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Multicenter Study
. 2021 Jan;26(1):87-91.
doi: 10.1111/resp.13873. Epub 2020 Jun 14.

Multi-institutional retrospective analysis of adverse events following rigid tracheobronchoscopy

Marc Fortin  1 , Lonny Yarmus  2 , Erino Angelo Rendina  3 , Samaan Rafeq  4 , Rafael Andrade  5 , Gaetane Michaud  4 , Jordan Kazakov  6 , Sixto Arias  2 , Anna Maria Ciccone  3 , Ricardo O. Amador  2 , Moishe Liberman  7
Affiliations
Multicenter Study

Multi-institutional retrospective analysis of adverse events following rigid tracheobronchoscopy

Marc Fortin et al. Respirology. 2021 Jan.

Abstract

Background and objective: Rigid tracheobronchoscopy (RTB) has seen an increasing interest over the last decades with the development of the field of IPM but no benchmark exists for complication rates in RTB. We aimed to establish benchmarks for complication rates in RTB.

Methods: A multicentric retrospective analysis of RTB performed between 2009 and 2015 in eight participating centres was performed.

Results: A total of 1546 RTB were performed over the study period. One hundred and thirty-one non-lethal complications occurred in 103 procedures (6.7%, 95% CI: 5.5-8.0%). The periprocedural mortality rate was 1.2% (95% CI: 0.6-1.8%). The 30-day mortality rate was 5.6% (95% CI: 4.5-6.8%). Complication rate increases further when procedures were performed in an emergency setting. Procedures in patients with MAO are associated with a higher 30-day mortality (8.1% vs 2.7%, P < 0.01) and a different complication profile when compared to procedures performed for BAS.

Conclusion: RTB is associated with a 6.7% non-lethal complication rate, a 1.2% periprocedural mortality rate and a 5.6% 30-day mortality in a large multicentre cohort of patients with benign and malignant airway disease.

Keywords: benign airway stenosis; bronchoscopy and interventional techniques; lung cancer; malignant airway obstruction; thoracic surgery.

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References

REFERENCES

    1. Kollofrath O. Entfernung eines Knochenstucks aus dem rechten Bronchus auf naturlichem Wege und unter Anwendung der directen Laryngoscopie. MMW Munch. Med. Wochenschr. 1897; 37: 1038-9.
    1. Mutter Museum, College of Physicians of Philadelphia. Exhibitions: Chevalier Jackson collection. Available from URL: http://muttermuseum.org/exhibitions/chevalier-jackson-collection. Accessed December 6, 2018.
    1. Miyazawa T. History of the flexible bronchoscope. In: Bolliger CT, Mathur PN (eds) Progress in Respiration Research, Vol. 30: Interventional Bronchoscopy. Basel, Karger, 2000; 16-21.
    1. Dumon JF. A dedicated tracheobronchial stent. Chest 1990; 97: 328-32.
    1. Ost DE, Ernst A, Grosu HB. Therapeutic bronchoscopy for malignant central airway obstruction: success rates and impact on dyspnea and quality of life. Chest 2015; 147: 1282-98.

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