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Cryotherapy

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Interventions in Pulmonary Medicine

Abstract

Cryotherapy refers to the application of cold with therapeutic purposes. It is an old method used in different fields in medicine taking advantage of the properties of the cold. In pulmonary medicine, its main application is the resection of malignant endobronchial obstruction. Cryotherapy produces tissue destruction by applying cycles of freezing and thawing and has a local cytotoxic effect that ultimately results in cellular death. Compared to other endoscopic therapies, conventional cryotherapy belongs to the so-called slow methods to treat intraluminal tumors, along with brachytherapy and photodynamic therapy. New modalities of cryotherapy application can result in fast opening: cryoablation and cryospray. Cryotherapy can be applied alone or in combination with other therapeutic options such as laser and brachytherapy. It is a safe and low-cost method whose strengths and limitations will be discussed in this chapter.

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References

  1. Rodgers BM, Moazam F, Talbert JL. Endotracheal cryotherapy in the treatment of refractory airway strictures. Ann Thorac Surg. 1983;35:52–7.

    Article  PubMed  CAS  Google Scholar 

  2. Agge AA. Cryotherapy for cancer. In: Rand R, Rinfret A, von Leden H, editors. Cryosurgery. Springfield, IL: Charles C. Thomas; 1968. p. 376–87.

    Google Scholar 

  3. Neel HB, DeSanto LW, Sanderson DR, et al. Cryosurgery of respiratory strictures. I Cryonecrosis of trachea and bronchus. Laryngoscope. 1973;83:1062–71.

    Article  PubMed  Google Scholar 

  4. Homasson JP, Renault P, Angebault M, Bonniot JP, Bell NJ. Bronchoscopic cryotherapy for airway strictures caused by tumors. Chest. 1986;90:159–64.

    Article  PubMed  CAS  Google Scholar 

  5. Rodgers BM, Talbert JL. Clinical application of ­endobronchial cryotherapy. J Pediatr Surg. 1978;13:662–8.

    Article  PubMed  CAS  Google Scholar 

  6. Thommford NR, Wilson WH, Blackburn ED. Morphological changes in canine trachea after freezing. Cryobiology. 1970;7:19–26.

    Article  Google Scholar 

  7. Gorenstein A, Neel II HB, Sanderson DR. Transbronchoscopic cryosurgery: development of a new technique. Surg Forum. 1975;26:534–7.

    PubMed  CAS  Google Scholar 

  8. Mazur P. The role of intracellular freezing in the death of cells cooled at supra optimal rates. Cryobiology. 1977;14:251.

    Article  PubMed  CAS  Google Scholar 

  9. Miwand MO, Homasson JP. Cryotherapy for tracheobronchial disorders. Clin Chest Med. 1995;16(13):427–43.

    Google Scholar 

  10. Vergnon JM, Schmitt T, Alamartine E, et al. Initial combined cryotherapy and irradiation of unresectable non-small cell lung cancer: preliminary results. Chest. 1992;102:1436–40.

    Article  PubMed  CAS  Google Scholar 

  11. Homasson JP, Pecking A, Roden S, et al. Tumor fixation of bleomycin labeled with 57 cobalt before and after cryotherapy of bronchial carcinoma. Cryobiology. 1992;29:543–8.

    Article  PubMed  CAS  Google Scholar 

  12. Marasso A, Gallo E, Massaglia GM, Onoscuri M, Bernardi V. Cryosurgery in bronchoscopic treatment of tracheobronchial stenosis. Indications, limits, personal experience. Chest. 1993;103:472–4.

    Article  PubMed  CAS  Google Scholar 

  13. Mayer T, Matlak ME, Dixon J, Johnsos DG, McCloskey D. Experimental subglottic stenosis: histopathologic and bronchoscopic comparison of electrosurgical, cryosurgical, and laser resection. J Pediatr Surg. 1980;15:944–52.

    Article  PubMed  CAS  Google Scholar 

  14. Du Rand IA, Barber PV, Goldring J, Lewis RA, Mandal S, Munavvar M, Rintoul RC, Shah PL, Singh S, Slade MG, Woolley A, On behalf of the British Thoracic Society Interventional Bronchoscopy Guideline Group. British Thoracic Society guideline for advanced diagnostic and therapeutic flexible bronchoscopy in adults. Thorax 2011;66(Suppl 3):iii1–21.

    Google Scholar 

  15. Babiak A, Hetzel J, Krishna G, et al. Transbronchial cryobiopsy: a new tool for lung biopsies. Respiration. 2009;78:203–8.

    Article  PubMed  Google Scholar 

  16. Schumann C, Mattfeldt T, Hetzel M, Hetzel J, Lepper PM. Improving the diagnostic yield of endobronchial biopsies by flexible cryoprobe in lung cancer-comparison of forceps and cryoprobe technique. Eur Respir J. 2004;24(48):S491.

    Google Scholar 

  17. Scumann C, Hetzel J, Babiak A, Merk T, Wibmer T, Moller P, Lepper P, Hetzer M. Cryoprobe biopsy increases the diagnostic yield in endobronchial tumor lesions. J Thorac Cardiovasc Surg. 2010;140:487–8.

    Article  Google Scholar 

  18. Pajares V, Torrego A, Puzo C, Lerma E, Bernabé MÀGD, Franquet T. Transbronchial lung biopsy using cryoprobes. Arch Bronconeumol. 2010;46(3):111–5.

    Article  PubMed  Google Scholar 

  19. Franke KJ, Nilius G, Ruhle KH. Use of cryoextraction in different types of airway obstruction. Pneumologie. 2010;64:387–9.

    Article  PubMed  Google Scholar 

  20. Johnston MH, Easton JA, Horwhat JD, Cartledge J, Mathews JS, Foggy JR. Cryoablation of Barrett’s esophagus: a pilot study. Gastrointest Endosc. 2005;62:842–8.

    Article  PubMed  Google Scholar 

  21. Fernando HC, Dekeratry D, Downie G, Finley D, Sullivan V, Sarkar S, Rivas Jr R, Santos RS. Feasibility of spray cryotherapy and balloon dilation for non-malignant strictures of the airway. Eur J Cardiothorac Surg. 2011 Nov;40(5):1177–80.

    PubMed  Google Scholar 

  22. Krimsky WS, Broussard JN, Sarkar SA, Harley DP. Bronchoscopic spray cryotherapy: assessment of safety and depth of airway injury. J Thorac Cardiovasc Surg. 2010;139:781.

    Article  PubMed  Google Scholar 

  23. Finley DJ, Dycoco J, Sarkar S, Krimsky WS, Sherwood JT, Dekeratry D, Downie G. Atwoodj, Fernando HC. Rusch VW Airway spray cryotherapy: initial outcomes from multi-institutional registry Ann Thorac Surg. 2012;94(1):199–203.

    Google Scholar 

  24. Finley D, Dycoco J, Huang J, Chawla M, Rizk N, Sarkaria I, Bains M, Rusch V. Spray Cryotherapy for malignant airway obstruction: A single institutional experience. Chest 2011;140(4_MeetingAbstracts):483A--483A. doi: 10.1378/chest.1119897.

    Google Scholar 

  25. Vergnon J-M, Huber RM, Moghissi K. Place of cryotherapy, brachytherapy and photodynamic therapy in therapeutic bronchoscopy of lung cancers. Eur Respir J. 2006;28:200–18.

    Article  PubMed  Google Scholar 

  26. Sanderson DR, Neel III HB, Fontana RS. Bronchoscopic cryotherapy. Ann Otol. 1981;90: 354–8.

    CAS  Google Scholar 

  27. Mathur PN, Wolf KM, Busk MF, Briete WM, Datzman M. Fiberoptic bronchoscopic cryotherapy in the management of tracheobronchial obstruction. Chest. 1996;110:718–23.

    Article  PubMed  CAS  Google Scholar 

  28. Maiwand MO, Zehr KJ, Dyke CM, et al. The role of cryotherapy for airway complications after lung and heart-lung transplantation. Eur J Cardiothorac Surg. 1997;12:549–54.

    Article  PubMed  CAS  Google Scholar 

  29. Homasson JP, Roden S, Angebault M, Thuy MP, Phuong TN. Treatment of bronchial tumors with high-frequency thermocoagulation. Preliminary studies. Rev Pneumol Clin. 1995;51:77–81.

    PubMed  CAS  Google Scholar 

  30. Ozenne G, Vergnon JM, Roullier A, et al. Cryotherapy of “in situ” or microinvasive bronchial carcinoma. Chest. 1990;98:105S.

    Article  Google Scholar 

  31. Deygas N, Froudarakis ME, Ozenne G, Jouve S, Fournel P, Vergnon JM. Cryotherapy in early superficial bronchogenic carcinoma. Chest 2001;120(1):26–31.

    Google Scholar 

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Correspondence to Jose Pablo Díaz-Jimenez M.D., Ph.D., F.C.C.P. .

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Díaz-Jimenez, J.P., Mezalek, R.T. (2013). Cryotherapy. In: Díaz-Jimenez, J., Rodriguez, A. (eds) Interventions in Pulmonary Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6009-1_8

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  • DOI: https://doi.org/10.1007/978-1-4614-6009-1_8

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