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(Chest. 1994;106:677-680.)
© 1994 American College of Chest Physicians

Dilatation of Bronchial Stenoses Due to Sarcoidosis Using a Flexible Fiberoptic Bronchoscope

Brian W. Fouty M.D.1; Marvin Pomeranz M.D.1; Thomas P. Thigpen M.D.1; and Richard J. Martin M.D.1

1 From the National Jewish Center for Immunology and Respiratory Medicine, the Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine and the Department of Surgery, University of Colorado Health Sciences Center, Denver

Stenosis of the trachea and bronchi can complicate many diseases and lead to significant pulmonary complaints. Unfortunately, steroids rarely yield satisfactory results in reversing symptoms. We describe six patients with symptomatic airway stenosis from sarcoidosis, all of whom were refractory to steroid therapy. By using a Fogarty embolectomy catheter inserted through the inner channel of a flexible bronchoscope, we were able to dilate the stenotic areas under direct vision. Patients had significant subjective improvement following dilatation and no significant complications occurred. We believe this technique represents an improvement on previously described methods because it can easily access the upper lobes and more distal segments and can be performed at the bedside.

Key Words: balloon dilatation • bronchoplasty • bronchostenosis • sarcoid

Submitted on October 19, 1993
Accepted on January 20, 1994




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