An Open-label, Single-arm Study of CRYO2 for Debulking at the Site of Central Airway Obstruction or Stenosis

被引:3
作者
Saka, Hideo [1 ]
Oki, Masahide [1 ]
Kada, Akiko [2 ]
Saito, Akiko M. [2 ]
机构
[1] Natl Hosp Org Nagoya Med Ctr, Dept Resp Med, Nagoya, Aichi, Japan
[2] Natl Hosp Org Nagoya Med Ctr, Clin Res Ctr, Nagoya, Aichi, Japan
来源
IN VIVO | 2019年 / 33卷 / 05期
关键词
Obstruction; stenosis; cryosurgery unit; safety; BRONCHOSCOPIC CRYOTHERAPY; CRYORECANALIZATION; MANAGEMENT;
D O I
10.21873/invivo.11649
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: An open-label, single-arm study was conducted to assess the safety of a cryosurgery unit named CRYO2 for debulking at the site of obstruction or stenosis. Patients and Methods: In order to treat central airway tumor-related stenosis, debulking at the stenotic site of the airway was performed using CRYO2 under general or local anesthesia. The primary endpoint was the incidence of moderate to massive hemorrhage. Results: Incidence of moderate to massive hemorrhage during surgery was 3.8% (1/26) (95% confidence interval(CI)=0.1-19.6%). Technical success was 96.2% (25/26), with a 95% confidence interval of 80.4-99.9%. Conclusion: CRYO2 for debulking at the site of obstruction or stenosis can be performed safely.
引用
收藏
页码:1641 / 1644
页数:4
相关论文
共 9 条
[1]   Bronchoscopic cryotherapy treatment of isolated endoluminal typical carcinoid tumor [J].
Bertoletti, Laurent ;
Elleuch, Rami ;
Kaczmarek, David ;
Jean-Francois, Rita ;
Vergnon, Jean Michel .
CHEST, 2006, 130 (05) :1405-1411
[2]   Cryotherapy in early superficial bronchogenic carcinoma [J].
Deygas, N ;
Froudarakis, M ;
Ozenne, G ;
Vergnon, JM .
CHEST, 2001, 120 (01) :26-31
[3]   Cryorecanalization: A new approach for the immediate management of acute airway obstruction [J].
Hetzel, M ;
Hetzel, J ;
Schumann, C ;
Marx, N ;
Babiak, A .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2004, 127 (05) :1427-1431
[4]   Fiberoptic bronchoscopic cryotherapy in the management of tracheobronchial obstruction [J].
Mathur, PN ;
Wolf, KM ;
Busk, MF ;
Briete, WM ;
Datzman, M .
CHEST, 1996, 110 (03) :718-723
[5]   Efficacy and Safety of Bronchoscopic Cryotherapy for Granular Endobronchial Tuberculosis [J].
Mu, Deguang ;
Nan, Dongyan ;
Li, Wangping ;
Fu, Enqing ;
Xie, Yonghong ;
Liu, Tonggang ;
Jin, Faguang .
RESPIRATION, 2011, 82 (03) :268-272
[6]   Bronchoscopic cryotherapy: Preliminary experience [J].
Noppen, M ;
Meysman, M ;
Van Herreweghe, R ;
Lamote, J ;
D'Haese, J ;
Vincken, W .
ACTA CLINICA BELGICA, 2001, 56 (02) :73-77
[7]   An open-label, single-arm study of CRYO2 for tissue removal at the site of central airway obstruction or stenosis: study protocol [J].
Saka, Hideo ;
Kada, Akiko .
NAGOYA JOURNAL OF MEDICAL SCIENCE, 2018, 80 (03) :411-415
[8]   Endobronchial tumor debulking with a flexible cryoprobe for immediate treatment of malignant stenosis [J].
Schumann, Christian ;
Hetzel, Martin ;
Babiak, Alexander J. ;
Hetzel, Juergen ;
Merk, Tobias ;
Wibmer, Thomas ;
Lepper, Philipp M. ;
Krueger, Stefan .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 139 (04) :997-1000
[9]   Cryorecanalization: keys to success [J].
Yilmaz, Aydin ;
Aktas, Zafer ;
Alici, Ibrahim Onur ;
Caglar, Atalay ;
Sazak, Hilal ;
Ulus, Fatma .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (10) :2969-2974