Airway & Bronchoscopy

Management of Malignant Central Airway Obstruction

Highlights multimodality therapy, energy selection, stent decision-making, palliative frameworks, and outcome predictors for malignant airway obstruction.

Malignant CAO • Thermal therapy • StentingReading time · 34mWord count · 3,920

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Exam mapping & scope

This chapter covers the diagnosis and bronchoscopic management of malignant central airway obstruction (MCAO)—defined as ≥50% narrowing of the trachea, mainstem bronchi, bronchus intermedius, or lobar bronchi. It maps to AABIP/AATS/ACCP domains on therapeutic bronchoscopy (rigid/flexible), ablative modalities (thermal and non‑thermal), airway stenting, sedation and ventilation strategies, complication prevention/management, peri‑procedural decision‑making, and multidisciplinary integration with radiation, systemic therapy, and surgery.

Focus this round

  • Modality selection
  • Team coordination
  • Post-procedure care