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Complications of endobronchial neodymium-yag (Nd:Yag) laser application

  • Laser Application In Bronchoscopy And Thoracic Surgery
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Abstract

Endobronchial Nd:Yag laser therapy is an excellent tool to reopen the central airway(s) in patients with severe respiratory symptoms caused by endobronchial tumor growth. Rigid bronchoscopy should be the method of choice. Usually general anesthesia is necessary. Complication rate depends on the condition of the patient, the localization of the tumor, patient selection criteria, method of endoscopy, method of anesthesia, method of laser energy application, and last but not least, the operator’s skills and the treating team’s cooperation. A very careful monitoring of the patient’s condition during and after the operative procedure is mandatory. Only when all these conditions are fulfilled can endobronchial Nd:Yag laser therapy have a great benefit for the patient with a low grade, acceptable complication rate.

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References

  1. Toty L, Personne C, Hertzog P, Colchen A, Lotteaw J, Romanelli J, et al (1979) Utilisation d’un faisceau laser (YAG) a conducteur souple, pour le traitment endoscopique de certaines lésions trachéobronchiques. Rev Fr Mal Respir 7:57

    PubMed  CAS  Google Scholar 

  2. Toty L, Personne C, Colchen A, Le Roy M, Vourc’h G (1980) Indications et résultats de l’emploi d’un laser YAG en bronchologie: a propos de 89 cas. Rev Fr Mal Respir 8:201.

    PubMed  CAS  Google Scholar 

  3. Dumon JF, Reboud E, Garbe L, Aucomte F, Meric B (1982) Treatment of tracheobronchial lesions by laser photoresection. Chest 81:278

    Article  PubMed  CAS  Google Scholar 

  4. Hetzel MR, Millard FJC, Ayesh R, Bridges CE, Nonson EM, Swain CP, et al (1983) Laser treatment for carcinoma of the bronchus. Br Med J (Clin Res) 286:12

    Article  CAS  Google Scholar 

  5. Oho K, Ogawa I, Amemiya R, Ohtani T, Yamada R, Taira O (1983) Indications for endoscopic Nd-Yag laser surgery in the trachea and bronchus. Endoscopy 15:302

    Article  PubMed  CAS  Google Scholar 

  6. Gelb AF, Epstein JD (1984) Laser in treatment of lung cancer. Chest 86:662

    Article  PubMed  CAS  Google Scholar 

  7. Parr GVS, Unger M, Trout RG, Atkinson WG (1984) One hundred neodymium-Yag laser ablations of obstructing trachea neoplasms. Ann Thorac Surg 38:374

    Article  PubMed  CAS  Google Scholar 

  8. Wolfe WG, Cole PH, Sabinston DC Jr (1984) Experimental and clinical use of the YAG laser in the management of pulmonary neoplasms. Ann Surg 199:526

    Article  PubMed  CAS  Google Scholar 

  9. Arabian A, Spagnolo SV (1984) Laser therapy in patients with primary lung cancer. Chest 86:519

    Article  PubMed  CAS  Google Scholar 

  10. Brutinel WM, Cortese DA, McDongall JC, Gillio RG, Bergstrahl EJ (1987) A two year experience with the neodym-YAG laser in endobronchial obstruction. Chest 91:159

    Article  PubMed  CAS  Google Scholar 

  11. Emslander HP (1986) Nd:Yag laser applications via flexible endoscopes. Tumor Diagn U Ther 7(Suppl. 1):29

    Google Scholar 

  12. Steppling H (1988) Endobronchiale lasertherapie. Dtsch med Wschr 113:1194

    Article  PubMed  CAS  Google Scholar 

  13. Brutinel WM, McDougall JC, Cortese DA (1983) Bronchoscopic therapy with neodymium-yttrium-aluminum-garnet laser during intravenous anesthesia: effect on arterial blood gas levels, pH, hemoglobin saturation and production of abnormal hemoglobin. Chest 84:518

    Article  PubMed  CAS  Google Scholar 

  14. Goldberg M (1988) Endoscopic laser treatment for bronchogenic carcinoma. Surgical Clinics of North America 68(3):635

    PubMed  CAS  Google Scholar 

  15. Gibbs NM, Braunegg PW, Hensley FA, Larach DR (1988) Hazards associated with using CO2 gas as the cooling gas during endobronchial Nd:Yag laser therapy. Anesthesiology 68:966

    Article  PubMed  CAS  Google Scholar 

  16. Dumon JF, Shapshay S, Bourcereau J, Cavaliere S, Meric B, Garbi N, et al (1984) Principles for safety in application of neodymium-YAG laser in bronchology. Chest 86:163

    Article  PubMed  CAS  Google Scholar 

  17. McDougall JC, Cortese DA (1983) Neodymium-YaAG laser therapy of malignant airway obstruction: a preliminary report. Mayo Clin Proc 58:35

    PubMed  CAS  Google Scholar 

  18. Joyner LR, Maran AG, Sarama R, Yakaboski A (1985) Neodymium-YAG laser treatment of intrabronchial lesions. A new mapping technique via the flexible fiberoptic bronchoscope. Chest 87:418

    Article  PubMed  Google Scholar 

  19. Personne C, Colchen A, Leroy M, Vourc’h G, Toty L (1986) Indications and technique for endoscopic laser resections in bronchology. J Thorac Cardiovasc Surg 91:710

    PubMed  CAS  Google Scholar 

  20. Dierkesmann R, Huzly A (1983) Technik der endobronchialen Laser Behandlung. Prax Klin Pneumol 37:211

    PubMed  CAS  Google Scholar 

  21. Dierkesmann R, Huzly A (1985) Side effects of endobronchial laser treatment. Endoscopy 17:49

    Article  PubMed  CAS  Google Scholar 

  22. Mihashi S, Ueda S, Hirano M, Tomita Y, Hirohata T (1981) Some problems about condensates induced by CO2 laser irradiation. Laser-Tokyo ’81. The 4th Congress of the International Society for Laser Surgery. 2.25.

  23. Freitag L, Chapman GA, Sielczak M, Ahmed A, Russin D (1987) Laser smoke effect on the bronchial system. Lasers in Surgery and Medicine 7:283

    Article  PubMed  CAS  Google Scholar 

  24. Ross J, Mohsenifar Z, Potkin RT, Roston WL, Shapiro SM, Alexander JM (1988) Pathogenesis of cerebral air embolism during neodymium-Yag laser photoresection. Chest 94(3):660

    Article  PubMed  CAS  Google Scholar 

  25. Denton RA, Dedhia HV, Abrons HL, Jain PR, Lapp NL, Teba L (1988) Long-term survival after endobronchial fire during treatment of severe malignant airway obstruction with the Nd:Yag laser. Chest 94:1086

    Article  PubMed  CAS  Google Scholar 

  26. Mehta AC, Grimm M (1988) Breakage of ND-Yag laser sapphire contact probe inside the endobronchial tree. Chest 93(5):1119

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Pulmonary Diseases, St. Antonius Hospital, Nieuwegein, The Netherlands

    R. G. J. R. A. Vanderschueren & C. J. J. Westermann

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  1. R. G. J. R. A. Vanderschueren
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  2. C. J. J. Westermann
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Vanderschueren, R.G.J.R.A., Westermann, C.J.J. Complications of endobronchial neodymium-yag (Nd:Yag) laser application. Lung 168 (Suppl 1), 1089–1094 (1990). https://doi.org/10.1007/BF02718248

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