Temporary Endobronchial Stent as a Bridge to Corrective Surgery For Severe Kyphoscoliosis-associated Central-Airway Extrinsic Compression
Kyphoscoliosis is known to compromise lung function, with the primary mechanism being reduced chest wall compliance with a resultant restrictive pulmonary physiology. Severe scoliosis can also cause extrinsic compression of the central airways, leading to recurrent respiratory infections, lobar atelectasis, and potentially acute respiratory failure. Definitive therapy is corrective surgery of the spine. However, patients with severe scoliosis are at a potentially high risk of perioperative pulmonary complications. To our knowledge, we report the first successful use of retrievable endobronchial stents as a bridge to correc...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Hemothorax After Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
In this report, we describe a case of hemothorax after endobronchial ultrasound-guided transbronchial needle aspiration in a patient with a right upper lobe mass. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Unilateral Emphysema in Infancy, a Rare Presentation of Aberrant Bronchial Artery: Case Report and Review of Literature
We report a case of a 1-month-old infant presented with respiratory distress and left lung emphysema. Radiologic investigations and bronchoscopy revealed that the cause is an aberrant left bronchial artery compressing the left main bronchus. Surgical division of the aberrant vessel was performed with gradual improvement of the emphysema and respiratory distress. Unilateral emphysema due to vascular compression was previously reported. However, to the best of our knowledge, this is the first reported case of aberrant bronchial artery presenting with external compression of a main bronchus and unilateral emphysema. Also, thi...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Pseudomembranous Tracheobronchitis: A Rare Presentation of Pseudomonas aeruginosa Infection
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Incidental Life-Threatening Diagnosis During Endobronchial Ultrasound Bronchoscopy
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Small Sample Lung Biopsy Findings in Patients With Clinicoradiologic Suspicion of Pulmonary Venoocclusive Disease–Pulmonary Capillary Hemangiomatosis
In conclusion, histopathology of small lung biopsy samples can provide useful corroborative pathologic evidence in patients with clinicoradiologic suspicion of PVOD-PCH. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

EBUS-TBNA and EUS-FNA: Risk Assessment for Patients Receiving Clopidogrel
Conclusions: It is reasonable to proceed with EBUS-TBNA or EUS-FNA when both, (1) clopidogrel cannot be stopped and, (2) an important diagnostic question is at stake. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Congestive Adenopathy: A Mediastinal Sequela of Volume Overload
Background: Endosonography has improved our ability to reach thoracic lymph nodes and to diagnose pathologic conditions with nodal involvement and has lowered the threshold for biopsy. The purpose of this study was to avoid unnecessary procedures, it is important to recognize benign adenopathy. Congestive heart failure (CHF) is both common and a common cause of adenopathy. The purpose of this study was to study the association between CHF and adenopathy and to describe the typical presentation of congestive adenopathy. Methods: We performed a retrospective correlation of computed tomographic (CT) and laboratory findings f...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

CD4/CD8 Ratio in Mediastinal Lymph Nodes Involved by Sarcoidosis: Analysis of Flow Cytometry Data Obtained by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Conclusion: As in BAL fluid, the CD4/CD8 ratio in mediastinal lymph nodes involved by sarcoid granulomas is highly variable and does not reliably confirm or exclude sarcoidosis. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Teflon Injection into the Trachea Causes Predictable Fibroblastic Response and Collagen Deposition: A Pilot Study
Background: Expiratory central airway collapse is an increasingly recognized abnormality of the central airways and may be present in as many as 22% of patients evaluated for chronic obstructive pulmonary disease and/or asthma. Many current treatment options require invasive procedures that have been shown to cause significant morbidity and mortality. To test the hypothesis that Teflon injection will induce sufficient fibroblast proliferation and collagen deposition, we evaluated the time course on the effect of Teflon injection in the posterior membranous trachea on the histopathology of the tracheobronchial tree. Method...
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Removal of Self-Expanding Metallic Stents
Conclusions: Removal of SEMS can be done safely. Routine postoperative ventilation and intensive care unit monitoring is not required. In the absence of severe underlying lung disease, patients can safely be discharged if there are no immediate postprocedure complications. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Randomization in Diagnostic and Therapeutic Interventional Pulmonary Trials
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Perspective Source Type: research

The When, the How and the Why of Metallic Stent Removal
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Epidemiology and Statistical Pearls for Interventional Pulmonologists: Combining the Tools of the Mind With the Tools of the Trade
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Endobrochial Ultrasound Needle Breakdown During Transbronchial Needle Aspiration
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Endobronchial Diagnosis of a Malignant Mesothelioma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Endobronchial High-Grade Non-Hodgkin’s Lymphoma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Lung Abscess Causing Airway Obstruction Requiring Temporary Tracheobronchial Stenting
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Endobronchial Valve Migration: A “Whistle Blower”
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

A Curious Case of a Low-Protein Pleural Effusion
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

The American Association for Bronchology and Interventional Pulmonology 2016 Research Award Recipient
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Announcement Source Type: research

Endobronchial Ultrasound Bronchoscope Damage
We describe 2 unusual cases of EBUS scope damage. In the first case, the distal black rubber covering of the EBUS scope insertion tube was damaged due to friction with the edge of an endotracheal tube and in the second case, the EBUS scope insertion tube was angulating laterally instead of vertically during the flexion maneuver, probably due to scope manipulation while wedged tightly in a segmental bronchus. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Intrapulmonary Recombinant Factor VII as an Effective Treatment for Diffuse Alveolar Hemorrhage: A Case Series
Conclusions: Intrapulmonary factor VII is an effective adjunctive treatment for DAH. We achieved treatment success with both smaller and less frequent doses than those described previously. This may be a good therapeutic option for DAH, particularly when standard therapies have failed or bleeding is immediately life threatening. It is possible that intrapulmonary rFVIIa could save costs, while improving the intensive care unit length of stay. Further prospective studies are needed to assess the optimal dose and frequency for adequate therapeutic efficacy. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Development and Assessment of a Low-Cost 3D-printed Airway Model for Bronchoscopy Simulation Training
We report upon the techniques used to create a plastic 3-dimensional-printed bronchoscopy trainer from an actual patient computed tomography scan. The formatting methods to create the printable file, using free open access software, are outlined. The resulting high anatomic fidelity part-task trainer is described, as well as experienced bronchoscopists' perception of its realism and utility as a training tool. A discussion of the current state of knowledge about the role of simulation in bronchoscopy training, as well as the potential contribution of this device, is presented. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Electromagnetic Navigation Bronchoscopy–directed Pleural Tattoo to Aid Surgical Resection of Peripheral Pulmonary Lesions
Conclusions: Electromagnetic navigation bronchoscopic dye marking of peripheral lesions is feasible, without complications commonly associated with percutaneous marking procedures. Further experience is required but early findings suggest that this method may have utility in aiding minimally invasive resection of small subpleural lesions. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

How Long Is Too Long? Trials and Tribulations of an Indolent Tumor
A 31-year-old African American man presented for workup of a right hilar and tracheal mass. Stability of the mass when compared with a computed tomographic scan performed 3 years prior suggested an indolent process. On bronchoscopy, there were 2 separate although morphologically similar endobronchial lesions, one in the distal trachea and the second at the level of the right upper lobe bronchus. Biopsies of both lesions demonstrated granular cell tumors. Subsequent rigid bronchoscopy with ablation led to resolution of wheeze, decrease in dyspnea, and documented improvements in both ventilation and perfusion to the right lu...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Novel Multidisciplinary Management of a Retropharyngeal Hematoma With Pulmonary Stenting
Summary: Retropharyngeal hematomas (RHs) represents a rare airway obstruction that requires timely intervention to avoid a fatal outcome. Further complicating this malady, RHs of massive proportions can complicate the decision of management selection. After comprehensive literature search, there has been no mention of pulmonary stenting as an intervention for RH. The following case presentation will demonstrate the importance of multidisciplinary management of a 60-year-old presenting with a RH causing airway obstruction, with the use of a novel approach. Airway stenting is a novel, conservative approach for successfully m...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

A Young Woman With Severe Chest Pain After Undergoing Endobronchial Ultrasound-guided Transbronchial Needle Aspiration for a Large Mediastinal Mass
We present a case in which EBUS-TBNA was performed for a definitive diagnosis of cystic lesion in the mediastinum. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Subglottic Hemangioma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Images In Interventional Pulmonology Source Type: research

Calcified Mediastinal Metastasis of Ovarian Cancer Mimicking Broncholithiasis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Images In Interventional Pulmonology Source Type: research

Ultrasound-guided Lung Biopsy in the Hands of Respiratory Physicians: Diagnostic Yield and Complications in 215 Consecutive Patients in 3 Centers
Conclusion: US-TTNAB performed by respiratory physicians is a safe procedure with a low risk of complications and the diagnostic yield to establish a malignant diagnosis is acceptable. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Topical Lidocaine Does Not Exaggerate Laryngomalacia in Infants During Flexible Bronchoscopy Under Propofol Anesthesia
Conclusions: The assessment of laryngomalacia is not affected by topical lidocaine under propofol anesthesia. The lidocaine effect on laryngomalacia may vary depending on the medication regime used and the depth of procedural sedation. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Site of Bronchoalveolar Lavage Via Flexible Bronchoscopy and Fluid Return in Children
Background: Despite its widespread use as a diagnostic tool, the procedure for bronchoalveolar lavage (BAL) via flexible bronchoscopy is not standardized in children. Our objective was to examine the dissimilarities in fluid return between the different lobes in children undergoing flexible bronchoscopies with BAL. Methods: We conducted a review of all pediatric flexible bronchoscopies with BAL conducted at a single institution over a 2-year period. Our predictor of interest was the site of the BAL. Our outcome of interest was the percent of fluid return. We used 1-way analysis of variance with subsequent pairwise compari...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Transbronchial Cryobiopsy in Interstitial Lung Disease: Are We on the Right Path?
Conclusions: A transbronchial lung cryobiopsy using a flexible cryoprobe has a good diagnostic yield and might be an alternative to consider in cases of diffuse ILD in which a histologic sample is required for diagnosis. This technique could avoid a large number of surgical biopsies. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Intrabronchial Infusion of Autologous Blood Plus Thrombin for Intractable Pneumothorax After Bronchial Occlusion Using Silicon Spigots: A Case Series of 9 Patients With Emphysema
Conclusion: Intrabronchial infusion of autologous blood plus thrombin was effective for intractable pneumothoraces that could not be clinically managed, even by bronchial occlusion using silicon spigots. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Safety and Efficacy of Radial EBUS for the Investigation of Peripheral Pulmonary Lesions in Patients With Advanced COPD
Conclusion: R-EBUS is safe and accurate for the investigation of PPL in patients with advanced COPD. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Fellowship Training in Lung Transplantation
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Recommendation of Combination of Radial Endobronchial Ultrasound With Virtual Bronchoscopic Navigation
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Cyst Rupture After Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Extramedullary Plasmacytoma Presenting With Acute Airway Compromise, Treated With Emergent Rigid Bronchoscopic Resection
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

The pH-Glucose Relationship in Malignant Pleural Effusion
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Management of Noncommunicating Multiloculated Pleural Space Infection With Fibrinolytic Augmented Multiple Chest Tube Drainage
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

An Unusual Cause of Hemoptysis: Tracheopathia Osteochondroplastica
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Editorial Excellence Award Journal of Bronchology & Interventional Pulmonology
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Announcement Source Type: research

Fiducial Marker Placement Via Convex Probe EBUS
The efficacy of low-dose computed tomography screening is likely to increase the number of early-stage lung cancers identified. The aging population, as well as increase in number of patients with multiple comorbidities, suggests that nonsurgical techniques such as stereotactic body radiotherapy will be vital in treating such malignancies. Convex probe endobronchial ultrasound facilitates the identification of mediastinal and hilar lymph nodes, in addition to central lung tumors. Using a simple modification of the transbronchial needle aspiration technique, we describe a method for placing fiducial markers into isolated ce...
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Tools of the Trade Source Type: research

Negative EBUS-TBNA Predicts Very Low Prevalence of Mediastinal Disease in Staging of Non–Small Cell Lung Cancer
Conclusion: The prevalence of mediastinal nodal disease following negative EBUS-TBNA is very low, at 4.9%. The per-node NVP of EBUS-TBNA is 0.95, decreasing to 0.89 in moderate-high risk patients. We suggest that a negative EBUS-TBNA of mediastinal nodes does not need to be confirmed by mediastinoscopy of those nodal stations, regardless of PET/CT findings. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Pulmonary Parenchymal Lymphoma Diagnosed by Bronchoscopic Cryoprobe Lung Biopsy
A 51-year-old man presented with progressively worsening lung infiltrates and respiratory failure. Extensive investigations including bronchoscopy with bronchoalveolar lavage and conventional transbronchial forceps biopsies failed to establish the diagnosis. After transfer to our institution, he underwent repeat bronchoscopy with transbronchial cryobiopsy, which provided large, high-quality biopsy specimens establishing the diagnosis of parenchymal diffuse large B-cell lymphoma. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Pulmonary Epithelioid Hemangioendothelioma Diagnosed With Endobronchial Biopsies: A Case Report and Literature Review
We report the case of a 46-year-old man with a diagnosis of PEHE from endobronchial biopsies of an intraluminal nodule, a rare presentation of this disease. We summarize a review of the literature and the bronchoscopic findings of PEHE. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Endobronchial Ultrasound–guided Aspiration of an Endotracheal Bronchogenic Cyst: Case Report and Systematic Review of the Literature
The most common location of bronchogenic cysts is the mediastinum, adjacent to the major airways. Endotracheal bronchogenic cysts are rare and most present in infancy with respiratory failure. Although surgical resection has remained the treatment of choice, there is increasing interest in the management of these cysts with therapeutic aspiration alone. In this article, we describe a 68-year-old man with endotracheal bronchogenic cyst who was managed with endobronchial ultrasound–guided needle aspiration. We also systematically review the literature for reports of endotracheal bronchogenic cysts. The review identifie...
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Use of Indwelling Pleural Catheter for Recurrent Pleural Effusion Due to Postpericardiotomy Syndrome: A Case Report
We report the use of IPC for a case of recurrent pleural effusion due to PPS in a gentleman that could not tolerate anti-inflammatory medications. To our knowledge, there has been no other report of the use of IPC due to recurrent pleural effusion from PPS. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research