Use of endobronchial electrocautery for the palliation of airway obstruction due to metastases from nonpulmonary malignancies

Luis I. De La Cruz, Adriana Pereira, Bruce P. Krieger

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Metastatic lesions from nonpulmonary neoplasms can involve the airways and frequently cause symptomatic airway obstruction. Several endobronchial therapeutic interventions are available that use either a rigid or flexible bronchoscope. We evaluated the use of endobronchial electrocautery (EC) via flexible bronchoscopy (FB) in patients with airway obstruction caused by metastases from nonpulmonary malignancies. This is a retrospective review of 13 consecutive patients who presented with symptomatic airway obstruction caused by metastasis from a nonpulmonary malignancy between April 1999 and October 2004. A total of 26 procedures were performed for 41 obstructive lesions. The indications for bronchoscopic examination were atelectasis (11), hemoptysis (8), or both (7). Renal cell carcinoma was the primary carcinoma in 6 patients, melanoma in 2 patients, and breast, bladder, ovary, epiglottis, and uterine carcinoma, 1 in each of the remaining 5 patients. The majority of procedures (15) were performed on outpatients. Twelve procedures were performed on inpatients, of which 3 were intubated. All procedures used endobronchial EC via FB. One procedure also included balloon dilation after endobronchial EC. A complete response was achieved after 7 EC procedures and a partial response after 15 procedures, resulting in an overall response rate of 85%. There were no procedure-related fatalities, but moderate bleeding was encountered during 3 procedures (12%) in 2 patients. Endobronchial EC using an FB is a safe, effective, and relatively inexpensive palliative therapy in patients with symptomatic airway obstruction due to metastases from nonpulmonary malignancies.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalJournal of Bronchology
Volume13
Issue number3
DOIs
StatePublished - Jul 1 2006

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Electrocoagulation
Airway Obstruction
Neoplasm Metastasis
Neoplasms
Bronchoscopy
Epiglottis
Carcinoma
Bronchoscopes
Pulmonary Atelectasis
Hemoptysis
Palliative Care
Renal Cell Carcinoma
Inpatients
Dilatation
Ovary
Melanoma
Urinary Bladder
Breast
Outpatients
Hemorrhage

Keywords

  • Airway obstruction
  • Bronchial neoplasms
  • Bronchoscopy
  • Electrocautery
  • Electrosurgery

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Use of endobronchial electrocautery for the palliation of airway obstruction due to metastases from nonpulmonary malignancies. / De La Cruz, Luis I.; Pereira, Adriana; Krieger, Bruce P.

In: Journal of Bronchology, Vol. 13, No. 3, 01.07.2006, p. 124-127.

Research output: Contribution to journalArticle

De La Cruz, Luis I. ; Pereira, Adriana ; Krieger, Bruce P. / Use of endobronchial electrocautery for the palliation of airway obstruction due to metastases from nonpulmonary malignancies. In: Journal of Bronchology. 2006 ; Vol. 13, No. 3. pp. 124-127.
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