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Multi-institutional retrospective analysis of adverse events following rigid tracheobronchoscopy

Marc Fortin1, Lonny Yarmus2, Erino Angelo Rendina3

  • 1Division of Pulmonary Medicine and Thoracic Surgery, Institut Universitaire de Cardiologie et Pneumologie de Quebec, Quebec City, QC, Canada.

Respirology (Carlton, Vic.)
|June 16, 2020
PubMed
Abstract

Insights

Rigid tracheobronchoscopy (RTB) has a 6.7% non-lethal complication rate and 1.2% periprocedural mortality. This study establishes benchmarks for RTB complication rates in airway disease management.

Area of Science:

  • Pulmonology
  • Interventional Pulmonology
  • Thoracic Surgery

Background:

  • Rigid tracheobronchoscopy (RTB) is increasingly utilized in interventional pulmonology.
  • No established benchmarks exist for RTB complication rates.
  • This study aims to define these benchmarks.

Purpose of the Study:

  • To establish benchmarks for complication rates associated with rigid tracheobronchoscopy.
  • To analyze complication profiles in benign and malignant airway diseases.

Main Methods:

  • Multicenter retrospective analysis of 1546 RTB procedures.
  • Data collected from eight participating centers between 2009 and 2015.
  • Analysis of non-lethal complications, periprocedural mortality, and 30-day mortality.

Main Results:

  • Overall non-lethal complication rate was 6.7% (95% CI: 5.5-8.0%).
  • Periprocedural mortality rate was 1.2% (95% CI: 0.6-1.8%).
  • 30-day mortality rate was 5.6% (95% CI: 4.5-6.8%).
  • Emergency RTB procedures and procedures in patients with malignant airway obstruction (MAO) showed higher complication and mortality rates.

Conclusions:

  • Rigid tracheobronchoscopy is associated with significant complication and mortality rates.
  • Benchmarks for RTB complications are established: 6.7% non-lethal, 1.2% periprocedural mortality, 5.6% 30-day mortality.
  • Risk stratification is crucial, especially for emergency procedures and patients with MAO.
Keywords:
benign airway stenosisbronchoscopy and interventional techniqueslung cancermalignant airway obstructionthoracic surgery

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