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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

JALILIE, Alfredo; CARVAJAL, Juan Carlos; APARICIO, Rodrigo  y  MENESES, Manuel. Electrocautery and bronchoscopy as a first step for the management of central airway obstruction and associated hemoptysis. Rev. méd. Chile [online]. 2016, vol.144, n.11, pp.1417-1423. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872016001100007.

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.

Palabras clave : Bronchial Neoplasms; Bronchoscopy; Electrocoagulation; Hemoptysis; Lung Transplantation.

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