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A novel technique of airway silicon stent deployment under vision-Dr. Vidyasagar's technique.
Respirol Case Rep
October 2024
Clinical Interventional Pulmonology, Division of Interventional Pulmonology Yashoda Hospitals Secunderabad India.
The conventional methods of silicon stent insertion recommend usage of external loading devices, where the stent is folded into the loading device and pushed in to the tracheobronchial tree using an external pusher which is blind, and leads to placement of stent either distally or proximally needing repositioning or is done with fluoroscopy that involves radiation exposure. We demonstrate our experience in 16 cases of successful silicon stent placement using this technique, wherein an Ultrathin flexible bronchoscope or Hopkins Rigid telescope is pushed alongside the forceps that hold upper end of the folded silicon stent allowing stent placement under direct vision with control over the stent. The Proximal end of the stent can be pulled under vision before deployment for appropriate positioning while pulling the rigid barrel.
View Article and Find Full Text PDFFeasibility and Impact on Diagnosis of Peripheral Pulmonary Lesions under Real-Time Direct Vision by Iriscope®.
Respiration
October 2024
Interventional Pneumology Unit, Pulmonary Medicine Department, Fundación Jimenez Díaz University Hospital, IIS, CIBERES, Madrid, Spain.
Introduction: Interventional pneumology plays a crucial role in the diagnosis of peripheral pulmonary lesions (PPLs), offering a minimally invasive approach with a low risk of complications. Iriscope® is a novel device that provides a direct and real-time image of PPLs. The objective of this study was to demonstrate the feasibility and impact of Iriscope® in diagnosing PPLs by analyzing its ability to directly visualize lesions and support accurate sampling during radial probe endobronchial ultrasound (rEBUS) and electromagnetic navigation bronchoscopy (ENB) combined with rEBUS.
View Article and Find Full Text PDFRobotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies.
J Vis Exp
July 2024
Division of Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center;
Robotic-assisted bronchoscopy (RAB) allows for targeted bronchoscopic biopsy in the lung. A robotic-assisted bronchoscope is navigated through the airways under direct vision after establishing a pathway to a target lesion based on mapping performed on a 3-dimensional (3D) lung and airway reconstruction obtained from a pre-procedure thin-slice computed tomography chest. RAB has maneuverability to distal airways throughout the lung, precise catheter tip articulation, and stability with the robotic arm.
View Article and Find Full Text PDFLiposomal bupivacaine intercostal block placed under direct vision reduces morphine use in thoracic surgery.
J Thorac Dis
February 2024
Department of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Background: Thoracic epidural analgesia (TEA) and liposomal bupivacaine (LB) are two methods used for postoperative pain control after thoracic surgery. Some studies have compared LB to standard bupivacaine. However, data comparing the outcomes of LB to TEA after minimally invasive lung resection is limited.
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