A two-year experience with the neodymium-YAG laser in endobronchial obstruction

W. M. Brutinel, Denis Cortese, J. C. McDougall, R. G. Gillio, E. J. Bergstralh

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

In the first two years after the introduction of neodymium-yttrium-aluminum-garnet (Nd: YAG) laser therapy to our practice, 116 patients were treated 176 times. One hundred six patients (91.4 percent) were treated with the flexible fiberoptic bronchoscope. General anesthesia was used in 89.7 percent of treatments; there were four transient anesthetic complications. Three deaths from massive hemorrhage occurred in the first 59 treatments (first 30 patients). After laser power settings were reduced from 90 to 40 W, there were no further incidences of massive hemorrhage or death in the subsequent 117 treatments. The airway caliber was improved in 83.4 percent of treatments. The trachea, mainstem bronchi, and bronchus intermedius airway calibers were improved more often than those of the lobar bronchi. With lower laser power settings, Nd:YAG laser therapy is a safe and effective means of relieving airway obstruction. Thirty-six percent of patients were alive at one year. The median time to retreatment or death was 130 days.

Original languageEnglish (US)
Pages (from-to)159-165
Number of pages7
JournalChest
Volume91
Issue number2
StatePublished - 1987
Externally publishedYes

Fingerprint

Neodymium
Solid-State Lasers
Bronchi
Laser Therapy
Lasers
Hemorrhage
Bronchoscopes
Retreatment
Airway Obstruction
Therapeutics
Trachea
General Anesthesia
Anesthetics
Incidence

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Brutinel, W. M., Cortese, D., McDougall, J. C., Gillio, R. G., & Bergstralh, E. J. (1987). A two-year experience with the neodymium-YAG laser in endobronchial obstruction. Chest, 91(2), 159-165.

A two-year experience with the neodymium-YAG laser in endobronchial obstruction. / Brutinel, W. M.; Cortese, Denis; McDougall, J. C.; Gillio, R. G.; Bergstralh, E. J.

In: Chest, Vol. 91, No. 2, 1987, p. 159-165.

Research output: Contribution to journalArticle

Brutinel, WM, Cortese, D, McDougall, JC, Gillio, RG & Bergstralh, EJ 1987, 'A two-year experience with the neodymium-YAG laser in endobronchial obstruction', Chest, vol. 91, no. 2, pp. 159-165.
Brutinel WM, Cortese D, McDougall JC, Gillio RG, Bergstralh EJ. A two-year experience with the neodymium-YAG laser in endobronchial obstruction. Chest. 1987;91(2):159-165.
Brutinel, W. M. ; Cortese, Denis ; McDougall, J. C. ; Gillio, R. G. ; Bergstralh, E. J. / A two-year experience with the neodymium-YAG laser in endobronchial obstruction. In: Chest. 1987 ; Vol. 91, No. 2. pp. 159-165.
@article{0a4c89e946224b2c9cc408e8b70470b1,
title = "A two-year experience with the neodymium-YAG laser in endobronchial obstruction",
abstract = "In the first two years after the introduction of neodymium-yttrium-aluminum-garnet (Nd: YAG) laser therapy to our practice, 116 patients were treated 176 times. One hundred six patients (91.4 percent) were treated with the flexible fiberoptic bronchoscope. General anesthesia was used in 89.7 percent of treatments; there were four transient anesthetic complications. Three deaths from massive hemorrhage occurred in the first 59 treatments (first 30 patients). After laser power settings were reduced from 90 to 40 W, there were no further incidences of massive hemorrhage or death in the subsequent 117 treatments. The airway caliber was improved in 83.4 percent of treatments. The trachea, mainstem bronchi, and bronchus intermedius airway calibers were improved more often than those of the lobar bronchi. With lower laser power settings, Nd:YAG laser therapy is a safe and effective means of relieving airway obstruction. Thirty-six percent of patients were alive at one year. The median time to retreatment or death was 130 days.",
author = "Brutinel, {W. M.} and Denis Cortese and McDougall, {J. C.} and Gillio, {R. G.} and Bergstralh, {E. J.}",
year = "1987",
language = "English (US)",
volume = "91",
pages = "159--165",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "2",

}

TY - JOUR

T1 - A two-year experience with the neodymium-YAG laser in endobronchial obstruction

AU - Brutinel, W. M.

AU - Cortese, Denis

AU - McDougall, J. C.

AU - Gillio, R. G.

AU - Bergstralh, E. J.

PY - 1987

Y1 - 1987

N2 - In the first two years after the introduction of neodymium-yttrium-aluminum-garnet (Nd: YAG) laser therapy to our practice, 116 patients were treated 176 times. One hundred six patients (91.4 percent) were treated with the flexible fiberoptic bronchoscope. General anesthesia was used in 89.7 percent of treatments; there were four transient anesthetic complications. Three deaths from massive hemorrhage occurred in the first 59 treatments (first 30 patients). After laser power settings were reduced from 90 to 40 W, there were no further incidences of massive hemorrhage or death in the subsequent 117 treatments. The airway caliber was improved in 83.4 percent of treatments. The trachea, mainstem bronchi, and bronchus intermedius airway calibers were improved more often than those of the lobar bronchi. With lower laser power settings, Nd:YAG laser therapy is a safe and effective means of relieving airway obstruction. Thirty-six percent of patients were alive at one year. The median time to retreatment or death was 130 days.

AB - In the first two years after the introduction of neodymium-yttrium-aluminum-garnet (Nd: YAG) laser therapy to our practice, 116 patients were treated 176 times. One hundred six patients (91.4 percent) were treated with the flexible fiberoptic bronchoscope. General anesthesia was used in 89.7 percent of treatments; there were four transient anesthetic complications. Three deaths from massive hemorrhage occurred in the first 59 treatments (first 30 patients). After laser power settings were reduced from 90 to 40 W, there were no further incidences of massive hemorrhage or death in the subsequent 117 treatments. The airway caliber was improved in 83.4 percent of treatments. The trachea, mainstem bronchi, and bronchus intermedius airway calibers were improved more often than those of the lobar bronchi. With lower laser power settings, Nd:YAG laser therapy is a safe and effective means of relieving airway obstruction. Thirty-six percent of patients were alive at one year. The median time to retreatment or death was 130 days.

UR - http://www.scopus.com/inward/record.url?scp=0023094572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023094572&partnerID=8YFLogxK

M3 - Article

C2 - 2433097

AN - SCOPUS:0023094572

VL - 91

SP - 159

EP - 165

JO - Chest

JF - Chest

SN - 0012-3692

IS - 2

ER -