An Unusual Presentation of Cervical Carcinoma Metastasis as Mediastinal Adenopathy
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Pancreaticopleural Fistula: The Formidable Liaison
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Recurrent Esophageal Adenocarcinoma With Circumferential Involvement of the Trachea
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Aortic Arch Pseudoaneurysm, a Complication of a Tracheal Expandable Stent (Wallstent)
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Diffuse Alveolar Hemorrhage as a Complication of Intrapleural Fibrinolytic Therapy
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

The Imitation Game: A 55-Year-Old Man With a Lung and Adrenal Mass
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Blue Bronchoscopy: Confirmation of Aberrant Pulmonary Lymphatic Perfusion During Lymphangiography
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Limitations of the Lung Cancer Screening Program in the Detection of Small Cell Lung Cancer
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Acute Respiratory Failure Due to Bronchial Obstruction by Mochi
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Reexpansion Pulmonary Edema as a Complication of Endobronchial Valve Placement
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Cynthia Diane Ray, MD, August 28, 1970—April 5, 2017: Erratum
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Erratum Source Type: research

Mucous Membrane Pemphigoid Causing Central Airway Obstruction
We describe a patient with undiagnosed MMP, with a near-fatal presentation of central airway obstruction causing acute respiratory distress. The patient was successfully treated with emergent rigid bronchoscopic resection of a ball valve-like endotracheal mass, and diagnosed with a rare variant of pemphigoid disease, MMP. The patient was treated with mycophenolate and was clinically in remission, with bronchoscopically stable lesions at 1 year of follow-up. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Endobronchial Ultrasound-guided Transbronchial Needle Injection of Liposomal Amphotericin B for the Treatment of Symptomatic Aspergilloma
Surgical treatment with lung resection has traditionally been the treatment of choice for pulmonary cavities containing aspergillomas that cause hemoptysis. Endobronchial ultrasound (EBUS) is a minimally invasive bronchoscopic technique that is commonly used for transbronchial needle aspiration of hilar and mediastinal lymph nodes as well as centrally located parenchymal lesions. Here, we describe a case of a 71-year-old woman who was found to have a cavitary lesion in the lung containing aspergillomas. Under direct ultrasound visualization with EBUS, liposomal amphotericin B was injected into the aspergillomas. These aspe...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Mediastinitis Following Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Mediastinitis is a rare complication of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Recent reports of infectious complications following EBUS-TBNA involved oropharyngeal bacteria. Here, we report 2 unusual cases of post-EBUS-TBNA mediastinitis involving Streptococcus pneumoniae and Pseudomonas aeruginosa, which were likely the result of direct inoculation of the organisms at the time of transbronchial needle aspiration. The first case was successfully treated with computed tomography-guided drainage and antibiotics, whereas the second case had>50% distal tracheal obstruction and near to...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Acute Exacerbation of Interstitial Lung Disease After Cryobiopsy
Cryotherapy has been used in treatment of lung cancer for decades. The utility of cryotechnology in diagnosis of lung diseases is emerging and gaining popularity. Cryobiopsy (CB) of the lung, when compared with conventional transbronchial forceps lung biopsy, has proposed to have a higher diagnostic yield in interstitial lung disease by providing larger biopsy specimen and less crush artifact. Acute exacerbation of interstitial lung disease (AEILD) has been well described with surgical lung biopsies and, rarely, with conventional transbronchial forceps biopsy. The incidence of AEILD after CB is not known. Here we are prese...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Use of Narrow Band Imaging in the Diagnosis of Hypovascular Endobronchial Sarcoidosis
We present the first case in which NBI was used, rather, to detect areas of bronchial hypovascularity due to its ability to increase the visual contrast between normal and hypovascular mucosa. Endobronchial biopsy of these nodules led to the diagnosis of sarcoidosis. Had conventional white light alone been utilized, the diagnosis would likely have been missed because not only were these lesions difficult to visualize under white light but transbronchial lung biopsy and transbronchial needle aspiration were unremarkable. We propose that NBI should be considered in the bronchoscopic evaluation of possible sarcoidosis or any ...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Venous-Airway Fistula With Aspergilloma: A Case of an Implanted Catheter Gone Bad
We report a case of a 56-year-old woman with pancreatic adenocarcinoma whose implanted catheter was complicated by the development of an azygo-bronchial fistula with a concomitant aspergilloma. Herein is the first reported case of successful venous-airway fistula closure obtained through silicone stenting. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Metastatic Endobronchial Ameloblastoma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Endobronchial Sarcoidosis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Comparison of Airway Measurements for Tracheobronchial Stenosis Between Stereoscopic Bronchoscope and MD-CT
Conclusion: Stereoscopic bronchoscopy was able to accurately measure the size of the airway during intervention, to assist in selecting the appropriate size of the stent. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Conventional Transbronchial Needle Aspiration: The Original Guard Who Still Has a Role in Mediastinal Lymph Node Sampling
Conclusions: This is one of the largest studies of C-TBNA in literature, and one of the few studies to define accurate pathologic diagnosis of enlarged MLN in India. This is also the one of the largest series to define the yield of TBNA with rapid-on-site evaluation in MLN sampling. Currently, in many parts of the world, C-TBNA is still the most common MLN sampling procedure, from an availability, expertise, economic, and safety perspective. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Usefulness of Medical Thoracoscopy in the Management of Pleural Effusion Caused by Chronic Renal Failure
Conclusions: MT represents a safe and effective diagnostic and therapeutic procedure in patients with CKD, that itself is a common cause of exudative effusion, and those patients may not require MT. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Prospective Randomized Trial Evaluating Ketamine for Adult Bronchoscopy
Conclusions: Ketamine is as safe and effective as fentanyl for adult analgesia and sedation during FFB. In light of this observation and the fact that ketamine does not cause hemodynamic suppression, like most sedative agents, and is a potent bronchodilator, should encourage its more widespread use for adult sedation during FFB. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Feasibility and Safety of Flexible Bronchoscopy Performed Via Tracheal Tubes in Patients With Tracheostomies: A Retrospective, Single-Center Experience
Conclusion: FB via tracheal tubes is a technically feasible and safe procedure that does not compromise patient oxygenation. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Incidence and Risk Factors of Hypoxemia During Interventional Rigid Bronchoscopy Under Spontaneous-assisted Ventilation
Conclusions: Incidence of intraoperative hypoxemia during interventional rigid bronchoscopy for tracheobronchial stenosis under spontaneous-assisted ventilation was 25.5%. Risk factors for hypoxemia were a degree of tracheal stenosis ≥75% and tumor removal procedure. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

The Effect of Dextromethorphan Premedication on Cough and Patient Tolerance During Flexible Bronchoscopy: A Randomized, Double-blind, Placebo-controlled Trial
Background: Patients undergoing bronchoscopy can experience problems such as anxiety and cough, requiring various doses of sedatives and analgesics. The purposes of this study were to investigate the effect of premedication with dextromethorphan on patients’ cough and anxiety, and the use of analgesics/sedatives during flexible bronchoscopy (FB). Methods: A randomized, double-blind, placebo-controlled, prospective study was performed to assess the effect of dextromethorphan premedication on patients who underwent diagnostic bronchoscopy. Seventy patients included in this study were randomly allocated into 2 groups: ...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Unique Challenges and Opportunities for Women in Interventional Pulmonology in 2017: The Door Is Open
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Editorials Source Type: research

Airway Stenting Revisited: 30 Years, the Age of Reason?
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2017 Category: Respiratory Medicine Tags: Editorials Source Type: research

Pulmonary Hemorrhage Treated With Oxidized Regenerated Cellulose
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Complete Heart Block Following Cold Saline Lavage During Bronchoscopy
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Mediastinal Hematoma Following Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

How Does the Doctor Feel?
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Where do Sutures Go? They Migrate and Erode!
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Image Characteristics of Lung Abscess by Convex-Probe Endobronchial Ultrasound
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Endobronchial Protrusion of an Amplatzer Plug After Embolization of the Pulmonary Artery
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Bronchogenic Cyst Abscess
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Going Off Road: The First Case Reports of the Use of the Transbronchial Access Tool With Electromagnetic Navigational Bronchoscopy
We report the first use of the transbronchial access tool that creates a pathway from the bronchial airway through the lung parenchyma into the targeted lung abnormality. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

An Expectorated “Stent”: An Unexpected Complication of EBUS-TBNA
We report a case of a retained foreign body from the unexpected separation of a distal spring/coil mechanism from the Olympus ViziShot Aspiration needle following early needle deployment within the working channel of the bronchoscope. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Removal of Intrapleural Foreign Body by Medical Thoracoscopy: Report of Two Cases and a Systematic Review of the Literature
Intrapleural foreign body is an uncommon condition, usually encountered in the setting of thoracic trauma, but can rarely complicate diagnostic procedures such as thoracentesis. The management involves urgent identification and removal of the foreign body. Although surgical extraction using thoracotomy or video-assisted thoracoscopic surgery under general anesthesia constitutes the primary management strategy, intrapleural foreign body can also be removed using medical thoracoscopy. Herein, we report the successful removal of 2 intrapleural foreign bodies using a rigid thoracoscope under local anesthesia and conscious seda...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Electromagnetic Navigational Bronchoscopy Spares a Drunken Crab From the Surgeon’s Knife
We present a case of a 56-year-old North American man who presented with a fluorodeoxyglucose-avid pulmonary nodule and sought a second opinion after being recommended thoracotomy with lobectomy. The peripheral nodule was biopsied using ENB and pathologic evaluation of the lesion demonstrated parasitic eggs with features of Paragonimus westermani. No evidence of malignancy was found. The radiographic abnormalities resolved after treatment with praziquantel. Using a minimally invasive procedure with ENB, we successfully diagnosed pulmonary infection with P. westermani, a rare infectious cause of peripheral pulmonary lesions...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Transbronchial Saline Injection to Allow Visualization and Biopsy of Peripheral Lung Nodule on Linear Endobronchial Ultrasound
Two peripheral lung nodules suspicious for lung cancer were noted in a patient. Surgical and CT-guided transthoracic needle biopsies were deemed to be high risk given advanced emphysema. The patient received nondiagnostic electromagnetic navigation bronchoscopy and endobronchial ultrasound (EBUS)-guided mediastinal needle biopsies. Repeat bronchoscopy was then performed. The lung nodules were difficult to visualize with both convex probe EBUS and electromagnetic navigation bronchoscopy guidance. Normal saline injection into vicinity of the peripheral lung nodule was then used in hopes of filling airspace with fluid and imp...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Bronchoscopic Findings in a Patient With Alkaptonuria: Black Bronchoscopy
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Primary Non-Hodgkin Lymphoma Presenting as a Carinal Mass
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

If Background Lung Abnormalities Do Not Affect the Presentation of Spontaneous Pneumothorax, Is Lung Resection Always Justified?
Conclusions: There is lack of association between resected lung pathology and mode of presentation. This suggests that discrete anatomic abnormalities may not be responsible for the air leak leading to pneumothorax. In conjunction with favorable reported outcomes from medical thoracoscopy and talc pleurodesis alone, these findings challenge the current practice of routine video-assisted thoracoscopic surgery lung resection in these patients. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Metastasis to the Lung From Carcinomas of Nonpulmonary Sites After Prolonged Disease-free Intervals
Conclusions: Carcinomas of nonpulmonary sites can metastasize to the lung after prolonged disease-free intervals and present as a solitary lung mass. The most common culprits are carcinomas of the kidney and endometrium. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Long-term Outcome of Short Metallic Stents for Lobar Airway Stenosis
Conclusions: We describe our positive experience with small stents for lobar airway stenosis; further prospective trials are required to evaluate the value of this novel modality of treatment. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Defining a Ventilation Strategy for Flexible Bronchoscopy on Mechanically Ventilated Patients in the Medical Intensive Care Unit
Conclusions: There was no clinically significant increase in EELV in any subject during FB. Decreases in EELV coincided with FB-suctioning maneuvers. Peak pressure limiting ventilation protected the subject against hyperinflation with a consequent, well-tolerated reduction in VT, and hypercapnea. Suctioning should be limited, especially in patients vulnerable to derecruitment effect. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Procedural Learning Perspectives of Pulmonary Fellows and Practitioners
Conclusions: Pulmonary fellows and practitioners we surveyed preferred a traditional course structure with cadaver/animal models and high-fidelity simulation training as compared with a flipped classroom model and low-fidelity simulators, but whether this holds true for the wider population is unknown. Larger studies are needed to validate learning perception with outcomes. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Influence of the Learning Effect on the Diagnostic Yield of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration of Mediastinal and Hilar Lymph Nodes
Conclusions: EBUS-TBNA can be considered as a reliable tool even if performed by operators without previous experience in this procedure, and the diagnostic yield continues to increase progressively over a long time. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Impact of EBUS-TBNA on PET-CT Imaging of Mediastinal Nodes
Conclusions: EBUS with biopsy do not necessarily result in PET activity. Therefore, PET-positive results should always be taken seriously, even when PET is performed shortly after biopsies. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research