2018 Interventional Bronchoscopy and Pleuroscopy – A Book of Case Studies with Videos

توضیحات

اين مجموعه بصورت فايل هاي ويديويي و ایبوک است که بر روي دی وی دی يا فلش ارسال ميشود.
مجموعه کامل از سايت اصلي خريداري شده است

فایل محصولات در سایت موجود نیست و پس از خرید شما در ساعات کاری آپلود و به آدرس و یا ایمیل ارسال و در اختیار شما قرار خواهد گرفت. در صورت بروز مشکل در ساعات اداری پاسخگوی شما خواهیم بود

Prices: contact us | info@baharmedbook.com
IF your cource was not available in our archive, please request it via request form

How to Buy

Thanks For Choosing WWW.BAHARMEDBOOK.COM .

for buying materials from WWW.BAHARMEDBOOK.COM , Follow the instructions :

Step 1 : Contact us :

Email : INFO@BAHARMEDBOOK.COM

Telegram : @BAHARMEDBOOKADMIN

INSTAGRAM : https://www.instagram.com/bahar.medbooks

WhatsApp : +98 9123309803

Step 2 : Send Material You Want to Buy

Step 3 : You Will Receieve Payment Invoice

Step 4 : After Payment confirmation , You will Receive Download Link .

 

CHAPTER 1: NON-MALIGNANT AIRWAY OBSTRUCTION
A) Intraluminal lesions
1. Foreign body

о Fishbone	001
о Jaw fragment	003
о Chicken bone 2. Mucus plug and blood clot	006

 

о Left lung collapse due to mucus plug & tumor	008
о Right main bronchial clot (no video recording) 3. Tumors о Schwannoma	010
011
о Lobular capillary hemangioma	013
о Leiomyoma	015
о Hamartoma	018
о Granulomas (stent)	020
о Papilloma	023
о Polyp	025

B) Luminal/Mucosal lesions
4. Tuberculosis (TB)
о Trachea, right main and upper lobe bronchi stenosis from

past TB – Part 1: Balloon dilatation & stenting

027

Part 2: Laser resection, tube & balloon dilatation, Y stenting
via jet ventilation
Part 3: Removal of Y stent, laser resection via jet ventilation
Part 4: Argon plasma coagulator resection, balloon dilatation
via flexible bronchoscope

о Trachea and right main bronchus stenosis from past TB – Balloon dilatation via flexible bronchoscope о Right main bronchus and bronchus intermedius stenosis from recent TB – Laser resection, balloon & rigid tube dilatation о Right main bronchus stenosis from past TB –	033
038
041

Part 1: Laser resection, tube dilatation, stenting
Part 2: Removal of stent

о Left main and upper lobe bronchi stenosis from recent TB – Part 1: Rigid tube dilatation, stenting

044

Part 2: Removal of stent
x

о Left main bronchus stenosis from past TB – Laser resection & balloon dilatation о Left main bronchus stenosis from past TB – Part 1: Balloon dilatation & stenting	047
050

Part 2: Forceps & balloon dilatation, bronchial toilet via flexible
bronchoscope
Part 3: Forceps & balloon dilatation, bronchial toilet, stent
repositioning
Part 4: Removal of stent, laser resection of granulomas, balloon
dilatation via jet ventilation
Complication: Restenosis requiring multiple interventions

о Left main bronchus stenosis from past TB – Part 1: Removal of stent, laser & forceps resection

058

Part 2: Forceps & balloon dilatation, argon plasma coagulator
resection via flexible bronchoscope
Part 3: Balloon dilatation, restenting (rigid forceps & balloon
dilatation to fully deploy stent)
Failed procedures and had left pneumonectomy
о Left main & upper lobe bronchi stenosis & left lower lobe

bronchiectasis from past TB – Part 1: Balloon dilatation (no recording)

069

Part 2: Balloon dilatation, bronchial toilet, stenting
Part 3: Bronchial toilet, laser & forceps (no recording) resection
of stent granuloma, stent removed (no recording)
Failed procedures and had left pneumonectomy

о Left main bronchus stenosis from active TB – Laser resection, balloon dilatation

073

Failed procedure with complete left lung collapse
5. Fibrosing mediastinitis

о RMB and RBI stenosis – Balloon dilatation (no recording) 6. Trauma о Post-intubation and surgical resection trachea stenosis –	075
078

Part 1: Stenting
Complication: Non-cardiogenic pulmonary edema
Part 2: Removal of stent 5 years later
Part 3: Airway toilet, restenting 11 years later due to restenosis

о Post-intubation trachea stenosis – Stenting

085

xi

о Post-tracheostomy trachea stenosis – Laser resection, tube dilatation, stenting (in-situ for 13 years) о Post-lung transplant tracheobronchial stenosis – Laser resection, tube dilatation, replacement of stent о Pill-induced right bronchus intermedius stenosis –	087
089
092

Part 1: Failed rigid tube intubation, flexible bronchoscopy via
tracheostomy, balloon dilatation
Part 2: Balloon dilatation, bronchial toilet via flexible
bronchoscope
Failed bronchoscopic intervention followed by bilobectomy
о Post-radiation right upper lobe bronchus and bronchus inter

medius stenosis – Balloon & tube dilatation, stenting

099

Failed with resultant complete right lung collapse
о Post-brachytherapy left main bronchus occlusion from necrotic

tissue – Rigid forceps resection, balloon dilatation (no recording) о Trachea stenosis from stent migration and obstructive granulomas –	103
104

Balloon dilatation, topical mitomycin application (no recording)
7. Excessive Dynamic Airway Collapse (EDAC)

о EDAC of tracheobronchial tree due to COPD – Flexible bronchoscopy, nocturnal positive airway pressure therapy о EDAC and extrinsic stenosis of bronchial trees due to giant left atrium –	106
110

Flexible bronchoscopy, nocturnal positive pressure support
C) Extraluminal lesions
8. Mediastinal Mass

о Retrosternal goiter – Stenting

114

Complication: Undersized stent replaced, stent migration
о Giant left atrium (refer to ‘Excessive dynamic airway collapse’) 117
CHAPTER 2: MALIGNANT AIRWAY OBSTRUCTION
9. Primary Respiratory Malignancy
о Non-small cell lung carcinoma 119
• Right upper lobe tumor invading right main bronchus and
bronchus intermedius –
Rigid & flexible forceps and laser resection
• Right upper lobe tumor invading and compressing on right
xii
main bronchus and bronchus intermedius –
Balloon dilatation, bronchial toilet, stenting
• Right upper lobe tumor invading right main bronchus –
Laser & forceps (no recording) resection to reassess lung function
for pneumonectomy
• Distal trachea and right main bronchus stenosis –
Laser resection, double stenting
• Left main bronchus complete occlusion –
Laser & forceps resection with partial canalization
• Bilateral main stem bronchi stenosis –
Laser resection (no recording), tube dilatation, bilateral stenting
• Extrinsic carinal compression –
Balloon dilatation, stenting of right main bronchus & trachea
• Carinal tumor with bilateral main stem bronchi stenosis –
Laser resection, bilateral main bronchi stenting
Complication: Initial stent undersizing, delayed stent
migration
• Carinal tumor –
Pre-operative laser & forceps (no recording) resection,
evaluation for surgical resectability
о Small cell lung carcinoma 143
• Proximal trachea tumor –
Tube dilatation, stenting
• Mid to distal trachea tumor–
Part 1: Laser resection, stenting
Part 2: Stent removal, laser resection, restenting
• Carinal invasion –
Tube dilatation, left main bronchus & distal trachea stenting
о Low grade malignancy 154
• Adenoid cystic carcinoma of distal trachea and left main
bronchus –
Laser, tube core resection, balloon dilatation
• Adenoid cystic carcinoma of right main bronchus –
Rigid forceps resection, balloon dilatation
• Adenoid cystic carcinoma of proximal trachea –
Nasoscopy (no bronchoscopic intervention)
• Adenoid cystic carcinoma of mid trachea (no recording)
• Carcinoid of right middle lobe bronchus –
xiii
Laser, cryoprobe & forceps resection
Complication: Moderate bleeding
10. Esophageal Carcinoma
о Airway complications of esophageal stent 168
• Esophageal stent compression on trachea –
Ultraflex stenting
Complication: Tumor growth obstructing distal end of stent
• Esophageal wallstent compression on and invasion of left main
bronchus –
Attempted rigid tube dilatation, ice-cold saline wash, balloon
dilatation, stenting
Complication: Bleeding
• Esophageal stent erosion through tracheobronchial wall
Part 1: Esophageal stent erosion of left main bronchus
– stenting
Part 2: Left upper lobe to left main bronchi stenting (no
recording)
Part 3: Esophageal stent erosion of mid trachea with copious
secretions – toilet & stenting
• Post-esophageal stenting and chemoradiation tracheoesophageal fistula –
Stenting
о Tracheoesophageal fistula 187
• Post-radiotherapy tracheoesophageal fistula with severe trachea
stenosis –
Intubation over ETT, stenting
• Distal trachea invasion with tracheoesophageal fistula –
Tube coring of tumor, stenting
Complication: Tumor regrowth at distal end of stent
о Mid trachea stenosis – 193
• Part 1: Tube dilatation, stenting via jet ventilation
Part 2: Difficult intubation, stent removal
• Part 1: Stenting (no recording)
Part 2: Removal of stent (1 year post-stenting)
Part 3: Restenting (4 weeks post-removal)

о Mid to distal trachea stenosis – • Tube dilatation, stenting (wrong sizing of stent, replaced with

201

2 stents)
• Laser coagulation, tube resection, stenting
о Distal trachea and left main bronchus invasion – 203
xiv
• Y stenting
• Laser resection, stentings

о Severe extrinsic compression on carina – Y stenting о Left main bronchus invasion –	209
211

• Ice-cold lavage (no recording), balloon dilatation, stenting
Complication: Contact bleeding
• Laser resection, flexible & rigid forceps resection, balloon
dilatation, Y stenting
• Laser & forceps resection (no recording), Y stenting
• Balloon dilatation, stenting
Complication: Superficial mucosal laceration
11. Thyroid Carcinoma
о Anaplastic carcinoma extrinsic compression on mid trachea –

Stenting (no recording) о Papillary carcinoma extrinsic compression on proximal trachea – Stenting о Thyroid carcinoma extrinsic compression and invasion of proximal to mid-trachea – Stenting о Papillary carcinoma with early metastases to proximal trachea – Stenting	221
223
226
228

12. Mediastinal Lymphadenopathy
о Adenocarcinoma with severe distal trachea stenosis –

Stenting (wrong sizing) Unfavorable outcome о Breast carcinoma with proximal trachea stenosis – Stenting о Sarcoma with extrinsic compression of distal trachea to carina – Rigid tube dilatation, Y stenting	229
232
236

Complication: Chipped tooth
13. Lower respiratory tract metastases
о Colonic carcinoma 238
• Tracheal metastases and post-radiation stenosis –
Laser resection, tube resection & dilatation, stenting
• Early metastases to trachea and left main bronchus –
Laser resection, stenting
о Endometrial carcinoma 241
xv
Metastases to right upper lobe extending to right main
bronchus –
Laser, rigid & flexible forceps resection, stenting
Complication: Tumor ingrowth at distal end of stent

о Sarcoma Uterine leiomyosarcoma

245

• Left upper division metastases extending to right main
bronchus orifice –
Electrocautery snare loop, laser & forceps resection, bronchial
toilet
• Left lingular metastases extending to left main bronchus –
Part 1a: Failed rigid bronchoscope intubation
Part 1b: Flexible bronchoscopy via ETT, cryoprobe, forceps &
laser resection
• Left B6 metastases to main bronchus and right B10
metastases to right lower lobe orifice –
Part 1: Laser, forceps & cryoprobe resection
Part 2: Laser, forceps & cryoprobe resection of tumor
regrowth
Complications: Chipped tooth and left lower lobe bronchial
laceration
Synovial sarcoma
• Right B6 metastases extending to carina into left main
bronchus orifice –
Part 1: Rigid forceps, cryoprobe resection, bronchial toilet
Part 2: Rigid & flexible forceps & laser resection via jet
ventilation
Epithelioid sarcoma
• Mediastinal lymphadenopathy causing left main bronchus
stenosis –
Balloon dilatation
CHAPTER 3: CHALLENGING CONDITIONS
14. Fistulation
о Esophageal carcinoma with tracheobronchoesophageal fistula
(refer to chapter 2: 10) 261
15. Bleeding

о Foreign body (jaw fragment) granuloma – Laser coagulation & resection of bleeding granuloma

262

xvi
о Malignant tumors 264
• Hemorrhagic right upper lobe non-small cell lung cancer
extending to right main bronchus –
Tube coring of tumor, ice-cold saline lavage, laser
coagulation & resection (no recording)
• Hemorrhagic renal cell carcinoma metastases to left main
bronchus –
Laser coagulation & resection, flexible forceps resection,
stenting
Complications: 1) Severe bleeding 2) Laser tip damage 3) Postextubation oxyhemoglobin desaturation
• Carcinoid of right middle lobe bronchus –
Laser, cryoprobe & forceps resection
• Hemorrhagic left main bronchus invasion from esophageal
carcinoma –
Ice-cold lavage (no recording), balloon dilatation, stenting
• Left main bronchus invasion and severe extrinsic compression
from esophageal wallstent stent –
Attempted rigid tube dilatation, ice-cold saline wash, balloon
dilatation, stenting

о Dieulafoy’s disease of right upper lobe bronchus – Flexible bronchoscopy evaluation before embolotherapy

281

16. Copious secretions
о Rectal carcinoma RB6 metastases extending to bronchus
intermedius with distal pus and mucus – 283
Rigid forceps resection, catheter clearance
Complication: Regrowth of RB6 tumor extending to RBI requiring
2nd airway intervention (no recording)
о Pill-induced right bronchus intermedius stenosis with distal

mucus – Flexible bronchoscopy, balloon dilatation, bronchial toilet о Left main bronchus stent with copious secretions and esophageal stent erosion of trachea –	285
287

Left main bronchial toilet, ultraflex stenting of trachea
17. Critical airway obstruction

о Large tracheal non-small cell lung carcinoma Laser & forceps resection, attempted stenting о Right B6 sarcoma metastases extending to right main bronchus saddling across carina into left main bronchus orifice –	290
292

Rigid forceps, cryoprobe resection, bronchial toilet
xvii
18. Rigid tube coring and dilatation
о Hemorrhagic right upper lobe non-small cell lung carcinoma
extending to right main bronchus – 295
Tube coring of tumor, ice-cold saline lavage, laser coagulation
& resection (no recording)
о Left upper lobe non-small cell lung carcinoma occluding left main

bronchus – Rigid forceps resection, tube coring о Esophageal carcinoma with distal trachea invasion – Tube coring of tumor, stenting Complication: Tumor regrowth at distal end of stent о Right main bronchus stenosis from past TB –	299
301
304

Laser resection, tube dilatation, stenting
о Trachea, right main and upper lobe bronchi stenosis from
past TB – 307
Laser resection, tube & balloon dilatation, Y stenting via jet
ventilation
19. Flexible forceps dilatation

о Left main bronchus stenosis from past TB – Part 2: Flexible bronchoscopy, forceps & balloon dilatation,

309

bronchial toilet
Part 3: Flexible forceps & balloon dilatation, bronchial toilet
& stent repositioning
о Left main bronchus restenosis from past TB –
Forceps & balloon dilatation, argon plasma coagulator resection
via flexible bronchoscope
20. Stenting
о Y stenting 314
• Esophageal carcinoma with left main bronchus invasion
• Esophageal carcinoma with trancheoesophageal fistula
• Sarcoma with extrinsic compression of distal trachea to carina
• Reversed orientated Y stent placement
• Failed Y stenting
о Ultraflex stenting 318
• Esophageal carcinoma with long tracheal stenosis –
Tracheal stenting with 2 overlapping covered ultraflex stents
(no recording)
• Esophageal carcinoma with trachea stenosis –
Ultraflex stenting
Complications: Distal end of stent occluded by tumor regrowth
xviii
• Esophageal carcinoma with esophageal stent erosion through
trachea –
Ultraflex stenting
о Customized stenting 326
• A novel therapy for a chronic, large bronchopleurocutaneous
fistula –
Part 1: Sealing of RUL stump with omental patch & RMB
stenting
Part 2: Removal of stent
Part 3: Rigid forceps removal of stitch
• Post-tuberculous right main bronchus stenosis –
Part 1: Laser resection, tube dilatation, stenting with oblique
cut 10 by 30/15 mm stent
• Right pneumonectomy with recurrent stump obstructive
granuloma –
Modified Y stenting (cut & suture RMB limb)
о Cross carinal stenting 340
• Non-small cell lung carcinoma with severe carinal
compression –
Part 1: Aborted dilatation (& Y silicone stenting), tracheal
stenting
Failed
Part 2: Cross carinal stenting with 2 uncovered wallstents
• Non-small cell lung carcinoma with severe carinal
compression from huge mediastinal lymphadenopathy –
Part 1: Ultraflex stenting of distal trachea & LMB (no
recording)
Failed and complicated by stent migration and
pneumothorax from stent occlusion
Part 2: Removal of LMB ultraflex stent, cross carinal stenting
with 2 uncovered wallstents
• Esophageal carcinoma with trachea invasion and both main
stem bronchi compression –
Ultraflex tracheal stenting, cross carinal stenting with 2
uncovered wallstents
Complication: Glottis edema
о Stent repositioning 352
• Esophageal carcinoma with extrinsic compression of proximal
trachea –
Laser resection with stent in situ, repositioning of the migrated
stent
xix
• Post-TB left main bronchus restenosis –
Forceps & balloon dilatation, bronchial toilet, stent
repositioning
о Difficult silicone stent deployment 359
• High tracheal stenting
• Post-tuberculous left main bronchus tight stenosis –
Balloon dilatation & stenting (forceps & balloon dilatation
to fully deploy stent)
о Removal of stents 362
• Removal of silicone Y stent
• Removal of 3 ultraflex stents
Tuberculous tracheal stenosis –
Part 1: Recurrent obstructive stent granulomas – removal
of 3 ultraflex stents, cryoprobe & forceps resection
of granulomas
Part 2: Flexible bronchoscopy 6 week post-stent removal
Part 3: 1 year post-stent removal – argon plasma coagulator
resection, balloon dilatation via flexible bronchoscope
21. Pulmonary alveolar proteinosis
CHAPTER 4: RIGID BRONCHOSCOPE INTUBATION
о Intubation – 6 cases 373
о Intubation and extubation – 3 cases 374
о Challenging intubation 375
• Long epiglottis
• Esophageal intubation
• Intubation of rigid tube on endotracheal tube withdrawal
• Intubation on endotracheal tube withdrawal and extubation
о Difficult reintubation 376
• Copious secretions, edematous and crowed upper airway
• Copious viscid upper airway secretions
о Failed intubation 377
• Retrognathia, trismus and post-radiation effect on the neck
• Marked retrognathia and short neck
CHAPTER 5: CRITIQUES