New advances in bronchoscopic ablation of malignant airway stenosis_West China Medical Journal

Authors：

ZHOU Yan ^1,2 , JIN Weizhong ² , JIN Hualiang ² ,  WANG Limin ²

1. Nanjing Medical University, Nanjing, Jiangsu 211166, P. R. China;
2. Department of Respiratory Medicine, Hangzhou Hospital Affiliated to Nanjing Medical University / Hangzhou First People’s Hospital, Hangzhou, Zhejiang 310006, P. R. China;

Corresponding author：

WANG Limin, Email: lemonwlm@163.com

Keywords：

Airway stenosis; Bronchoscopy; Ablation treatment

DOI：

10.7507/1002-0179.202009028

Video：

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Abstract Full text Figures/Tables Video References Cited by

Malignant airway stenosis generally refers to airway lumen stenosis caused by various primary and metastatic malignant tumors and restricted airflow, which can be manifested as dyspnea to varying degrees or even asphyxia and death. It seriously affects the quality of life of patients with airway stenosis. With the continuous development of bronchoscope interventional techniques, various interventional therapies such as ablation, dilation and stent implantation can be used to reventilate the airway. Among them, ablation treatment is the most commonly used method. The methods of ablation treatment include cold, heat, photodynamic, local chemoradiotherapy, etc. This article will review the new applications of various methods used in the ablation treatment of malignant airway stenosis progress.

Citation： ZHOU Yan, JIN Weizhong, JIN Hualiang, WANG Limin. New advances in bronchoscopic ablation of malignant airway stenosis. West China Medical Journal, 2021, 36(6): 816-820. doi: 10.7507/1002-0179.202009028 Copy

1.	Ong P, Grosu HB, Debiane L, et al. Long-term quality-adjusted survival following therapeutic bronchoscopy for malignant central airway obstruction. Thorax, 2019, 74(2): 141-156.
2.	Mahmood K, Wahidi MM, Thomas S, et al. Therapeutic bronchoscopy improves spirometry, quality of life, and survival in central airway obstruction. Respiration, 2015, 89(5): 404-413.
3.	Benn BS, Krishna G. A novel multimodal approach to treating proximal tracheal obstructions with spray cryotherapy. J Thorac Dis, 2019, 11(2): 613-617.
4.	Moore RF, Lile DJ, Abbas AE. Current status of spray cryotherapy for airway disease. J Thorac Dis, 2017, 9(Suppl 2): S122-S129.
5.	Browning R, Turner JF Jr, Parrish S. Spray cryotherapy (SCT): institutional evolution of techniques and clinical practice from early experience in the treatment of malignant airway disease. J Thorac Dis, 2015, 7(Suppl 4): S405-S414.
6.	Janke KJ, Abbas AE, Ambur V, et al. The application of liquid nitrogen spray cryotherapy in treatment of bronchial stenosis. Innovations (Phila), 2016, 11(5): 349-354.
7.	Puchalski J, Musani AI. Tracheobronchial stenosis: causes and advances in management. Clin Chest Med, 2013, 34(3): 557-567.
8.	Bach T, Muschter R, Sroka R, et al. Laser treatment of benign prostatic obstruction: basics and physical differences. Eur Urol, 2012, 61(2): 317-325.
9.	Marulli G, Droghetti A, Di Chiara F, et al. A prospective randomized trial comparing stapler and laser techniques for interlobar fissure completion during pulmonary lobectomy. Lasers Med Sci, 2013, 28(2): 505-511.
10.	Gesierich W, Reichenberger F, Fertl A, et al. Endobronchial therapy with a thulium fiber laser (1940 nm). J Thorac Cardiovasc Surg, 2014, 147(6): 1827-1832.
11.	Aboudara M, Rickman O, Maldonado F. Therapeutic bronchoscopic techniques available to the pulmonologist: emerging therapies in the treatment of peripheral lung lesions and endobronchial tumors. Clin Chest Med, 2020, 41(1): 145-160.
12.	Li G, Xue M, Chen W, et al. Efficacy and safety of radiofrequency ablation for lung cancers: a systematic review and meta-analysis. Eur J Radiol, 2018, 100: 92-98.
13.	Benn BS, Lum M, Krishna G. Bronchoscopic treatment of airway obstructions with a novel electrosurgical device. J Bronchology Interv Pulmonol, 2020, 28(1): 34-41.
14.	Shi X, Zhang CY, Gao J, et al. Recent advances in photodynamic therapy for cancer and infectious diseases. Wiley Interdiscip Rev Nanomed Nanobiotechnol, 2019, 11(5): e1560.
15.	Ikeda N, Usuda J, Maehara S. Photodynamic therapy for central-type early-stage lung cancer. Gen Thorac Cardiovasc Surg, 2020, 68(7): 679-683.
16.	O’Connell KA, Okhovat JP, Zeitouni NC. Photodynamic therapy for bowen’s disease (squamous cell carcinoma in situ) current review and update. Photodiagnosis Photodyn Ther, 2018, 24: 109-114.
17.	Mehta HJ, Biswas A, Fernandez-Bussy S, et al. Photodynamic therapy for bronchial microscopic residual disease after resection in lung cancer. J Bronchology Interv Pulmonol, 2019, 26(1): 49-54.
18.	Jin F, Wang H, Li Q, et al. Clinical application of photodynamic therapy for malignant airway tumors in China. Thorac Cancer, 2020, 11(1): 181-190.
19.	Ohtani K, Usuda J, Maehara S, et al. A combination therapy of photodynamic therapy (PDT) and airway stent placement using a transparent silicone stent. Lasers Med Sci, 2020, 35(5): 1035-1040.
20.	Kimura M, Miyajima K, Kojika M, et al. Photodynamic therapy (PDT) with chemotherapy for advanced lung cancer with airway stenosis. Int J Mol Sci, 2015, 16(10): 25466-25475.
21.	Gallagher-Colombo SM, Miller J, Cengel KA, et al. Erlotinib pretreatment improves photodynamic therapy of non-small cell lung carcinoma xenografts via multiple mechanisms. Cancer Res, 2015, 75(15): 3118-3126.
22.	樊帆, 朱敦皖, 张琳华. 肿瘤化疗协同光动力疗法联合免疫治疗的研究进展. 国际生物医学工程杂志, 2017, 40(4): 262-268, 311-312.
23.	Lee JW, Lee JH, Kim HK, et al. The efficacy of external beam radiotherapy for airway obstruction in lung cancer patients. Cancer Res Treat, 2015, 47(2): 189-196.
24.	Jayadevappa R, Chhatre S, Soukiasian HJ, et al. Outcomes of patients with advanced non-small cell lung cancer and airway obstruction treated with photodynamic therapy and non-photodynamic therapy ablation modalities. J Thorac Dis, 2019, 11(10): 4389-4399.
25.	Wang M, Song J, Zhou F, et al. NIR-triggered phototherapy and immunotherapy via an antigen-capturing nanoplatform for metastatic cancer treatment. Adv Sci (Weinh), 2019, 6(10): 1802157.
26.	Mehta HJ, Begnaud A, Penley AM, et al. Treatment of isolated mediastinal and hilar recurrence of lung cancer with bronchoscopic endobronchial ultrasound guided intratumoral injection of chemotherapy with cisplatin. Lung Cancer, 2015, 90(3): 542-547.
27.	Li X, Liu X, Rao X, et al. A case report of local treatment of inoperable squamous cell lung carcinoma with convex-probe endobronchial ultrasound-guided intratumoral injection of cisplatin in a patient with severe COPD. Medicine (Baltimore), 2017, 96(24): e7070.
28.	Mehta HJ, Begnaud A, Penley AM, et al. Restoration of patency to central airways occluded by malignant endobronchial tumors using intratumoral injection of cisplatin. Ann Am Thorac Soc, 2015, 12(9): 1345-1350.
29.	Yarmus L, Mallow C, Akulian J, et al. Prospective multicentered safety and feasibility pilot for endobronchial intratumoral chemotherapy. Chest, 2019, 156(3): 562-570.
30.	Li SY, Li Q, Guan WJ, et al. Effects of para-toluenesulfonamide intratumoral injection on non-small cell lung carcinoma with severe central airway obstruction: a multi-center, non-randomized, single-arm, open-label trial. Lung Cancer, 2016, 98: 43-50.

1. Ong P, Grosu HB, Debiane L, et al. Long-term quality-adjusted survival following therapeutic bronchoscopy for malignant central airway obstruction. Thorax, 2019, 74(2): 141-156.
2. Mahmood K, Wahidi MM, Thomas S, et al. Therapeutic bronchoscopy improves spirometry, quality of life, and survival in central airway obstruction. Respiration, 2015, 89(5): 404-413.
3. Benn BS, Krishna G. A novel multimodal approach to treating proximal tracheal obstructions with spray cryotherapy. J Thorac Dis, 2019, 11(2): 613-617.
4. Moore RF, Lile DJ, Abbas AE. Current status of spray cryotherapy for airway disease. J Thorac Dis, 2017, 9(Suppl 2): S122-S129.
5. Browning R, Turner JF Jr, Parrish S. Spray cryotherapy (SCT): institutional evolution of techniques and clinical practice from early experience in the treatment of malignant airway disease. J Thorac Dis, 2015, 7(Suppl 4): S405-S414.
6. Janke KJ, Abbas AE, Ambur V, et al. The application of liquid nitrogen spray cryotherapy in treatment of bronchial stenosis. Innovations (Phila), 2016, 11(5): 349-354.
7. Puchalski J, Musani AI. Tracheobronchial stenosis: causes and advances in management. Clin Chest Med, 2013, 34(3): 557-567.
8. Bach T, Muschter R, Sroka R, et al. Laser treatment of benign prostatic obstruction: basics and physical differences. Eur Urol, 2012, 61(2): 317-325.
9. Marulli G, Droghetti A, Di Chiara F, et al. A prospective randomized trial comparing stapler and laser techniques for interlobar fissure completion during pulmonary lobectomy. Lasers Med Sci, 2013, 28(2): 505-511.
10. Gesierich W, Reichenberger F, Fertl A, et al. Endobronchial therapy with a thulium fiber laser (1940 nm). J Thorac Cardiovasc Surg, 2014, 147(6): 1827-1832.
11. Aboudara M, Rickman O, Maldonado F. Therapeutic bronchoscopic techniques available to the pulmonologist: emerging therapies in the treatment of peripheral lung lesions and endobronchial tumors. Clin Chest Med, 2020, 41(1): 145-160.
12. Li G, Xue M, Chen W, et al. Efficacy and safety of radiofrequency ablation for lung cancers: a systematic review and meta-analysis. Eur J Radiol, 2018, 100: 92-98.
13. Benn BS, Lum M, Krishna G. Bronchoscopic treatment of airway obstructions with a novel electrosurgical device. J Bronchology Interv Pulmonol, 2020, 28(1): 34-41.
14. Shi X, Zhang CY, Gao J, et al. Recent advances in photodynamic therapy for cancer and infectious diseases. Wiley Interdiscip Rev Nanomed Nanobiotechnol, 2019, 11(5): e1560.
15. Ikeda N, Usuda J, Maehara S. Photodynamic therapy for central-type early-stage lung cancer. Gen Thorac Cardiovasc Surg, 2020, 68(7): 679-683.
16. O’Connell KA, Okhovat JP, Zeitouni NC. Photodynamic therapy for bowen’s disease (squamous cell carcinoma in situ) current review and update. Photodiagnosis Photodyn Ther, 2018, 24: 109-114.
17. Mehta HJ, Biswas A, Fernandez-Bussy S, et al. Photodynamic therapy for bronchial microscopic residual disease after resection in lung cancer. J Bronchology Interv Pulmonol, 2019, 26(1): 49-54.
18. Jin F, Wang H, Li Q, et al. Clinical application of photodynamic therapy for malignant airway tumors in China. Thorac Cancer, 2020, 11(1): 181-190.
19. Ohtani K, Usuda J, Maehara S, et al. A combination therapy of photodynamic therapy (PDT) and airway stent placement using a transparent silicone stent. Lasers Med Sci, 2020, 35(5): 1035-1040.
20. Kimura M, Miyajima K, Kojika M, et al. Photodynamic therapy (PDT) with chemotherapy for advanced lung cancer with airway stenosis. Int J Mol Sci, 2015, 16(10): 25466-25475.
21. Gallagher-Colombo SM, Miller J, Cengel KA, et al. Erlotinib pretreatment improves photodynamic therapy of non-small cell lung carcinoma xenografts via multiple mechanisms. Cancer Res, 2015, 75(15): 3118-3126.
22. 樊帆, 朱敦皖, 张琳华. 肿瘤化疗协同光动力疗法联合免疫治疗的研究进展. 国际生物医学工程杂志, 2017, 40(4): 262-268, 311-312.
23. Lee JW, Lee JH, Kim HK, et al. The efficacy of external beam radiotherapy for airway obstruction in lung cancer patients. Cancer Res Treat, 2015, 47(2): 189-196.
24. Jayadevappa R, Chhatre S, Soukiasian HJ, et al. Outcomes of patients with advanced non-small cell lung cancer and airway obstruction treated with photodynamic therapy and non-photodynamic therapy ablation modalities. J Thorac Dis, 2019, 11(10): 4389-4399.
25. Wang M, Song J, Zhou F, et al. NIR-triggered phototherapy and immunotherapy via an antigen-capturing nanoplatform for metastatic cancer treatment. Adv Sci (Weinh), 2019, 6(10): 1802157.
26. Mehta HJ, Begnaud A, Penley AM, et al. Treatment of isolated mediastinal and hilar recurrence of lung cancer with bronchoscopic endobronchial ultrasound guided intratumoral injection of chemotherapy with cisplatin. Lung Cancer, 2015, 90(3): 542-547.
27. Li X, Liu X, Rao X, et al. A case report of local treatment of inoperable squamous cell lung carcinoma with convex-probe endobronchial ultrasound-guided intratumoral injection of cisplatin in a patient with severe COPD. Medicine (Baltimore), 2017, 96(24): e7070.
28. Mehta HJ, Begnaud A, Penley AM, et al. Restoration of patency to central airways occluded by malignant endobronchial tumors using intratumoral injection of cisplatin. Ann Am Thorac Soc, 2015, 12(9): 1345-1350.
29. Yarmus L, Mallow C, Akulian J, et al. Prospective multicentered safety and feasibility pilot for endobronchial intratumoral chemotherapy. Chest, 2019, 156(3): 562-570.
30. Li SY, Li Q, Guan WJ, et al. Effects of para-toluenesulfonamide intratumoral injection on non-small cell lung carcinoma with severe central airway obstruction: a multi-center, non-randomized, single-arm, open-label trial. Lung Cancer, 2016, 98: 43-50.

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