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Algorithm for the endoscopic management of central airway obstruction

Algorithm for the endoscopic management of central airway obstruction
This algorithm applies mostly to patients with central airway obstruction due to lung cancer, usually non-small cell lung cancer.
* Rigid bronchoscopy preferred.
¶ Careful airway evaluation and airway computed tomograpy scan, ± flexible bronchoscopy, ± endobronchial ultrasound, ± autofluorescence.
Δ Possibly with presurgical endoscopic intervention.
Silicone/new hybrid stents generally preferred. Treatment may be followed by radiation if appropriate.
§ Can be used singly or in combination, may need stenting.
Reproduced with permission from: Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central Airway obstruction. Am J Respir Crit Care Med 2004; 169:1278. Copyright © 2004 American Thoracic Society.
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