD, FCCP, Herth Felix J.F. , MD, FCCP, Ernst Armin , MD, FCCP CHEST Volume 131, Issue 1, Pages 261-274 (January 2007) DOI: 10.1378/chest.06-0975 Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 1 The curves depict the increasing number of rigid bronchoscopies (green) performed in an interventional pulmonary practice (Beth Israel Deaconess Medical Center) over several years. The increase in the number of bronchoscopies is mirrored by the general increase in flexible bronchoscopic interventional procedures (red) performed over the same period of time. OR = operating room; PSPU = pulmonary special procedures unit. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 2 Granulation tissue is visible at the proximal end of a tracheal stent (top left). The tissue is coagulated with the help of argon plasma. The ignited arc working in a noncontact mode is seen (top right). The necrotic tissue (bottom left) is debrided mechanically with the help of large forceps (bottom right). CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 3 Top,A: a proximal view of a silicone stent within the right mainstem bronchus.Bottom,B: a distal view of a silicone stent within the bronchus intermedius. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 4 Top,A: squamous cell carcinoma with near complete occlusion of the left mainstem bronchus.Bottom,B: left mainstem bronchus after mechanical resection of the tumor tissue and placement of a metallic stent CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 5 A patient with a small endobronchial carcinomain situ. The white-light endoscopy (top,A) shows small raised lesions; they are much more clearly visible with the help of AFB (bottom,B). CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 6 Image of a transbronchial needle puncture of a small lymph node in the 10R position. The needle is guided by EBUS through a dedicated EBUS endoscope. A Doppler function clearly shows the neighboring vessel. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 7 Nodules seen on the diaphragmatic pleura during medical pleuroscopy in a patient who presented with a right pleural effusion. The biopsy specimen showed adenocarcinoma cells that were consistent with an ovarian origin. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 8 View of endobronchial one-way valves placed into the airways of a patient with heterogeneous emphysema. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 9 Axial CT scan image of a patient with a high-grade tracheal obstruction due to adenoid cystic carcinoma (top,A). The three-dimensional reconstruction (bottom,B) gives a much better understanding of the extent of the lesion, and allows for improved procedural and surgical planning. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 10 Typical images of an electromagnetically guided (superDimension) transbronchial lung biopsy. The parenchymal lesion is visible in sagittal, coronal, and axial views. The forward view in the lower right-hand corner gives the “bulls-eye” image when the targeted lesion is reached. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions

Figure 11 Narrow band image of an endobronchial severe dysplasia. Observe the clearly visible microvascular abnormalities. CHEST 2007 131, 261-274DOI: (10.1378/chest.06-0975) Copyright © 2007 The American College of Chest Physicians Terms and Conditions