Bronchoscopic cryotherapy: preliminary experience

Acta Clin Belg. 2001 Mar-Apr;56(2):73-7. doi: 10.1179/acb.2001.013.

Abstract

Our preliminary experience with the bronchoscopic application of cryotherapy using rapid decompression of liquid nitrous oxide as cooling agent is reported. Seventeen applications through rigid bronchoscopy in twelve patients were performed. A single cryotherapy session was successful in the debulking of obstructive malignant lesions of the central airways in five patients (four non-small cell carcinoma, one renal cell cancer metastasis), and in the treatment of a capillary haemangioma (one patient). Two sessions were successful in the treatment of a metastatic melanoma (one patient) and benign granulation tissue (one patient). Cryotherapy was also successful in the treatment of early bronchial cancer (carcinoma in situ) in four patients, requiring repetitive sessions in two. There were no complications or side-effects. These preliminary findings confirm the safety and efficacy of bronchoscopic cryotherapy in a variety of airway lesions.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Airway Obstruction / therapy*
  • Bronchoscopy / methods*
  • Carcinoma in Situ / therapy*
  • Carcinoma, Renal Cell / secondary*
  • Cryotherapy / methods*
  • Female
  • Hemangioma / pathology
  • Hemangioma / therapy*
  • Humans
  • Kidney Neoplasms / pathology*
  • Lung Neoplasms / secondary
  • Lung Neoplasms / therapy*
  • Male
  • Melanoma / secondary
  • Melanoma / therapy*
  • Middle Aged
  • Nitrous Oxide / therapeutic use
  • Skin Neoplasms / pathology*
  • Tracheal Neoplasms / secondary
  • Tracheal Neoplasms / therapy*
  • Treatment Outcome

Substances

  • Nitrous Oxide