Pediatric Interventional Bronchoscopy - 02/09/13

Doi : 10.1016/j.ccm.2013.03.002

Leonardo L. Donato, MD ^a,^⁎ , Thi Mai Hong Tran, MD ^b, Clement Ammouche, MD ^a, Ali I. Musani, MD ^c
^a Hôpital Hautepierre, Medico-surgical Pediatric Department, University Hospital Strasbourg, Avenue Molière, 67098 Strasbourg, France
^b Pulmonary Department, Hanoi National Hospital of Pediatrics, 18/879 La Thành, Đõng Đa, Hanoi, Vietnam
^c Department of Interventional Pulmonology, National Jewish Medical and Research Center, National Jewish Health, Molly Blank J211, 1400 Jackson Street, Denver, CO 80206, USA

^∗Corresponding author. Pediatrie 2, Hopital Hautepierre, Avenue Moliere, 67098 Strasbourg, France.

Résumé

Pediatric interventional bronchoscopy includes a variety of diagnostic and therapeutic procedures. Restoration of airway patency, management of tracheoesophageal fistula, and difficult airway intubation are just a few pertinent examples. This review discusses the most recently introduced techniques in pediatric bronchology. These interventions include bronchoscopic laser resection, airway stenting, management of central airway stenosis, and the use of ultrathin optical devices. Although no comparative studies are available, the authors compare the different techniques as reported in the literature. Respective advantages and drawbacks are discussed in light of their own practice, with particular emphasis on technical difficulties encountered in younger children.

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Keywords : Pediatric interventional bronchoscopy, Endoscopy-assisted tracheal intubation, Bronchial blockers, Tracheoesophageal fistula management, Endoscopic sealing, Bronchoscopic laser, Airway stents, Balloon catheter dilatation