[High dose endobronchial brachytherapy for malignant airway obstruction: first study of 30 patients].

Publisher: Israel Medical Association Country of Publication: Israel NLM ID: 0034351 Publication Model: Print Cited Medium: Print ISSN: 0017-7768 (Print) Linking ISSN: 00177768 NLM ISO Abbreviation: Harefuah Subsets: MEDLINE

Original Publication: Tel Aviv : Israel Medical Association

Airway Obstruction/*etiology ; Airway Obstruction/*radiotherapy ; Brachytherapy/*methods ; Lung Neoplasms/*radiotherapy; Aged ; Aged, 80 and over ; Brachytherapy/instrumentation ; Bronchoscopy ; Female ; Fiber Optic Technology ; Humans ; Iridium Radioisotopes/therapeutic use ; Lung Neoplasms/complications ; Male ; Middle Aged ; Palliative Care ; Radiotherapy Dosage

Brachytherapy is especially suitable for palliative treatment of endobronchial tumors adjacent to internal organs that might be damaged by intensive external beam radiation, but are easily accessed with a flexible bronchoscope. This treatment is mostly palliative. 30 patients underwent such palliative high-dose endobronchial brachytherapy to alleviate malignant airway obstruction. With the aid of a flexible fiberoptic bronchoscope an endobronchial catheter was inserted adjacent to the tumor and treatment delivered using a 192Ir remote afterloader for 5-10 min, in 2 or 3 sessions. There was symptomatic improvement in 26 (86%) and objective improvement in 27 (90%). 1 patient died of hemoptysis.

0 (Iridium Radioisotopes)

Date Created: 20000707 Date Completed: 20000726 Latest Revision: 20081121

20231215

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