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Biopsy etc. Procedures and Bronchography.
Published in Fred W Wright, Radiology of the Chest and Related Conditions, 2022
Bronchography is now used much less than 10 years ago in the investigation of lung tumours, the decline being due to the more widespread use of CT and fibre-optic bronchoscopy, and the decline in the number of patients with bronchiectasis, but a short chapter is retained for reference purposes particularly as more interest is now being generated by multiplanar CT bronchography. Its value in the diagnosis of bronchiectasis is discussed on ps. 3.18.
Interventional radiology
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
These techniques are based on bronchography. Balloon dilation of acquired tracheobronchial stenoses is easy and effective. The procedure is analogous to esophageal dilation. The airway can be accessed through an endotracheal or tracheostomy tube, or a laryngeal mask airway. The measurement facilities on modern angiographic equipment are helpful because accurate assessment of the diameter and length of the balloon to be used is very important. Fluoroscopic guidance is useful because it allows accurate positioning of the balloon, and abolition of the waist confirms that complete inflation has been achieved. A description of stenting and other pediatric airway intervention is beyond the scope of this chapter.
Respiratory system
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Fluoroscopy has little role in modern thoracic imaging. It can be used to assess movement of the diaphragm (screening of the diaphragm) in cases of suspected paralysis or eventration, but this can be done equally as well by ultrasound, avoiding radiation exposure. Bronchography is an invasive and unpleasant test involving aspiration of contrast into the lungs under fluoroscopic control to obtain images of the bronchial tree, mainly to diagnose bronchiectasis; the advent of HRCT has made this almost unnecessary.
Effect of airway clearance techniques in patients experiencing an acute exacerbation of bronchiectasis: a systematic review
Published in Physiotherapy Theory and Practice, 2020
Jennifer Phillips, Annemarie Lee, Rodney Pope, Wayne Hing
Studies were eligible for inclusion if they included adults or children with a medical diagnosis of bronchiectasis not associated with cystic fibrosis (confirmed by HRCT scan, bronchography, or physician) who were experiencing an acute exacerbation and who were prescribed ACT(s). Studies were excluded if they were not available in English or were published as abstract only, if they used a case study design or if interventions were completed without the goal of sputum clearance (e.g. mobility to increase exercise tolerance). Studies which involved multi-pronged interventions where the effects of each component could not be disentangled and studies which included individuals with a respiratory condition other than bronchiectasis were also excluded.
Pediatric bronchoscopy: recent advances and clinical challenges
Published in Expert Review of Respiratory Medicine, 2021
P Goussard, P Pohunek, E Eber, F Midulla, G Di Mattia, M Merven, JT Janson
Bronchoscopy has been used to confirm and close treat persistent BPF [137,138]. Bronchography can be used to determine the location of fistula [137]. Instillation of methylene blue or rifampicin into segmental bronchi with its subsequent appearance in the chest drainage may help to confirm and localize BPF [140]. Both glue, intrabronchial valves, and balloons have been used to close BPF.