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Impacted broncholiths removed with the holmium: YAG laser

1996; Wiley; Volume: 19; Issue: 2 Linguagem: Inglês

10.1002/(sici)1096-9101(1996)19

1096-9101

James S. McCaughan, Henry G. Heinzmann, Deborah McMahon,

Head and Neck Anomalies

Lasers in Surgery and MedicineVolume 19, Issue 2 p. 230-232 Case Report Impacted broncholiths removed with the holmium: YAG laser James S. McCaughan Jr. MD, FACS, FCCP, Corresponding Author James S. McCaughan Jr. MD, FACS, FCCP Grant Laser Center and Laser Medical Research Foundation, ColumbusGrant Laser Center and Laser Medical Research Foundation, Columbus, OHSearch for more papers by this authorHenry G. Heinzmann MD, Henry G. Heinzmann MD Smith Clinic, Marion, OhioSearch for more papers by this authorDeborah McMahon RN, Deborah McMahon RN Grant Laser Center and Laser Medical Research Foundation, ColumbusSearch for more papers by this author James S. McCaughan Jr. MD, FACS, FCCP, Corresponding Author James S. McCaughan Jr. MD, FACS, FCCP Grant Laser Center and Laser Medical Research Foundation, ColumbusGrant Laser Center and Laser Medical Research Foundation, Columbus, OHSearch for more papers by this authorHenry G. Heinzmann MD, Henry G. Heinzmann MD Smith Clinic, Marion, OhioSearch for more papers by this authorDeborah McMahon RN, Deborah McMahon RN Grant Laser Center and Laser Medical Research Foundation, ColumbusSearch for more papers by this author First published: 1996 https://doi.org/10.1002/(SICI)1096-9101(1996)19:2 3.0.CO;2-ACitations: 9AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Background and Objective Although the Nd:YAG laser has been used endoscopically to remove broncholiths, our experience with it for this purpose has been tedious and difficult. The calculus burns and partially vaporizes, but most of the removal has to be done mechanically with crushing from biopsy forceps. Laser lithotripsy for ureteral calculi has been reportod using the pulsed Holmium:YAG laser to fragment the calculus, and we evaluated the efficacy of this laser to remove impacted broncholiths. Study Design/Materials and Methods Two patients with impacted broncholiths obstructing segments of the right middle lobe were treated using a pulsed Holmium:YAG laser. General endotracheal anesthesia with an FIO2 of 40% was used, and the laser energy was delivered through a 365-μm bare tip fiber passed through the biopsy channel of a flexible bronchoscope inserted through the endotracheal tube. Results The calculi were easily fragmented and removed with suction. Conclusions The pulsed Holmium:YAG laser was an effective tool to fragment and remove impacted broncholiths with minimal side effects using 2 J and 5 Hertz. The calculi exploded into tiny fragments. © 1996 Wiley-Liss, Inc. Citing Literature Volume19, Issue21996Pages 230-232 RelatedInformation