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Respiratory and thoracic endoscopy

22 articles

Bronchial thermoplasty

Bronchial thermoplasty is a bronchoscopic procedure delivering controlled radiofrequency heat to airway walls to reduce smooth muscle mass, a device treatment for severe asthma uncontrolled on inhaled corticosteroids.

Bronchoalveolar lavage

Bronchoalveolar lavage (BAL), also called bronchopulmonary lavage, is a bronchoscopic procedure in which saline is instilled and withdrawn to sample cells from the alveoli, diagnosing lung infections and interstitial disease.

Bronchoscopes

Bronchoscopes are flexible or rigid tubular endoscopes for examining and treating the tracheobronchial tree. Introduced rigidly by Killian (1897) and flexibly by Shigeto Ikeda (1967); now includes video, EBUS, and robotic platforms.

Bronchoscopic lung volume reduction

Bronchoscopic lung volume reduction (BLVR) is a bronchoscopic procedure that deflates hyperinflated, emphysematous lung regions in severe COPD using one-way valves, coils, sealants, or thermal vapor to improve breathing.

Bronchoscopy with biopsy

Bronchoscopy with biopsy is a procedure in which a bronchoscope is passed into the airways to obtain tissue for diagnosing lung cancer, sarcoidosis, and interstitial lung disease.

CT-CROP trial

CT-CROP (NCT02395939) trial: multicentre Australia-New Zealand randomized trial comparing R-EBUS guided cryobiopsy (Cryo-Radial) with CT-guided transthoracic biopsy for peripheral pulmonary lesions; similar diagnostic yield (85% vs 93.8%) with far fewer pneumothoraces (4.2% vs 44%).

Diagnostic bronchoscopy

Diagnostic bronchoscopy is an endoscopic procedure in which a bronchoscope inspects the airways and collects cells, secretions, and tissue to diagnose lung diseases, especially cancer and infection.

Endobronchial ultrasound

Endobronchial ultrasound (EBUS) is a bronchoscopic imaging technique that visualizes structures in and beyond the airway wall and guides biopsy of nearby lymph nodes and lung lesions.

Endoscopic lung volume reduction

Endoscopic lung volume reduction, also called bronchoscopic lung volume reduction, is a bronchoscopic procedure that collapses the most emphysematous lung regions to treat severe COPD.

Flexible bronchoscopy

Flexible bronchoscopy, also known as flexible fiberoptic bronchoscopy, is a pulmonary procedure in which a thin flexible endoscope is passed through the nose or mouth to visualize and sample the airways.

Mediastinoscopes

Mediastinoscopes: thin, lighted tube-like instruments inserted above the breastbone for mediastinoscopy, introduced by Carlens in 1959; used to biopsy mediastinal lymph nodes, chiefly for lung cancer staging, now often video-assisted (VAMLA).

Mediastinoscopy

Mediastinoscopy is a surgical procedure in which a rigid scope is inserted through a small neck incision to visualize and biopsy mediastinal lymph nodes, chiefly for lung cancer staging.

Mediastinotomy

Mediastinotomy, also known as anterior or parasternal mediastinotomy or the Chamberlain procedure, is a surgical biopsy of mediastinal lymph nodes through a left parasternal incision, reported in 1966.

Medical thoracoscopy

Medical thoracoscopy, also called pleuroscopy or local anesthetic thoracoscopy, is a minimally invasive endoscopic procedure performed under local anesthesia to inspect the pleura, drain fluid, take biopsies, and perform pleurodesis.

Navigation bronchoscopy

Navigation bronchoscopy is an image-guided bronchoscopic technique combining CT-based airway maps with real-time instrument tracking to reach peripheral lung lesions, with a pooled diagnostic yield of 70.9%.

Navigational bronchoscopy

Navigational bronchoscopy is a bronchoscopic technique that uses CT-derived airway maps and real-time image guidance to reach peripheral lung lesions for biopsy, with a diagnostic yield around 70%.

Pleural biopsy

Pleural biopsy is a diagnostic procedure that samples the pleura lining the chest wall to find the cause of a pleural effusion, most often tuberculosis or pleural cancer.

Radial probe endobronchial ultrasound

Radial probe endobronchial ultrasound, also known as radial EBUS, is a bronchoscopic ultrasound technique using a 20 MHz probe to localize peripheral lung lesions before biopsy.

Rigid bronchoscopy

Rigid bronchoscopy inserts a hollow metal tube through the mouth into the trachea and central airways, usually under general anesthesia, to remove foreign bodies and treat airway lesions.

Thoracoscopes

Thoracoscopes (pleuroscopes) are endoscopes for examining the pleural cavity, first used by Jacobaeus in 1910. Rigid, semirigid, and mini instruments differ in biopsy size, maneuverability, and diagnostic yield for pleural disease.

Thoracoscopy

Thoracoscopy is an endoscopic procedure in which a scope is passed through the chest wall into the pleural cavity to inspect, biopsy, and treat pleural and lung disease.

Transbronchial needle aspiration

Transbronchial needle aspiration (TBNA) is a bronchoscopic procedure in which a needle samples lung, hilar, or mediastinal lesions, mainly to diagnose and stage lung cancer.