Navigational Bronchoscopy with Transbronchial Radiofrequency Ablation
|
|
- Horace Whitehead
- 6 years ago
- Views:
Transcription
1 Navigational Bronchoscopy with Transbronchial Radiofrequency Ablation Katie S. Nason, MD MPH AATS Focus on Thoracic: Mastering Surgical Innovation October 28, 2017 No disclosures
2 Radiofrequency ablative therapy for lung cancer Thermal-based technology induces cellular death Highly resistant air-filled lung tissue & low resistant intraparenchymal tumor Insulating effect and traps heat within the targeted tumor Limiting damage to large amounts of normal tissue. Eradicate all viable malignant cells while sparing NORMAL SURROUNDING LUNG Principles of and Advances in Percutaneous Ablation Muneeb Ahmed, Christopher L. Brace, Fred T. Lee, S. Nahum Goldberg Radiology, 2011, Vol.258: , /radiol
3 Radiofrequency ablation (RFA) Alternative treatment method for early-stage lung cancer Poor surgical candidates Exhausted their maximum radiation therapy Oligometastasis from distant cancer or as a therapy for the local control of tumors.
4 Key elements of technical success
5 Technical Success at Ablation Study Procedure time RFA Carrafiello (2012) NR 43/43 (100) Lanuti (2009) 38/38 (100) Schneider (2012) 45 min 30/30 (100) Pennathur (2009) NR NR Local Recurrence & Metastasis Local Recurrence Time to local recurrence (mo) Metastasis Zemlyak (2010) 4/12 (33) 13 3/12 (25) Carrafiello (2012) 2/36 (6) Lanuti (2009) 12/38 (32) 75% by 6 Schneider (2012) 8/26 (31) 6 8/26 (31) Pennathur (2009) 35/100 (35) 15
6 Meta-analysis: Efficacy of Disease Control Zhu JC, Yan TD, Morris DL. A systematic review of radiofrequency ablation for lung tumors. Ann Surg Oncol 2008; 15:
7 Procedure related complications Pneumothorax req drainage Pulmonary artery pseudoaneurysm Bronchopleural fistula Hemoptysis Air embolism Rib fracture Pneumonia Diaphragm injury Hemothorax Lung abscess Nerve injury Needle tract seeding Pleural effusion Mortality (0-2.5%)
8 Zhu, J. C., et al. (2008). "A systematic review of radiofrequency ablation for lung tumors." 16 articles, 224 procedures, median 43.5/pub Pneumothorax 28% (4.5-61%); req chest tube 11% (3.3-39%) Hemoptysis % Pneumonia 9.5% (6-12%) Pleural effusion 13% (1.3 60%) Mortality 0-5.6% (median 0) Zhu, J. C., et al. (2008). Ann Surg Oncol 15(6):
9 Transbronchial Radiofrequency Ablation?SAME EFFICACY WITH REDUCED RISK PROFILE?
10 Ablate & resect trial w/ 3 different tip lengths Tanabe et al,. Chest 2010; 137:
11 20 patients 9 / 11 Age 58 to 88 (mean 76) Histology 12 adeno 6 squamous 1 undifferentiated 23 lesions ct1 2aN0M0 ( 5cm) Department of Cardiothoracic Surgery
12 Koizumi T, et al., Respiration 2015; 90:
13 Koizumi T, et al., Respiration 2015; 90:
14 Koizumi T, et al., Respiration 2015; 90:
15 Safe? Koizumi et al. (Respiration 2015; 90: 47-55) No serious adverse events, bleeding, arrhythmia, hyperthermia, hypoxemia or pneumothorax Two patients complained of weak chest pain during the treatment RFA discontinued, repositioned catheter, continued Radiographic consolidation in 3 cases with presenting with postprocedure fever Xie et al. (Respiration 2017; 94: ) 3 patients chest pain & fever (1/3) o/w NO major complications Suzuki et al (Bronchology Interv Pulmonol 2011; 18: ) 8 rabbits 1 hemoptysis, no pneumothorax, thermal injury, or death Tsushima et al. (Eur Respir J 2007; 29: ) 6 sheep No hemoptysis, pneumothorax, thermal injury or death
16 Effective? Median PFI 21 months with percutaneous RFA Progression-Free Survival Overall Survival 20 subjects, ct1 2aN0M0 Koizumi T, et al., Respiration 2015; 90:
17 Balancing Innovation and Safety Previous study complete ablation 7/18 with 90% ablation in 9 of 18 89% local control 32 patients; tumor size cm; open thoracotomy 12 complete ablation (38%); 16 (50%) scattered viable tumor cells 4 with >20% tumor viability All adenocarcinoma Schneider T, et al., The Annals of thoracic surgery 2009; 87: Schneider T, et al., EJCTS, 2011; 39:
18 Balancing Innovation and Safety Tanabe T, et al., Chest 2010; 137: Max ablation area w/1 cm tip = 12 x 10 mm Incomplete tumor cell killing
19 20 patients 9 / 11 Age 58 to 88 (mean 76) Histology 12 adeno 6 squamous 1 undifferentiated 23 lesions ct1 2aN0M0 ( 5cm) Department of Cardiothoracic Surgery
20 Balancing Innovation and Safety Wan J, et al., Oncol Rep 2016; 36:
21 Summary and Conclusions Transbronchial RFA Safe? Effective? Ready for wide-spread use? Further studies and innovation needed Increase ablation size Determine appropriate candidates
22 Navigational Bronchoscopy with Transbronchial Radiofrequency Ablation Katie S. Nason, MD MPH AATS Focus on Thoracic: Mastering Surgical Innovation October 28, 2017 No disclosures
23 Xie et al., Respiration 2017; 94:
24 Xie et al., Respiration 2017; 94:
25 Balancing Innovation and Safety serum levels of TNF-a, CCL-2 and CCL-4 were increased in patients with ICA immediately upon therapy compared to these values in patients with CA or healthy donors, thereby suggesting that these inflammatory factors might be used as biomarkers for RFA efficiency. Schneider T, Sevko A, Heussel CP, Umansky L, Beckhove P, Dienemann H, Safi S, Utikal J, Hoffmann H, Umansky V. Serum inflammatory factors and circulating immunosuppressive cells are predictive markers for efficacy of radiofrequency ablation in non-small-cell lung cancer. Clin Exp Immunol 2015; 180:
RF Ablation: indication, technique and imaging follow-up
RF Ablation: indication, technique and imaging follow-up Trongtum Tongdee, M.D. Radiology Department, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand Objective Basic knowledge
More informationInterventional Management of NSCLC. Hiran C Fernando FRCS Professor and Chief, Division Thoracic Surgery Boston Medical Center
Interventional Management of NSCLC Hiran C Fernando FRCS Professor and Chief, Division Thoracic Surgery Boston Medical Center Comparison of MWA and RFA Qiang Lu et al; AATS 2015 141 patients; 100 with
More informationComplications of percutaneous lung radiofrequency ablation
Complications of percutaneous lung radiofrequency ablation Poster No.: C-556 Congress: ECR 2009 Type: Educational Exhibit Topic: Interventional Radiology Authors: A. Afaq, S. Khan, U. Patel, E. Leen; London/UK
More informationEffect of Electromagnetic Navigation on CT-Guided Percutaneous Thermal Ablation or Biopsy of Lung Tumors
Effect of Electromagnetic Navigation on CT-Guided Percutaneous Thermal Ablation or Biopsy of Lung Tumors Chaitan K. Narsule 1, Avneesh Gupta 2, Michael I. Ebright 1, Ricardo Sales dos Santos 3, Roberto
More informationBronchogenic Carcinoma
A 55-year-old construction worker has smoked 2 packs of ciggarettes daily for the past 25 years. He notes swelling in his upper extremity & face, along with dilated veins in this region. What is the most
More informationThoracic Surgery; An Overview
Thoracic Surgery What we see Thoracic Surgery; An Overview James P. Locher, Jr, MD Methodist Cardiovascular and Thoracic Surgery Lung cancer Mets Fungus and TB Lung abcess and empyema Pleural based disease
More informationRFA of Tumors of the Lung: How and Why. Radiofrequency Ablation. Radiofrequency Ablation. RFA of pulmonary metastases. Radiofrequency Ablation of Lung
RFA of Tumors of the Lung: How and Why Radiofrequency Ablation of Lung Ernest Scalzetti MD SUNY Upstate Medical University Syracuse NY FDA WARNING: Off-label use of a medical device Radiofrequency Ablation
More informationStereotactic Body Radiation Therapy and Radiofrequency Ablation 2014 Masters of Minimally Invasive Surgery
Stereotactic Body Radiation Therapy and Radiofrequency Ablation 2014 Masters of Minimally Invasive Surgery Matthew Hartwig, M.D. Duke Cancer Institute Case Presentation I: Patient ER 74 y/o male with A1A
More informationPercutaneous radiofrequency ablation of clinical stage I non small cell lung cancer
GENERAL THORACIC SURGERY Percutaneous radiofrequency ablation of clinical stage I non small cell lung cancer Takao Hiraki, MD, a Hideo Gobara, MD, a Hidefumi Mimura, MD, a Yusuke Matsui, MD, a Shinichi
More informationBronchobiliary fistula treated with histoacryl embolization under bronchoscopic guidance: A case report
Respiratory Medicine CME (2008) 1, 164 168 respiratory MEDICINE CME CASE REPORT Bronchobiliary fistula treated with histoacryl embolization under bronchoscopic guidance: A case report Jung Hyun Kim a,
More informationRadiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer
Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer Poster No.: C-0654 Congress: ECR 2011 Type: Scientific Paper Authors:
More informationAdam J. Hansen, MD UHC Thoracic Surgery
Adam J. Hansen, MD UHC Thoracic Surgery Sometimes seen on Chest X-ray (CXR) Common incidental findings on computed tomography (CT) chest and abdomen done for other reasons Most lung cancers discovered
More informationPercutaneous radiofrequency ablation (RFA) is a locoregional. Radiofrequency Ablation of Lung Tumors: Feasibility and Safety
Radiofrequency Ablation of Lung Tumors: Feasibility and Safety GENERAL THORACIC Jacqui C. Zhu, MBBS, Tristan D. Yan, BSc, MBBS, PhD, Derek Glenn, MBBS, and David L. Morris, MD, PhD Departments of Surgery
More informationENDOBRONCHIAL ABLATIVE THERAPIES. Christopher Cortes, MD, FPCCP
ENDOBRONCHIAL ABLATIVE THERAPIES Christopher Cortes, MD, FPCCP Choice of Ablative Therapy Size of the lesion Location of the lesion Characteristics of the lesion Availability of the different therapies
More informationPercutaneous Radiofrequency Ablation of Lung Malignant Tumours: Survival, disease progression and complication rates
Percutaneous Radiofrequency Ablation of Lung Malignant Tumours: Survival, disease progression and complication rates Poster No.: C-2576 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit
More informationSTAGE I INOPERABLE NSCLC RADIOFREQUENCY ABLATION OR STEREOTACTIC BODY RADIOTHERAPY?
STAGE I INOPERABLE NSCLC RADIOFREQUENCY ABLATION OR STEREOTACTIC BODY RADIOTHERAPY? MICHAEL LANUTI, MD American Association of Thoracic Surgeons Minneapolis, MN 2013 STAGE I INOPERABLE NSCLC RADIOFREQUENCY
More informationLung Cancer Screening
Lung Cancer Screening Steven Leh, MD, FCCP Diplomat of the American Association for Bronchology and Interventional Pulmonology Aurora Medical Group Pulmonary and Sleep Medicine February 10, 2018 Disclosures
More informationRadiofrequency Ablation (RFA) For Lung Tumors: Seven Years Experience.
Radiofrequency Ablation (RFA) For Lung Tumors: Seven Years Experience. Poster No.: C-1619 Congress: ECR 2011 Type: Scientific Exhibit Authors: G. DE VENUTO 1, G. XHEPA 1, M. DE CHIARA 1, M. Mangini 2,
More informationMicrowave ablation of lung tumors
Microwave ablation of lung tumors Poster No.: C-2490 Congress: ECR 2012 Type: Scientific Exhibit Authors: G. Carrafiello 1, A. M. Ierardi 1, E. Macchi 1, N. Lucchina 1, V. Molinelli 1, E. Duka 1, C. Pellegrino
More informationInterventional Pulmonology
Interventional Pulmonology The Division of Thoracic Surgery Department of Cardiothoracic Surgery New York Presbyterian/Weill Cornell Medical College p: 212-746-6275 f: 212-746-8223 https://weillcornell.org/eshostak
More informationSurgical indications: Non-malignant pulmonary diseases. Punnarerk Thongcharoen
Surgical indications: Non-malignant pulmonary diseases Punnarerk Thongcharoen Non-malignant Malignant as a pathological term: Cancer Non-malignant = not cancer Malignant as an adjective: Disposed to cause
More informationPercutaneous Ultrasound-guided Radiofrequency Ablation of Colorectal Liver Metastases
Chin J Radiol 2005; 30: 153-158 153 Percutaneous Ultrasound-guided Radiofrequency Ablation of Colorectal Liver Metastases YI-YOU CHIOU YI-HONG CHOU JEN-HUEY CHIANG HSIN-KAI WANG CHENG-YEN CHANG Department
More informationMinimally Invasive Diagnosis. Solid Tumor Percutaneous Core Biopsy. Sheath & spring loaded needle. Specimen submission for solid tumors
38 th Congress of the International Society of Paediatric Oncology 17-21 September 2006 Minimally Invasive Diagnosis and Treatment of Pediatric Malignancies through Interventional Radiology Minimally Invasive
More informationPET CT for Staging Lung Cancer
PET CT for Staging Lung Cancer Rohit Kochhar Consultant Radiologist Disclosures Neither I nor my immediate family members have financial relationships with commercial organizations that may have a direct
More informationNon-Small Cell Lung Cancer: Disease Spectrum and Management in a Tertiary Care Hospital
Non-Small Cell Lung Cancer: Disease Spectrum and Management in a Tertiary Care Hospital Muhammad Rizwan Khan,Sulaiman B. Hasan,Shahid A. Sami ( Department of Surgery, The Aga Khan University Hospital,
More informationComplex Thoracoscopic Resections for Locally Advanced Lung Cancer
Complex Thoracoscopic Resections for Locally Advanced Lung Cancer Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery,
More informationCharles Mulligan, MD, FACS, FCCP 26 March 2015
Charles Mulligan, MD, FACS, FCCP 26 March 2015 Review lung cancer statistics Review the risk factors Discuss presentation and staging Discuss treatment options and outcomes Discuss the status of screening
More informationMediastinal Staging. Samer Kanaan, M.D.
Mediastinal Staging Samer Kanaan, M.D. Overview Importance of accurate nodal staging Accuracy of radiographic staging Mediastinoscopy EUS EBUS Staging TNM Definitions T Stage Size of the Primary Tumor
More informationMahrad Paymani, MD Lake Medical Imaging
Mahrad Paymani, MD Lake Medical Imaging Background: My name is Mahrad Paymani. I am an Interventional and General Radiologist. I attended four years of college (at UNC Greensboro), four years of medical
More informationThoracoscopy for Lung Cancer
Thoracoscopy for Lung Cancer Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your doctor may have recommended an operation to remove your lung cancer. The
More informationT3 NSCLC: Chest Wall, Diaphragm, Mediastinum
for T3 NSCLC: Chest Wall, Diaphragm, Mediastinum AATS Postgraduate Course April 29, 2012 Thomas A. D Amico MD Professor of Surgery, Chief of Thoracic Surgery Duke University Health System Disclosure No
More informationCurrent Treatment of Colorectal Metastases. Dr. Thavanathan Surgical Grand Rounds February 1, 2005
Current Treatment of Colorectal Metastases Dr. Thavanathan Surgical Grand Rounds February 1, 2005 25% will have metastases at initial presentation 25-50% 50% will develop metastases later 40% of potentially
More informationLung Cancer. Public Outcomes Report. Submitted by G. Brooks Brennan, MD. Based on 2015 data
Public Outcomes Report Lung Cancer Submitted by G. Brooks Brennan, MD 2016 Based on 2015 data Lung cancer remains a significant factor in the morbidity and mortality of the United States population. There
More informationCase Scenario 1. The patient agreed to a CT guided biopsy of the left upper lobe mass. This was performed and confirmed non-small cell carcinoma.
Case Scenario 1 An 89 year old male patient presented with a progressive cough for approximately six weeks for which he received approximately three rounds of antibiotic therapy without response. A chest
More informationLiver Tumors. Patient Education. Treatment options 8 4A. About the Liver. Surgical Specialties
Patient Education Treatment options This handout describes different kinds of tumors that form in the liver and how they are treated. About the Liver Your liver is the largest organ in your abdomen. It
More informationThoracoscopic Lobectomy: Technical Aspects in Years of Progress
Thoracoscopic Lobectomy: Technical Aspects in 2015 16 Years of Progress 8 th Masters of Minimally Invasive Thoracic Surgery Orlando September 25, 2015 Thomas A. D Amico MD Gary Hock Professor of Surgery
More informationRadiofrequency Ablation of Liver Tumors
Radiofrequency Ablation of Liver Tumors Michael M. Awad, Michael A. Choti Indications and Contraindications Indications Unresectable malignant tumors of the liver (e.g., hepatocellular carcinoma, colorectal
More informationRadiofrequency ablation (RFA) uses an. Bronchoscopy-guided radiofrequency ablation as a potential novel therapeutic tool
Eur Respir J 2007; 29: 1193 1200 DOI: 10.1183/09031936.00111306 CopyrightßERS Journals Ltd 2007 Bronchoscopy-guided radiofrequency ablation as a potential novel therapeutic tool K. Tsushima*, T. Koizumi*,
More informationGold Anchor enables safe reach to inner organs
Gold Anchor enables safe reach to inner organs Fine needles for cytology have been used >50 years in all parts of the human body with no to very little harm Gold Anchor comes pre-loaded in needles of the
More informationProceedings of the World Small Animal Veterinary Association Sydney, Australia 2007
Proceedings of the World Small Animal Sydney, Australia 2007 Hosted by: Next WSAVA Congress THE LAST GASP II: LUNGS AND THORAX David Holt, BVSc, Diplomate ACVS University of Pennsylvania School of Veterinary
More informationACOSOG Thoracic Committee. Kemp H. Kernstine, MD PhD
ACOSOG Thoracic Committee Kemp H. Kernstine, MD PhD ACOSOG Thoracic Committee Chair: Bryan Meyers, M.D., MPH Vice Chairs: Malcolm Brock, MD Tom DiPetrillo, M.D. Ramaswamy Govindan, M.D. Carolyn Reed, MD
More informationThe Various Methods to Biopsy the Lung PROF SHITRIT DAVID HEAD, PULMONARY DEPARTMENT MEIR MEDICAL CENTER, ISRAEL
The Various Methods to Biopsy the Lung PROF SHITRIT DAVID HEAD, PULMONARY DEPARTMENT MEIR MEDICAL CENTER, ISRAEL Conflict of Interest This presentation is supported by AstraZeneca Two main steps before
More informationHistory of Surgery for Lung Cancer
Welcome to Master Class for Oncologists Session 1: 7:30 AM - 8:15 AM San Francisco, CA October 23, 2009 Innovations in The Surgical Treatment of Lung Cancer Speaker: Scott J. Swanson, MD 2 Presenter Disclosure
More informationRADIOFREQUENCY ABLATION
RADIOFREQUENCY ABLATION ELIZABETH DAVID M D FRCPC VASCULAR A ND INTERVENTIONAL RADIOLOGIST SUNNYBROOK HEALTH SCIENCES CENTRE GIST GASTROINTESTINAL STROMAL TUMORS Stromal or mesenchymal neoplasms affecting
More informationCase presentation. Paul De Leyn, MD, PhD Thoracic Surgery University Hospitals Leuven Belgium
Case presentation Paul De Leyn, MD, PhD Thoracic Surgery University Hospitals Leuven Belgium Perspectives in Lung Cancer Brussels 6-7 march 2009 LEUVEN LUNG CANCER GROUP Department of Thoracic Surgery
More informationInterventional Radiology in Liver Cancer. Nakarin Inmutto MD
Interventional Radiology in Liver Cancer Nakarin Inmutto MD Liver cancer Primary liver cancer Hepatocellular carcinoma Cholangiocarcinoma Metastasis Interventional Radiologist Diagnosis Imaging US / CT
More informationDisclosure. Speaker name: Prof. Maciej Pech I have the following potential conflicts of interest to report:
Disclosure Speaker name: Prof. Maciej Pech I have the following potential conflicts of interest to report: Consulting Employment in industry Stockholder of a healthcare company Owner of a healthcare company
More informationLung Cancer Imaging. Terence Z. Wong, MD,PhD. Department of Radiology Duke University Medical Center Durham, NC 9/9/09
Lung Cancer Imaging Terence Z. Wong, MD,PhD Department of Radiology Duke University Medical Center Durham, NC 9/9/09 Acknowledgements Edward F. Patz, Jr., MD Jenny Hoang, MD Ellen L. Jones, MD, PhD Lung
More informationLung Cancer Resection
Lung Cancer Resection Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your health care provider may have recommended an operation to remove your lung cancer.
More informationCarcinoma of the Lung
THE ANNALS OF THORACIC SURGERY Journal of The Society of Thoracic Surgeons and the Southern Thoracic Surgical Association VOLUME 1 I - NUMBER 3 0 MARCH 1971 Carcinoma of the Lung M. L. Dillon, M.D., and
More informationA Case of Pediatric Plasma Cell Granuloma
August 2001 A Case of Pediatric Plasma Cell Granuloma Nii Tetteh, Harvard Medical School Year IV Our Patient 8 year old male with history of recurrent left lower lobe and lingular pneumonias since 1994.
More informationMalignant Effusions. Anantham Devanand Respiratory and Critical Care Medicine Singapore General Hospital
Malignant Effusions Anantham Devanand Respiratory and Critical Care Medicine Singapore General Hospital Malignant Effusions Definition: Presence of malignant cells in the pleural space 75% are caused by
More informationTHORACIK RICK. Lungs. Outline and objectives Richard A. Malthaner MD MSc FRCSC FACS
THORACIK RICK Outline and objectives Lungs Management of a solitary lung nodule Mediastinum Management of a mediastinal mass Pleura Management of a pleural fluid & pneumothorax Esophagus & Stomach Management
More informationResident Case Review CHEST. Daria Manos CAR 2016
Resident Case Review CHEST CAR 2016 Daria Manos Disclosure Speakers bureau, Roche CAR 2016 Daria Manos 1. Recognize common and critical chest radiograph and computed tomography signs and use these clues
More informationPneumothorax Post CT-guided Fine Needle Aspiration Biopsy for Lung Nodules: Our Experience in King Hussein Medical Center
Pneumothorax Post CT-guided Fine Needle Aspiration Biopsy for Lung Nodules: Our Experience in King Hussein Medical Center Ala Qayet MD*, Laith Obaidat MD**, Mazin Al-Omari MD*, Ashraf Al-Tamimi MD^, Ahmad
More informationThoracic CT pattern in lung cancer: correlation of CT and pathologic diagnosis
19 th Congress of APSR PG of Lung Cancer (ESAP): Update of Lung Cancer Thoracic CT pattern in lung cancer: correlation of CT and pathologic diagnosis Kazuma Kishi, M.D. Department of Respiratory Medicine,
More informationRecommendations. Management of Renal Calculi PCNL. Complications of PCNL: How to avoid and manage them 2/8/2008
Complications of PCNL: How to avoid and manage them Recommendations An exhaustive meta-analysis completed by the panel revealed a lower complication rate and higher stone free rate when PCNL was used as
More informationLiver Directed Therapy for Hepatocellular Carcinoma
Liver Directed Therapy for Hepatocellular Carcinoma Anil K Pillai MD, FRCR, Associate Professor, Department of Radiology UT Houston Health Science Center, Houston, TX, United States. Hepatocellular cancer
More informationPDF hosted at the Radboud Repository of the Radboud University Nijmegen
PDF hosted at the Radboud Repository of the Radboud University Nijmegen The following full text is a publisher's version. For additional information about this publication click this link. http://hdl.handle.net/2066/23566
More informationcame from a carcinoma and in 12 from a sarcoma. Ninety lesions were intrapulmonary and the as the chest wall and pleura. Details of the primary
Thorax 1982;37:366-370 Thoracic metastases MARY P SHEPHERD From the Thoracic Surgical Unit, Harefield Hospital, Harefield ABSTRACI One hundred and four patients are reviewed who were found to have thoracic
More informationCatheter-based alternative treatment for early-stage lung cancer with a high-risk for morbidity
Review Article Catheter-based alternative treatment for early-stage lung cancer with a high-risk for morbidity Ze-Rui Zhao, Rainbow W. H. Lau, Calvin S. H. Ng Division of Cardiothoracic Surgery, Department
More informationProcedure: Chest Tube Placement (Tube Thoracostomy)
Procedure: Chest Tube Placement (Tube Thoracostomy) Basic Information: The insertion and placement of a chest tube into the pleural cavity for the purpose of removing air, blood, purulent drainage, or
More informationVideo-Mediastinoscopy Thoracoscopy (VATS)
Surgical techniques Video-Mediastinoscopy Thoracoscopy (VATS) Gunda Leschber Department of Thoracic Surgery ELK Berlin Chest Hospital, Berlin, Germany Teaching Hospital of Charité Universitätsmedizin Berlin
More informationManagement of Liver Metastasis from Colorectal Carcinoma. Aisha White, M.D. SUNY Downstate Division of Transplantation
Management of Liver Metastasis from Colorectal Carcinoma Aisha White, M.D. SUNY Downstate Division of Transplantation Management of Colorectal Liver Metastasis Epidemiology 25% of patients diagnosed
More informationONCOLOGIC PERCUTANEOUS INTERVENTION: 2015 UPDATE HANH VU NGHIEM, MD OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE
ONCOLOGIC PERCUTANEOUS INTERVENTION: 2015 UPDATE HANH VU NGHIEM, MD OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE ONCOLOGIC PERCUTANEOUS IMAGE GUIDED TUMOR ABLATION Evolving, growing and increasingly
More informationΕπιπλοκές κατάλυσης πνευµονικών φλεβών
Επιπλοκές κατάλυσης πνευµονικών φλεβών Παναγιώτης Ιωαννίδης Διευθυντής Τµήµατος Αρρυθµιών & Επεµβατικής Ηλεκτροφυσιολογίας Βιοκλινικής Αθηνών ΣΕΜΙΝΑΡΙΑ ΟΜΑΔΩΝ ΕΡΓΑΣΙΑΣ Ιωάννινα, 27-2-2015 Solving an equation
More informationACOSOG (NCCTG, CALGB) Alliance Thoracic Committee Kemp H. Kernstine, MD PhD
ACOSOG (NCCTG, CALGB) Alliance Thoracic Committee Kemp H. Kernstine, MD PhD 7-12-12 ACOSOG Thoracic Committee Chair: Bryan Meyers, M.D., MPH Vice Chairs: Malcolm Brock, MD Tom DiPetrillo, M.D. Ramaswamy
More informationCurrent Management of Postpneumonectomy Bronchopleural Fistula
Current Management of Postpneumonectomy Bronchopleural Fistula Shaf Keshavjee MD MSc FRCSC FACS Surgeon-in-Chief, University Health Network James Wallace McCutcheon Chair in Surgery Professor, Division
More informationEndobronchial Ultrasound in the Diagnosis & Staging of Lung Cancer
Endobronchial Ultrasound in the Diagnosis & Staging of Lung Cancer Dr Richard Booton PhD FRCP Lead Lung Cancer Clinician, Consultant Respiratory Physician & Speciality Director Manchester University NHS
More informationInterventional Pulmonary Case Based Discussions (ATS) Ali Imran Saeed, MD University of New Mexico
Interventional Pulmonary Case Based Discussions (ATS) Ali Imran Saeed, MD University of New Mexico Objectives Interventional Pulmonary in New Mexico Interventional Pulmonary and Advanced Diagnostic Cases
More informationThoracostomy: An Update on Imaging Features and Current Surgical Practice
Thoracostomy: An Update on Imaging Features and Current Surgical Practice Robert D. Ambrosini, MD, PhD, Christopher Gange, MD, Katherine Kaproth-Joslin, MD, PhD, Susan Hobbs, MD, PhD Department of Imaging
More informationMEDIASTINAL STAGING surgical pro
MEDIASTINAL STAGING surgical pro Paul E. Van Schil, MD, PhD Department of Thoracic and Vascular Surgery University of Antwerp, Belgium Mediastinal staging Invasive techniques lymph node mapping cervical
More informationRADIATION SEGMENTECTOMY. Robert J Lewandowski, MD
RADIATION SEGMENTECTOMY Robert J Lewandowski, MD Robert Lewandowski, M.D. Consultant/Advisory Board: Cook Medical, LLC, Arsenal, BTG International, Boston Scientific Corp., ABK Reference Unlabeled/Unapproved
More informationCT Guided Procedures And Interesting Cases. Stephen Kim, MD Diagnostic and Interventional Radiology
CT Guided Procedures And Interesting Cases Stephen Kim, MD Diagnostic and Interventional Radiology CT guided procedure benefits Precise lesion targeting Clear image guidance for needle placement Immediate
More informationPneumothorax. Defined as air in the pleural space which can occur through a number of mechanisms
Pneumothorax Defined as air in the pleural space which can occur through a number of mechanisms Traumatic pneumothorax Penetrating chest trauma Common secondary to bullet or knife penetration Chest tube
More informationRole of Surgery in Management of Non Small Cell Lung Cancer. Dr. Ahmed Bamousa Consultant thoracic surgery Prince Sultan Military Medical City
Role of Surgery in Management of Non Small Cell Lung Cancer Dr. Ahmed Bamousa Consultant thoracic surgery Prince Sultan Military Medical City Introduction Surgical approach Principle and type of surgery
More informationRadiation Therapy for Liver Malignancies
Outline Radiation Therapy for Liver Malignancies Albert J. Chang, M.D., Ph.D. Department of Radiation Oncology, UCSF March 23, 2014 Rationale for developing liver directed therapies Liver directed therapies
More informationEarly View Article: Online published version of an accepted article before publication in the final form.
: Online published version of an accepted article before publication in the final form. Journal Name: Journal of Case Reports and Images in Surgery Type of Article: Case Report Title: Metallic Foreign
More informationLines and tubes. 1 Nasogastric tubes Endotracheal tubes Central lines Permanent pacemakers Chest drains...
Lines and tubes 1 Nasogastric tubes... 15 2 Endotracheal tubes.... 19 3 Central lines... 21 4 Permanent pacemakers.... 25 5 Chest drains... 30 This page intentionally left blank 1 Nasogastric tubes Background
More information58 th Tri-State Consecutive Case Conference on Lung Disease
58 th Tri-State Consecutive Case Conference on Lung Disease Presented by the Southeast Thoracic Association VIJAY S. PATEL, M.D. ASSOCIATE PROFESSOR OF SURGERY DEPARTMENT OF SURGERY SECTION OF CARDIOTHORACIC
More informationDo you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!!
The lateral chest radiograph: Challenging area around the thoracic aorta!!! Do you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!! Dong Yoon Han 1, So Youn
More informationTB Intensive Houston, Texas
TB Intensive Houston, Texas October 15-17, 17 2013 Diagnosis of TB: Radiology Rosa M Estrada-Y-Martin, MD MSc FCCP October 16, 2013 Rosa M Estrada-Y-Martin, MD MSc FCCP, has the following disclosures to
More informationRadiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors Policy Number: 7.01.95 Last Review: 3/2018 Origination: 3/2006 Next Review: 3/2019 Policy Blue Cross and Blue Shield of Kansas
More informationMolly Boyd, MD Glenn Mills, MD Syed Jafri, MD 1/1/2010
LSU HEALTH SCIENCES CENTER NSCLC Guidelines Feist-Weiller Cancer Center Molly Boyd, MD Glenn Mills, MD Syed Jafri, MD 1/1/2010 Initial Evaluation/Intervention: 1. Pathology Review 2. History and Physical
More informationVideo-assisted radiofrequency ablation for pleural disseminated non-small cell lung cancer
Shen et al. BMC Surgery 2013, 13:19 RESEARCH ARTICLE Open Access Video-assisted radiofrequency ablation for pleural disseminated non-small cell lung cancer Yaxing Shen 1, Ming Zhong 2, Wei Jiang 1*, Hong
More informationManagement of Colorectal Liver Metastases
Management of Colorectal Liver Metastases MM Bernon, JEJ Krige HPB Surgical Unit, Groote Schuur Hospital Department of Surgery, University of Cape Town 50% of patients with colorectal cancer develop liver
More informationNew Energy Sources for Local Ablation Therapy. Jeong Kyong Lee, MD Ewha Womans University
New Energy Sources for Local Ablation Therapy Jeong Kyong Lee, MD Ewha Womans University New Energy Sources for Local Ablation Therapy Microwave Ablation Irreversible Electroporation Cryoablation Microwave
More informationThoracoscopic Lobectomy for Locally Advanced Lung Cancer. Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014
for Locally Advanced Lung Cancer Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014 Thomas A. D Amico MD Gary Hock Endowed Professor and Vice Chair of Surgery Chief Thoracic Surgery
More informationProper Treatment Selection May Improve Survival in Patients With Clinical Early-Stage Nonsmall Cell Lung Cancer
Proper Treatment Selection May Improve Survival in Patients With Clinical Early-Stage Nonsmall Cell Lung Cancer Özcan Birim, MD, A. Pieter Kappetein, MD, PhD, Tom Goorden, MD, Rob J. van Klaveren, MD,
More informationLung cancer, with approximately 174,000 new cases per
Radiofrequency Ablation of Lung Malignancies Christophe L. Nguyen, MD, Walter J. Scott, MD, and Melvyn Goldberg, MD Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania
More informationLIVER DIRECTED THERAPIES FOR PATIENTS WITH UNRESECTABLE METASTASES
LIVER DIRECTED THERAPIES FOR PATIENTS WITH UNRESECTABLE COLORECTAL CANCER LIVER METASTASES Jaime R. Merchan, MD, MMSc Associate Professor of Medicine Division of Hematology-Oncology University of Miami
More informationRespiratory Diseases and Disorders
Chapter 9 Respiratory Diseases and Disorders Anatomy and Physiology Chest, lungs, and conducting airways Two parts: Upper respiratory system consists of nose, mouth, sinuses, pharynx, and larynx Lower
More informationTumour size as a prognostic factor after resection of lung carcinoma
Tumour size as a prognostic factor after resection of lung carcinoma A. S. SOORAE AND R. ABBEY SMITH Thorax, 1977, 32, 19-25 From the Cardio-Thoracic Unit, Walsgrave Hospital, Clifford Bridge Road, Coventry
More informationRadiofrequency Ablation versus Microwave Ablation in HCC and Liver Metastases
Radiofrequency Ablation versus Microwave Ablation in HCC and Liver Metastases Thomas J. Vogl, B. Panahi, N. Nour-Eldin I D I R: Institute of Diagnostic and Interventional Radiology Goethe University Frankfurt,
More informationPost Pneumonic Empyema: Is There Still a Role for Surgery?
Post Pneumonic Empyema: Is There Still a Role for Surgery? M. Blair Marshall, MD Ismael Matus, MD Chief, Thoracic Surgery Interventional Pulmonary Professor of Surgery Medicine MedStar Georgetown University
More informationSurgical resection remains the cornerstone of therapy for
ORIGINAL ARTICLE Long-Term Results of Radiofrequency Ablation Treatment of Stage I Non-small Cell Lung Cancer A Prospective Intention-to-Treat Study Marcello Carlo Ambrogi, MD, PhD,* Olivia Fanucchi, MD,*
More informationThe Role of Radiation Therapy
The Role of Radiation Therapy and Surgery in the Treatment of Bronchogenic Carcinoma R Adams Cowley, M.D., Morris J. Wizenberg, M.D., and Eugene J. Linberg, M.D. A study of the combined use of preoperative
More informationModern Approaches to Empyema
Modern Approaches to Empyema Amit Bhargava, MD Attending Thoracic Surgeon Assistant Professor Department of Cardiovascular and Thoracic Surgery 1 Principles of Treatment Adequate drainage Sterilization
More informationNO ROLE FOR TUMOR ABLATION IN THE ERA OF STEREOTACTIC BODY RADIATION FOR STAGE I LUNG CANCER
NO ROLE FOR TUMOR ABLATION IN THE ERA OF STEREOTACTIC BODY RADIATION FOR STAGE I LUNG CANCER Bryan Meyers MD MPH Washington University School of Medicine THE PLAYERS Stereotactic body radiation therapy
More informationLung biopsy (mucosal/transbronchial/open lung)
Lung biopsy (mucosal/transbronchial/open lung) Ernst Eber, MD Respiratory and Allergic Disease Division, Paediatric Department, Medical University of Graz, Austria ERS Task Force. Eur Respir J 2003;22:698-708.
More information