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Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients

BACKGROUND: Treatment of broncholithiasis is complex, especially in the case of a large or transbronchial broncholith. Holmium-yttrium aluminum garnet (Ho:YAG) laser lithotripsy may be a useful treatment in broncholithiasis; however, as it is not yet common practice, the optimal parameters are unkno...

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Autores principales: Cheng, Yuan, Wang, Guangfa, Zhang, Wei, Zhang, Hong, Wang, Xi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944618/
https://www.ncbi.nlm.nih.gov/pubmed/33691662
http://dx.doi.org/10.1186/s12890-021-01407-8
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author Cheng, Yuan
Wang, Guangfa
Zhang, Wei
Zhang, Hong
Wang, Xi
author_facet Cheng, Yuan
Wang, Guangfa
Zhang, Wei
Zhang, Hong
Wang, Xi
author_sort Cheng, Yuan
collection PubMed
description BACKGROUND: Treatment of broncholithiasis is complex, especially in the case of a large or transbronchial broncholith. Holmium-yttrium aluminum garnet (Ho:YAG) laser lithotripsy may be a useful treatment in broncholithiasis; however, as it is not yet common practice, the optimal parameters are unknown. METHODS: We performed a single-center retrospective analysis of the clinical data of 13 broncholithiasis patients who underwent Ho:YAG laser lithotripsy from May 2012 to October 2018. RESULTS: For the 13 patients (2 males and 11 females), Ho:YAG laser lithotripsy was performed 17 times, in total. All procedures were performed under general anesthesia with rigid bronchoscopy. We initially set the Ho:YAG laser to a pulse frequency of 5 Hz and a pulse energy of 0.8 J, gradually increasing these as required. The pulse frequency range we employed was 5–15 Hz, and the pulse energy range was 0.8–1.6 J. All broncholiths were successfully extracted after lithotripsy, and all symptoms improved. Hemoptysis, bronchial esophageal fistula, and pneumonia were the most common complications; however, there were no long-term complications. CONCLUSIONS: Ho:YAG laser lithotripsy is an effective and safe treatment for broncholithiasis, over a long-term follow up.
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spelling pubmed-79446182021-03-10 Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients Cheng, Yuan Wang, Guangfa Zhang, Wei Zhang, Hong Wang, Xi BMC Pulm Med Research Article BACKGROUND: Treatment of broncholithiasis is complex, especially in the case of a large or transbronchial broncholith. Holmium-yttrium aluminum garnet (Ho:YAG) laser lithotripsy may be a useful treatment in broncholithiasis; however, as it is not yet common practice, the optimal parameters are unknown. METHODS: We performed a single-center retrospective analysis of the clinical data of 13 broncholithiasis patients who underwent Ho:YAG laser lithotripsy from May 2012 to October 2018. RESULTS: For the 13 patients (2 males and 11 females), Ho:YAG laser lithotripsy was performed 17 times, in total. All procedures were performed under general anesthesia with rigid bronchoscopy. We initially set the Ho:YAG laser to a pulse frequency of 5 Hz and a pulse energy of 0.8 J, gradually increasing these as required. The pulse frequency range we employed was 5–15 Hz, and the pulse energy range was 0.8–1.6 J. All broncholiths were successfully extracted after lithotripsy, and all symptoms improved. Hemoptysis, bronchial esophageal fistula, and pneumonia were the most common complications; however, there were no long-term complications. CONCLUSIONS: Ho:YAG laser lithotripsy is an effective and safe treatment for broncholithiasis, over a long-term follow up. BioMed Central 2021-03-10 /pmc/articles/PMC7944618/ /pubmed/33691662 http://dx.doi.org/10.1186/s12890-021-01407-8 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Cheng, Yuan
Wang, Guangfa
Zhang, Wei
Zhang, Hong
Wang, Xi
Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients
title Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients
title_full Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients
title_fullStr Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients
title_full_unstemmed Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients
title_short Feasibility and long-term safety of Ho:YAG laser lithotripsy in broncholithiasis patients
title_sort feasibility and long-term safety of ho:yag laser lithotripsy in broncholithiasis patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944618/
https://www.ncbi.nlm.nih.gov/pubmed/33691662
http://dx.doi.org/10.1186/s12890-021-01407-8
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