One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms
Forty patients with obstructing, nonresectable tracheal neoplasms underwent 100 ablations with the neodymium–yttrium-aluminum garnet (YAG) laser. The laser allows bloodless resection and vaporization of tumors. Unlike the carbon dioxide laser, the neodymium–YAG laser can be used with the flexible br...
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Veröffentlicht in: | The Annals of thoracic surgery 1984-10, Vol.38 (4), p.374-381 |
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creator | Parr, Grant V.S. Unger, Michael Trout, Robert G. Atkinson, William G. |
description | Forty patients with obstructing, nonresectable tracheal neoplasms underwent 100 ablations with the neodymium–yttrium-aluminum garnet (YAG) laser. The laser allows bloodless resection and vaporization of tumors. Unlike the carbon dioxide laser, the neodymium–YAG laser can be used with the flexible bronchoscope and has an excellent effect on coagulation.
Thirty-four patients had primary lung malignancies (epidermoid in 24); 4 had metastatic malignancies; and 2 had benign lesions. Results have been excellent in 22, fair in 10, and poor in 8. No patient has died or had a deleterious result. Complications have occurred in only 1 of 89 ablations done with the flexible bronchoscope.
We believe that the neodymium–YAG laser is effective in opening major tracheal or bronchial obstructions and offers substantial symptomatic improvement in patients who are short of breath. Although this treatment is only palliative, the results have been excellent in more than half of the patients. |
doi_str_mv | 10.1016/S0003-4975(10)62289-8 |
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Thirty-four patients had primary lung malignancies (epidermoid in 24); 4 had metastatic malignancies; and 2 had benign lesions. Results have been excellent in 22, fair in 10, and poor in 8. No patient has died or had a deleterious result. Complications have occurred in only 1 of 89 ablations done with the flexible bronchoscope.
We believe that the neodymium–YAG laser is effective in opening major tracheal or bronchial obstructions and offers substantial symptomatic improvement in patients who are short of breath. Although this treatment is only palliative, the results have been excellent in more than half of the patients.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)62289-8</identifier><identifier>PMID: 6486952</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aluminum ; Biological and medical sciences ; Female ; Humans ; Laser Therapy ; Lung Neoplasms - complications ; Lung Neoplasms - secondary ; Male ; Medical sciences ; Middle Aged ; Neodymium ; Pneumology ; Radiography ; Tracheal Neoplasms - complications ; Tracheal Neoplasms - secondary ; Tracheal Neoplasms - surgery ; Tracheal Stenosis - diagnostic imaging ; Tracheal Stenosis - etiology ; Tracheal Stenosis - surgery ; Tumors of the respiratory system and mediastinum ; Yttrium</subject><ispartof>The Annals of thoracic surgery, 1984-10, Vol.38 (4), p.374-381</ispartof><rights>1984 The Society of Thoracic Surgeons</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-737d9060f66af5324147abf8a1ac4246b5f55a71446e347cca2268a4ad685ec33</citedby><cites>FETCH-LOGICAL-c339t-737d9060f66af5324147abf8a1ac4246b5f55a71446e347cca2268a4ad685ec33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8916194$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6486952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parr, Grant V.S.</creatorcontrib><creatorcontrib>Unger, Michael</creatorcontrib><creatorcontrib>Trout, Robert G.</creatorcontrib><creatorcontrib>Atkinson, William G.</creatorcontrib><title>One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Forty patients with obstructing, nonresectable tracheal neoplasms underwent 100 ablations with the neodymium–yttrium-aluminum garnet (YAG) laser. The laser allows bloodless resection and vaporization of tumors. Unlike the carbon dioxide laser, the neodymium–YAG laser can be used with the flexible bronchoscope and has an excellent effect on coagulation.
Thirty-four patients had primary lung malignancies (epidermoid in 24); 4 had metastatic malignancies; and 2 had benign lesions. Results have been excellent in 22, fair in 10, and poor in 8. No patient has died or had a deleterious result. Complications have occurred in only 1 of 89 ablations done with the flexible bronchoscope.
We believe that the neodymium–YAG laser is effective in opening major tracheal or bronchial obstructions and offers substantial symptomatic improvement in patients who are short of breath. Although this treatment is only palliative, the results have been excellent in more than half of the patients.</description><subject>Aged</subject><subject>Aluminum</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Laser Therapy</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - secondary</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neodymium</subject><subject>Pneumology</subject><subject>Radiography</subject><subject>Tracheal Neoplasms - complications</subject><subject>Tracheal Neoplasms - secondary</subject><subject>Tracheal Neoplasms - surgery</subject><subject>Tracheal Stenosis - diagnostic imaging</subject><subject>Tracheal Stenosis - etiology</subject><subject>Tracheal Stenosis - surgery</subject><subject>Tumors of the respiratory system and mediastinum</subject><subject>Yttrium</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLtOwzAUhi0EgnJ5BKQMCMEQsB3bcSZUVdykQgdgYLJOnBMwyqXYCRIb78Ab8iSktOrKZNn_959jfYQcMnrGKFPnD5TSJBZZKk8YPVWc6yzWG2TEpOSx4jLbJKM1skN2Q3gbrnyIt8m2Elplko_I3azB6KZvCo9FdI9t8Vm7vv75-n4eX0dTCOijcV5B59omRG0ZzfLQ-d52rnmJHj3YV4Rq0ZtXEOqwT7ZKqAIerM498nR1-Ti5iaez69vJeBrbJMm6OE3SIqOKlkpBKRMumEghLzUwsIILlctSSkiZEAoTkVoLnCsNAgqlJQ4z9sjxcu7ct-89hs7ULlisKmiw7YPRjKeJUHQA5RK0vg3BY2nm3tXgPw2jZqHR_Gk0C0eLpz-NRg-9w9WCPq-xWLdW3ob8aJVDsFCVHhrrwhrTGVMsEwN2scRwkPHh0JtgHTYWC-fRdqZo3T8f-QUTKI6L</recordid><startdate>198410</startdate><enddate>198410</enddate><creator>Parr, Grant V.S.</creator><creator>Unger, Michael</creator><creator>Trout, Robert G.</creator><creator>Atkinson, William G.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198410</creationdate><title>One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms</title><author>Parr, Grant V.S. ; Unger, Michael ; Trout, Robert G. ; Atkinson, William G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-737d9060f66af5324147abf8a1ac4246b5f55a71446e347cca2268a4ad685ec33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Aged</topic><topic>Aluminum</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Laser Therapy</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - secondary</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neodymium</topic><topic>Pneumology</topic><topic>Radiography</topic><topic>Tracheal Neoplasms - complications</topic><topic>Tracheal Neoplasms - secondary</topic><topic>Tracheal Neoplasms - surgery</topic><topic>Tracheal Stenosis - diagnostic imaging</topic><topic>Tracheal Stenosis - etiology</topic><topic>Tracheal Stenosis - surgery</topic><topic>Tumors of the respiratory system and mediastinum</topic><topic>Yttrium</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parr, Grant V.S.</creatorcontrib><creatorcontrib>Unger, Michael</creatorcontrib><creatorcontrib>Trout, Robert G.</creatorcontrib><creatorcontrib>Atkinson, William G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parr, Grant V.S.</au><au>Unger, Michael</au><au>Trout, Robert G.</au><au>Atkinson, William G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1984-10</date><risdate>1984</risdate><volume>38</volume><issue>4</issue><spage>374</spage><epage>381</epage><pages>374-381</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Forty patients with obstructing, nonresectable tracheal neoplasms underwent 100 ablations with the neodymium–yttrium-aluminum garnet (YAG) laser. The laser allows bloodless resection and vaporization of tumors. Unlike the carbon dioxide laser, the neodymium–YAG laser can be used with the flexible bronchoscope and has an excellent effect on coagulation.
Thirty-four patients had primary lung malignancies (epidermoid in 24); 4 had metastatic malignancies; and 2 had benign lesions. Results have been excellent in 22, fair in 10, and poor in 8. No patient has died or had a deleterious result. Complications have occurred in only 1 of 89 ablations done with the flexible bronchoscope.
We believe that the neodymium–YAG laser is effective in opening major tracheal or bronchial obstructions and offers substantial symptomatic improvement in patients who are short of breath. Although this treatment is only palliative, the results have been excellent in more than half of the patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6486952</pmid><doi>10.1016/S0003-4975(10)62289-8</doi><tpages>8</tpages></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Aged Aluminum Biological and medical sciences Female Humans Laser Therapy Lung Neoplasms - complications Lung Neoplasms - secondary Male Medical sciences Middle Aged Neodymium Pneumology Radiography Tracheal Neoplasms - complications Tracheal Neoplasms - secondary Tracheal Neoplasms - surgery Tracheal Stenosis - diagnostic imaging Tracheal Stenosis - etiology Tracheal Stenosis - surgery Tumors of the respiratory system and mediastinum Yttrium |
title | One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms |
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