{"title":"EUS-B for the Interventional Pulmonologist Using the EBUS Scope in the Esophagus","authors":"Y. Shweihat, Shantanu Singh","doi":"10.5772/INTECHOPEN.84280","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84280","url":null,"abstract":"This chapter aims at introducing the interested Pulmonologist/Interventional Pulmonologist to the esophageal ultrasound. In this chapter, we give short descriptions of some technical aspects of the endobronchial ultrasound (EBUS) scope and explain in detail why we believe the EBUS scope is well suited to be an esophageal scope in the hands of the trained pulmonologist. The chapter then explains indications and benefits of this procedure that we consider central to the practice of chest physicians. We also describe in steps how to reach each lymph node station using the EBUS scope as a EUS scope (EUS-B) from our own experience. Procedure-related complications and contraindications are also described.","PeriodicalId":101699,"journal":{"name":"Interventional Pulmonology - Principles, Practices and Updates [Working Title]","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122856085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bronchial Thermoplasty: A New Therapeutic Option in Severe Uncontrolled Asthma","authors":"K. Sachin","doi":"10.5772/INTECHOPEN.84466","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84466","url":null,"abstract":"Bronchial thermoplasty (BT) is a new endoscopic treatment approved by the US Food and Drug Administration (FDA) in the management of severe refractory asthma involving the delivery of controlled, therapeutic radiofrequency (RF) energy to the airway wall. It is based on the premise of controlling bronchospasm through a reduction of airway smooth muscle (ASM). Several clinical trials have demonstrated improvements in asthma-related quality of life and a reduction in the number of exacerbations following treatment with BT. However, several questions remain regarding the use of BT, mechanism of action, selection of appropriate patients, and long-term effects. Further studies are expected to elucidate the underlying mechanisms that result in these improvements. This chapter discusses key aspects of BT with a focus on the potential clinical effects of this promising procedure. It also offers insight into the barriers to implementing a successful BT program and strategies for overcoming them.","PeriodicalId":101699,"journal":{"name":"Interventional Pulmonology - Principles, Practices and Updates [Working Title]","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127705415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Virtual Bronchoscopy for Tumors and Traumatic Lesions of the Airways","authors":"Kotlyarov Peter Mikhaylovich","doi":"10.5772/INTECHOPEN.84562","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84562","url":null,"abstract":"The given MSCT of 26 patients with tumoral damage of a trachea is analyzed. Data of MSCT of 61 patients with tumoral damage of bronchial tubes of primary and secondary genesis and hyperplastic lymph nodes are analyzed. In the analysis, a comprehensive analysis of the native, post-processing data and volumetric reconstructions allows more fully appreciating the nature of the changes, the topog-raphy, the extent and prevalence of neoplastic lesions tracheobronchial system. Differential diagnostics of benign and malignant lesions are conducted especially in the stenotic lesions when execution of bronchofibroscopy was impossible. Virtual bronchoscopy (VB) MSCT allowed determining the presence of a complete or partial rupture of the main bronchus, its distance to the bifurcation of the trachea, the state of the collapsed lung, the presence of fluid in the hemithorax, and secondary changes in the bone structures of the chest. The VB played an important role in monitoring the adequacy of reconstructive measures on the damaged bronchus, excluding the occurrence of postoperative stenosis. Virtual bronchoscopy of multispiral computed tomography with the capabilities of multiplanar and volumetric reconstructions and post-processing image processing is an optimal noninvasive method for determining the traumatic lesion of the main bronchi and monitoring the success of the reconstructive surgical manual","PeriodicalId":101699,"journal":{"name":"Interventional Pulmonology - Principles, Practices and Updates [Working Title]","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114260575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}