Rigid Bronchoscopy - 02/09/13

Doi : 10.1016/j.ccm.2013.04.003

Hervé Dutau, MD ^a,^⁎ , Thomas Vandemoortele, MD, FRCPC ^b, David P. Breen, MB, BA, BCh ^c
^a Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, North University Hospital, Chemin des Bourrely, Marseille 13015, France
^b Department of Pulmonology, Hôpital Notre-Dame, Centre Hospitalier de l’Université de Montréal (CHUM), 1560 Sherbrooke Street East, Montreal, Quebec H2L 4M1, Canada
^c Department of Respiratory Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland

^∗Corresponding author.

Résumé

Complex airway diseases represent a therapeutic challenge and require multidisciplinary input. Surgery remains the definitive modality. Minimally invasive endobronchial techniques have resulted in symptom control and long-term improvements. The rigid bronchoscope remains the method of choice for the treatment of both benign and malignant central airway obstruction. However, it has limited use if lesions are located in the upper lobes or lung periphery, but significant technological advances allow for effective treatments using the flexible bronchoscope. Rigid and flexible bronchoscopes should be seen as complementary procedures and most cases require the use of both modalities.

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Keywords : Interventional pulmonology, Interventional bronchoscopy, Rigid bronchoscopy, Flexible bronchoscopy, Airway stenting, Airway obstruction, Airway stenosis