ERS/ATS statement on interventional pulmonology
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- 1 February 2002
- journal article
- guideline
- Published by European Respiratory Society (ERS) in European Respiratory Journal
- Vol. 19 (2), 356-373
- https://doi.org/10.1183/09031936.02.00204602
Abstract
⇓The purpose of this European Respiratory Society/American Thoracic Society (ERS/ATS) Task Force position paper is to define the field of interventional pulmonology as well as to describe the minimal requirements in methodology and logistics, the indications, contraindications, outcome and training requirements for each interventional procedure. This position paper has been prepared by a group of European and North American experts. Fig. 1.— Schematic illustration of the three main types (a–c) of malignant central airway obstruction shown at the tracheal level, with identical degrees of narrowing of the lumen. a) intraluminal; b) extraluminal; c) mixed obstruction. Fig. 2.— Algorithm for the management of malignant central airway obstructions. Terms in hexagonal boxes are conditions; terms in rectangular boxes are procedures. Two-way arrows indicate the tendency of endobronchial tumours to recur and the repetitive need of multimodality treatment. Interrupted arrows: 1: rare cases of primarily inoperable lung cancers which become secondarily operable after initial therapeutic bronchoscopy usually followed by neo-adjuvant treatment; 2: rare cases of operated lung cancers initially presenting with central airway obstruction and still being operable after careful restaging of an endobronchial recurrence. TNM: tumour staging, including histology; CPR: cardiopulmonary reserves of the patient. Reproduced with permission from 81. Fig. 3.— Interventional pulmonology can be defined as “the art and science of medicine as related to the performance of diagnostic and invasive therapeutic procedures that require additional training and expertize beyond that required in a standard pulmonary medicine training programme”. Disease processes encompassed within this discipline include complex airway management problems, benign and malignant central airway obstruction, pleural diseases, and pulmonary vascular procedures. Diagnostic and therapeutic procedures pertaining to these areas include, but are not limited to, rigid bronchoscopy, transbronchial needle aspiration, autofluorescence bronchoscopy, endobronchial ultrasound, transthoracic needle aspiration and biopsy, laser bronchoscopy, endobronchial electrosurgery, argon-plasma coagulation, cryotherapy, airway stent insertion, balloon bronchoplasty and dilatation …Keywords
This publication has 42 references indexed in Scilit:
- Thoracoscopy--state of the artEuropean Respiratory Journal, 1998
- Endobronchial BrachytherapySeminars in Respiratory and Critical Care Medicine, 1997
- Photodynamic therapy in lung cancer. A reviewJournal of Photochemistry and Photobiology B: Biology, 1996
- Treatment of roentogenographically occult endobronchial carcinoma with external beam radiotherapy and intraluminal low dose rate brachytherapyInternational Journal of Radiation Oncology*Biology*Physics, 1996
- Indications, timing, techniques, and complications of tracheostomy in the critically ill patientCurrent Opinion in Critical Care, 1996
- Mechanical Properties of Airway StentsJournal of Bronchology, 1995
- Transbronchial Needle Aspiration to Obtain Histology SpecimenJournal of Bronchology, 1994
- Endobronchial sonography: feasibility and preliminary results.Thorax, 1992
- Endoscopic Relief of Malignant Airway ObstructionThe Annals of Thoracic Surgery, 1989
- Bronchoscopic Phototherapy With Hematoporphyrin Derivative for Treatment of Localized Bronchogenic Carcinoma: A 5-Year ExperienceMayo Clinic Proceedings, 1987