Interventional bronchology

In our center for endoscopic lung and thorax interventions besides the conventional, purely diagnostic video bronchoscopies mainly interventional therapeutic procedures are performed. The interventional bronchology is offered together in cooperation with the Department of Pneumology by a interdisciplinary team.

Diagnostic:

Endobronchial ultrasound (EBUS)

Besides the material extraction for histologic, cytologic, microbiologic and molecular-biologic examinations by conventional video-bronchoscopy in particular also neighboring alterations outside the directly accessible bronchial walls can be imaged and targeted punctured by means of endobronchial ultrasound (EBUS). This is of high significance for the diagnosis of lung cancer and the exact planning of further proceedings. But also in other diseases such as infections this is a very important diagnostic method.

Therapeutic:

Laser therapy and stent placement in case of closed respiratory passages because of rigid bronchoscopy

This is about the local treatment of sometimes benign but in most cases  malignant diseases of respiratory passages, both for palliative reasons or as an intermediate measure before a planned additional therapy. The respiratory passages, which are partially completely closed due to the tumor, are opened again and remain open due to the placement of a stent. The access takes place through the mouth into trachea to the central rspiratory tract through a rigid bronchoscopy tube. The procedure is performed under anestethics.

Starre Bronchoskopie Ideopathische subglottische Trachealstenose.jpg








 

 

 

Rigid bronchoscopy: Ideopathic subglottic tracheal stenosis.


Postinterventionell nach Inzision mit elektrischem Messer und Dilatation mit dem starren Rohr.jpg 

 

 

 

 


 

 

Immediately post intervention: after incision with an electric knife and dilatation with the rigid tube.

 

Emphysema therapy

On the other side interdisciplinary selected patients undergo a procedure - alternatively to the surgical therapy of the lung emphysema - in which the most overinflated and thereby destroyed lung areas are influenced with valves or coils in order to let them collapse. In this way there is subsequently more room for the less affected lung parts what patients subjectively also feel as decrease of respiratory distress.

Among the routinely used instruments are rigid and flexible high-resolution video-endoscopes, fluorescence endoscopes, ultrasound endoscopes, laser, argon plasma coagulators, dilatation balloons and cryotherapy devices. For treatment of bronchial narrowness (e.g. due to tumors) there is the possibility of placing a stent.


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