scholarly journals Primary intratracheal schwannoma resected during bronchoscopy using argon plasma coagulation

2018 ◽  
pp. bcr-2018-225140
Author(s):  
Purva V Sharma ◽  
Yash B Jobanputra ◽  
Tatiana Perdomo Miquel ◽  
J Ryan Schroeder ◽  
Adam Wellikoff
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Cost Effective ◽  
Rigid Bronchoscopy ◽  
Vascular Lesions ◽  
Interventional Bronchoscopy ◽  
Plasma Coagulation ◽  
Nd:Yag Lasers ◽  
Initial Work ◽  
Contrast Ct

A 63-year-old man presented with intermittent, progressively worsening dyspnoea associated with cough and blood-tinged sputum. Initial work-up showed left axis deviation on ECG, chest X-ray with an elevated left hemidiaphragm and a non-contrast CT chest that showed a multilobulated mass in the proximal trachea. Bronchoscopy showed a whitish-appearing lesion, which was then sampled and partially resected with pathology showing a schwannoma with no malignant cells. He felt partial relief post procedure; however, he presented a month later with similar symptoms of dyspnoea and a repeat CT scan showed enlargement of the mass in the same location. The patient underwent another flexible bronchoscopy and resection with argon plasma coagulation (APC)/electrocautery snare. APC/electrocautery is an effective interventional bronchoscopy technique that can be used to resect endoluminal lesions or extraluminal lesions that have infiltrated into the airway using flexible/rigid bronchoscopy. It is more cost-effective, safe, works well with vascular lesions and achieves excellent haemostasis as compared with Nd:YAG lasers.

scholarly journals Successful treatment of post-intubation tracheal stenosis with balloon dilation, argon plasma coagulation, electrocautery and application of mitomycin C

2015 ◽  
Vol 3 (9) ◽  
pp. 14
Author(s):  
Audra Fuller ◽  
Mark Sigler ◽  
Shrinivas Kambali ◽  
Raed Alalawi
Keyword(s):  
Mitomycin C ◽  
Topical Application ◽  
Tracheal Stenosis ◽  
Argon Plasma Coagulation ◽  
Balloon Dilation ◽  
Argon Plasma ◽  
Rigid Bronchoscopy ◽  
Definitive Treatment ◽  
Plasma Coagulation ◽  
Post Intubation

Tracheal stenosis is an uncommon but known complication of endotracheal intubation and tracheostomy. Surgery is currently the definitive treatment for tracheal stenosis but carries a significantly higher risk for adverse events as it often involves complex procedures.  Here we present our experience using topical application of mitomycin C, along with various bronchoscopic interventions, as a treatment for tracheal stenosis. The patients in our series developed tracheal stenosis post-intubation or post-tracheostomy. Each patient in our series underwent the same basic procedures involving rigid bronchoscopy and balloon dilation, ablation of granulation tissue with cryotherapy and argon plasma coagulation, and finally application of topical mitomycin C. Our experience with these four cases shows a good initial success rate with topical mitomycin C application for the treatment of tracheal stenosis. Most patients required a repeat intervention a few weeks later. Our results suggest that success with topical mitomycin C is more likely in post-intubation rather than post-tracheostomy tracheal stenosis. Bronchoscopic therapy and topical application of mitomycin C may work better as a bridge to definitive surgery rather than as a stand-alone therapy.

scholarly journals Endobronchial Schwannoma Treated by Rigid Bronchoscopy with Argon Plasma Coagulation

2012 ◽  
Vol 73 (3) ◽  
pp. 174 ◽  
Author(s):  
Bo Ram Lee ◽  
Yoo Duk Choi ◽  
Yu Il Kim ◽  
Sung Chul Lim ◽  
Yong Soo Kwon
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Rigid Bronchoscopy ◽  
Plasma Coagulation

Argon plasma coagulation tonsillectomy versus coblation tonsillectomy: a comparison of efficacy and safety

2019 ◽  
Vol 133 (06) ◽  
pp. 520-525 ◽  
Author(s):  
R Loh ◽  
L Stepan ◽  
E Zhen ◽  
C-K L Shaw
Keyword(s):  
Blood Loss ◽  
Operative Time ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Standard Technique ◽  
Cost Effective ◽  
Operative Blood Loss ◽  
Plasma Coagulation ◽  
Post Operative Pain ◽  
Significant Difference

AbstractBackgroundTonsillectomy is one of the most common otolaryngological procedures. Nonetheless, there is still no universally approved ‘gold standard’ technique.ObjectiveTo compare the safety and efficacy of argon plasma coagulation and coblation techniques in tonsillectomy.MethodsA multi-institutional, retrospective cohort study was conducted, comprising 283 patients who underwent bilateral tonsillectomies performed by a single surgeon between 2014 and 2017. The outcome measures included: operative time, intra-operative blood loss, post-operative pain and post-operative haemorrhage.ResultsIn the argon plasma coagulation group, mean operative time and post-operative haemorrhage rate were significantly reduced, p = 0.0006 and p = 0.003 respectively. There was no statistically significant difference between the two groups in terms of post-operative pain and intra-operative blood loss.ConclusionThe argon plasma coagulation technique is easy, safe and efficacious. Argon plasma coagulation tonsillectomy seems cost-effective compared to coblation tonsillectomy: the single-use disposable electrode tip and wand used in this study cost AUD$76.50 and AUD$380 respectively. Argon plasma coagulation appears to be a favourable alternative to current modalities such as coblation.

Endoscopic mucosal resection for recurrent gastric antral vascular ectasia

VASA ◽  
2008 ◽  
Vol 37 (3) ◽  
pp. 289-292 ◽  
Author(s):  
Katsinelos ◽  
Chatzimavroudis ◽  
Katsinelos ◽  
Panagiotopoulou ◽  
Kotakidou ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Deficiency Anemia ◽  
Gastric Antral Vascular Ectasia ◽  
Therapeutic Approaches ◽  
Plasma Coagulation ◽  
Vascular Ectasia ◽  
Mucosal Resection ◽  
First Case

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.

Argon-Plasma-Coagulation (APC) zur lokalablativen Therapie des Cholangiokarzinoms

2015 ◽  
Vol 28 (01) ◽  
Author(s):  
A Genthner ◽  
A Eickhoff ◽  
J Albert ◽  
MD Enderle ◽  
W Linzenbold
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Plasma Coagulation
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