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  1. Article ; Online: Discussion.

    Gildea, Thomas R

    The Journal of thoracic and cardiovascular surgery

    2022  Volume 164, Issue 4, Page(s) 1196–1197

    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2021.12.061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Advancements in airway stents: a comprehensive update.

    Aravena, Carlos / Gildea, Thomas R

    Current opinion in pulmonary medicine

    2023  Volume 30, Issue 1, Page(s) 75–83

    Abstract: Purpose of review: This review provides an overview of the evolving field of airway stenting (AS), highlighting its relevance in the management of central airway obstruction (CAO). It discusses recent advancements, including 3D-printed silicone stents ( ... ...

    Abstract Purpose of review: This review provides an overview of the evolving field of airway stenting (AS), highlighting its relevance in the management of central airway obstruction (CAO). It discusses recent advancements, including 3D-printed silicone stents (3DPSS), metallic stents, biodegradable stents (BS), and drug-eluting stents (DES), which are transforming clinical practice. The review underscores the ongoing challenges in patient selection, stent choice, and long-term management in the context of an evolving landscape.
    Recent findings: Innovations, particularly 3DPSS, have shown promise in providing patient-specific solutions. These stents offer improved symptom relief, enhanced quality of life, and lower complication rates, especially for complex airway diseases. The use of BS and DES is explored, raising prospects for future applications.
    Summary: The evolution of AS reflects a deepening understanding of airway obstructions. Recent innovations, such as 3DPSS, BS, and DES, show considerable promise in addressing the limitations of conventional stents. However, challenges related to complications, patient selection, and long-term management persist, demanding further research. Wide practice variations in the management of AS highlight the need for more clinical data and standardized guidelines. The search for the ideal stent continues, driven by the pursuit of better outcomes for patients with CAO.
    MeSH term(s) Humans ; Quality of Life ; Stents/adverse effects ; Airway Obstruction/surgery ; Airway Obstruction/etiology ; Treatment Outcome
    Language English
    Publishing date 2023-11-08
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1285505-4
    ISSN 1531-6971 ; 1070-5287 ; 1078-1641
    ISSN (online) 1531-6971
    ISSN 1070-5287 ; 1078-1641
    DOI 10.1097/MCP.0000000000001032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Online ; E-Book: Diseases of the central airways

    Mehta, Atul C. / Jain, Prasoon / Gildea, Thomas R.

    a clinical guide

    (Respiratory Medicine)

    2016  

    Institution American Thoracic Society
    Author's details American Thoracic Society ; Atul C. Mehta, Prasoon Jain, Thomas R. Gildea editors
    Series title Respiratory Medicine
    Keywords Lung Diseases, Obstructive ; Bronchoscopy ; Radiography, Interventional ; Medicine ; Radiology ; Respiratory organs / Diseases ; Thoracic surgery ; Medicine & Public Health
    Language English
    Size 1 Online-Ressource (xiv, 383 Seiten), Illustrationen
    Publisher Humana Press
    Publishing place Cham
    Publishing country Germany
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019050433
    ISBN 978-3-319-29830-6 ; 9783319298283 ; 3-319-29830-5 ; 3319298283
    DOI 10.1007/978-3-319-29830-6
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Article: Patient-specific airway stent using three-dimensional printing: a review.

    Aravena, Carlos / Gildea, Thomas R

    Annals of translational medicine

    2022  Volume 11, Issue 10, Page(s) 360

    Abstract: The primary function of an airway stent is to reestablish patency, impeding restenosis, supporting the tracheobronchial wall, or occluding fistulas. But stent-related complications are prevalent and can have devastating consequences. For this reason, ... ...

    Abstract The primary function of an airway stent is to reestablish patency, impeding restenosis, supporting the tracheobronchial wall, or occluding fistulas. But stent-related complications are prevalent and can have devastating consequences. For this reason, stents are considered a last resort when there are no alternatives in treatment. Additionally, commercially available airway stents often poorly fit patients with complex airways, and they can cause various complications. At the end of the 20th century, three-dimensional (3D) printing technology was created. It has been transformative in healthcare and has been used in several applications. One of its first utilizations was the anatomical modeling of body structures that helps preoperative planning. In respiratory medicine, this technology has been essentially used in central airway diseases to produce 3D airway models and to create airway splints and prostheses. In the last decade, it has led to a transformation and allowed progress in personalized medicine, making patient-specific stents for individuals with complex airway problems. A patient-specific stent using 3D printing may minimize complications, improve quality of life, and reduce the need for repeated procedures. This review describes the recent advances in 3D printing technology, its use for developing airway prostheses to treat complex airway diseases, and the current evidence that supports its use.
    Language English
    Publishing date 2022-09-06
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-22-2878
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Determination of patient-specific airway stent fit using novel 3D reconstruction measurement techniques: a 4-year follow-up of a patient.

    Ntiamoah, Prince / Gildea, Thomas R / Baiera, Adrianna

    Therapeutic advances in respiratory disease

    2023  Volume 17, Page(s) 17534666221137999

    Abstract: Managing complex benign airway disease is a major challenge in interventional pulmonology. With the introduction of additive manufacturing in the medical field, patient-specific (PS) implants are an innovate prospect for airway management. Historically, ... ...

    Abstract Managing complex benign airway disease is a major challenge in interventional pulmonology. With the introduction of additive manufacturing in the medical field, patient-specific (PS) implants are an innovate prospect for airway management. Historically, stents were oversized to resist migration. However, the optimal degree and impact of stent oversizing remains unclear. The ability to design stents based on computed tomography (CT) invites opportunity to understand sizing. Here, we report a novel three-dimensional (3D) image reconstruction tool to quantify fit repeatedly over time. Analysis of CT imaging before and after successive stent implants in a single patient with different areas of stenosis and malacia was done. Nine PS airway stents over 4 years (five left mainstem and four right mainstem) were studied. The distance between the airway model and stent was calculated. The CT images were correlated to stent designs in CloudCompare software (v2.10-alpha) for novel analysis. Heat map was exported depicting the distances between the airway and the stent to the clinician's prescribed stent model. Corresponding histograms containing distances, mean, and standard deviation were reported. It is possible to measure stent fit based on heat map quantification on patient imaging. Observation of the airway over time and stent change suggests that the airway became more open over time requiring increased stent diameters. The ability to design and measure stent fit over time can help quantify the utility and impact of PS silicone airway stent. The airway appears to display plasticity such that there is notable change in stent prescription over time.
    MeSH term(s) Humans ; Follow-Up Studies ; Imaging, Three-Dimensional ; Stents ; Constriction, Pathologic ; Tomography, X-Ray Computed ; Airway Obstruction/surgery
    Language English
    Publishing date 2023-05-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2476459-0
    ISSN 1753-4666 ; 1753-4658
    ISSN (online) 1753-4666
    ISSN 1753-4658
    DOI 10.1177/17534666221137999
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Let Us Play the Blues: The Use of Methylene Blue for Interventional Radiology Localization of Source of Hemoptysis under Bronchoscopic Guidance.

    Ntiamoah, Prince / Yurosko, Christopher / Haddadin, Ihab / Gildea, Thomas R

    American journal of respiratory and critical care medicine

    2023  Volume 208, Issue 8, Page(s) e37–e38

    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.202301-0027IM
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Ergonomics of bronchoscopy: good advice or a pain in the neck?

    Ntiamoah, Prince / Machuzak, Michael / Gildea, Thomas R / Mehta, Atul C

    European respiratory review : an official journal of the European Respiratory Society

    2023  Volume 32, Issue 170

    Abstract: Interventional pulmonologists require a unique set of skills including precise motor abilities and physical endurance, but surprisingly the application of ergonomic principles in the field of bronchoscopy remains limited. This is particularly intriguing ... ...

    Abstract Interventional pulmonologists require a unique set of skills including precise motor abilities and physical endurance, but surprisingly the application of ergonomic principles in the field of bronchoscopy remains limited. This is particularly intriguing when considering the significant impact that poor ergonomics can have on diagnostic aptitude, income potential and overall health. It is therefore imperative to provide comprehensive education to physicians regarding the significance of ergonomics in their work, especially considering the introduction of advanced diagnostic and therapeutic procedures. By implementing simple yet effective measures (
    MeSH term(s) Humans ; Musculoskeletal Diseases ; Bronchoscopy/adverse effects ; Occupational Diseases/diagnosis ; Occupational Diseases/etiology ; Occupational Diseases/prevention & control ; Pain ; Ergonomics/methods
    Language English
    Publishing date 2023-10-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1077620-5
    ISSN 1600-0617 ; 0905-9180
    ISSN (online) 1600-0617
    ISSN 0905-9180
    DOI 10.1183/16000617.0139-2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Lung Lesion Localization and the Diagnostic Drop.

    Gildea, Thomas R

    Annals of the American Thoracic Society

    2016  Volume 13, Issue 9, Page(s) 1450–1452

    MeSH term(s) Humans ; Lung ; Lung Neoplasms
    Language English
    Publishing date 2016-09-12
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.201606-509ED
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Bronchoscopy challenges during the COVID-19 pandemic.

    Gildea, Thomas R / Abdelmalak, Basem B

    Cleveland Clinic journal of medicine

    2020  

    Abstract: Bronchoscopy is an aerosol-generating procedure that creates unique challenges for healthcare providers to reduce the potential spread of the COVID-19 respiratory pathogen. As part of the initial response, Cleveland Clinic postponed elective surgeries ... ...

    Abstract Bronchoscopy is an aerosol-generating procedure that creates unique challenges for healthcare providers to reduce the potential spread of the COVID-19 respiratory pathogen. As part of the initial response, Cleveland Clinic postponed elective surgeries including bronchoscopy. We established a 5-tier system for prioritizing the urgency of bronchoscopy procedures. When elective bronchoscopies were resumed, we established protocols to reduce aerosolization and potential virus transmission risks such as using an airborne infection-isolation room and changing to total intravenous anesthesia. Also, we established guidelines for periprocedural care and use of personal protective equipment including requirements for wearing N95 masks for all bronchoscopy procedures.
    Keywords covid19
    Language English
    Publishing date 2020-08-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639116-3
    ISSN 1939-2869 ; 0891-1150
    ISSN (online) 1939-2869
    ISSN 0891-1150
    DOI 10.3949/ccjm.87a.ccc054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: What is the value of electromagnetic navigation in lung cancer and to what extent does it require improvement?

    Shaller, Brian D / Gildea, Thomas R

    Expert review of respiratory medicine

    2020  Volume 14, Issue 7, Page(s) 655–669

    Abstract: Introduction: Lung nodules are being identified with increasing frequency. With this growing burden of nodules comes a growing need for diagnostic technologies extending beyond the current reach of conventional bronchoscopy. One such method for ... ...

    Abstract Introduction: Lung nodules are being identified with increasing frequency. With this growing burden of nodules comes a growing need for diagnostic technologies extending beyond the current reach of conventional bronchoscopy. One such method for diagnosing peripheral lung lesions is electromagnetic navigational bronchoscopy (ENB), which comprises a set of tools designed to aid the bronchoscopist in identifying, accessing, and sampling peripheral lung lesions under virtual guidance.
    Areas covered: Herein we present an in-depth review of ENB, including commercially available electromagnetic navigation platforms, factors influencing diagnostic yield, adjunctive imaging and biopsy tools, potential risks, cost, technical shortcomings, and competing technologies. A review of the scientific literature was conducted primarily through PubMed, ScienceDirect, and Google Scholar, and pertinent publications and abstracts from the inception of electromagnetic navigation through early 2020 were considered. We also share our perspective on the future of ENB from both a diagnostic and a therapeutic standpoint.
    Expert opinion: ENB is currently a leading tool in the diagnostic evaluation of peripheral lung lesions. The future of ENB rests not only on its potential to expand into the therapeutic realm but also on its ability to keep pace with competing diagnostic and therapeutic technologies.
    MeSH term(s) Biopsy/methods ; Bronchoscopy/methods ; Electromagnetic Phenomena ; Humans ; Lung/diagnostic imaging ; Lung/pathology ; Lung Neoplasms/diagnostic imaging
    Language English
    Publishing date 2020-04-04
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2479146-5
    ISSN 1747-6356 ; 1747-6348
    ISSN (online) 1747-6356
    ISSN 1747-6348
    DOI 10.1080/17476348.2020.1748012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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