Diseases of the Central Airways: A Clinical Guide by Atul C. Mehta, Prasoon Jain, Thomas Gildea

By Atul C. Mehta, Prasoon Jain, Thomas Gildea

This booklet explores the non-interventional points of interventional pulmonology, concentrating on ailments of the primary airlines. because the box of bronchology and interventional pulmonology expands, more moderen stipulations concerning the significant airlines are being famous with expanding frequency. present literature has typically concerned about technical elements of the subspecialty, yet this booklet illuminates what else interventional pulmonology has to supply the pulmonologist, together with analysis and exchange healing ideas. Diseases of the relevant airlines: A scientific Guide provides options for the diagnoses, administration and remedy of sufferers with interesting primary airway stipulations corresponding to: black bronchoscopy, tracheobronchomalacia, endobronchial tuberculosis, and tracheobronchopathia osteochondroplastica. In-depth chapters are written via foreign specialists and are up to date and finished experiences. this crucial new e-book will give a contribution considerably to the welfare of sufferers with lung illnesses of the primary airlines. ​

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The layers of tracheobronchial wall and structures in immediate vicinity can be visualized with this technique. RP-EBUS is highly accurate in estimating the depth of invasion of the tracheobronchial wall in patients with endobronchial tumors [222]. This information is helpful in selecting patients with central airway tumors most suitable for bronchoscopic therapies with curative intent [223]. In one series, EBUS was used for selecting the most appropriate airway location for the placement of airway stents in large airway obstruction due to inoperable cancers [224].

It is difficult to differentiate variable central airway obstruction from severe COPD using this technique [118, 125]. As with other physiological tests, the precise anatomic location of the narrowest segment of airway that defines the choke point for airflow limitation cannot be determined using this technique. Finally, lack of familiarity and non-availability of technology in majority of clinical settings are important practical problems that have prevented more widespread application of impulse oscillometry in these patients.

35 Axial (a) and coronal (b) CT images showing a soft tissue lesion in the right lateral wall of trachea (arrow), obstructing the tracheal lumen. Pathological diagnosis was adenoid cystic carcinoma. Reprinted from Acar et al. [275]. With the permission from Springer Science CT images obtained during expiratory phase are routinely used to demonstrate TBM (Fig. 17). Earlier studies used end-inspiratory and end-expiratory CT images to detect TBM [192]. Several recent studies have shown CT images obtained during active expiration to be more effective in demonstrating the extent of airway collapse [193, 194].

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