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Hetzel M, Prettner R, Philipp A, Willems P, Merk T, Rupp A. Implantation von PneumoRx Drahtspiralen für die Therapie des heterogenen Lungenemphysems. Pneumologie 2011. [DOI: 10.1055/s-0031-1272301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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77
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Rupp A, Kreuter M, Neudert M, Raupach T, Bühringer G, Hetzel M. Ist kürzer besser? Kurzinterventionen zur Tabakentwöhnung. Pneumologie 2011. [DOI: 10.1055/s-0031-1272279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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78
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Hetzel J, Kumpf M, Hetzel M, Hofbeck M, Baden W. Cryorecanalization of an obstructed bronchial stent in a 12-year-old boy. ACTA ACUST UNITED AC 2011; 82:290-3. [PMID: 21212642 DOI: 10.1159/000322556] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2010] [Accepted: 11/03/2010] [Indexed: 11/19/2022]
Abstract
We report a 12-year-old boy who underwent stent implantation into the left main bronchus at the age of 9.5 years for palliation of severe bronchial stenosis. He had developed complete obstruction of the stent by granulation tissue resulting in respiratory deterioration and the requirement of mechanical ventilation. The stent obstruction was treated at the age of 11.5 years by cryorecanalization. In this technique, cooling of the tip of the cryoprobe is used to induce adherence of the obstructing tissue allowing the subsequent removal of tissue particles by retraction of the probe. Under general anesthesia, a miniaturized cryoprobe was advanced via the working channel of a flexible bronchoscope. Repeat maneuvers of freezing and retraction resulted in complete recanalization of the stent. Repeat bronchoscopies 4 and 12 weeks later revealed recurrent formation of some granulation tissue which was removed by repeat cryorecanalization. Seven months after the initial procedure there was a complete patency of the stent. According to our experience, cryorecanalization is a safe and effective alternative for the treatment of stent obstruction by granulation tissue. Due to the introduction of a miniaturized probe, this method is well applicable in children since it can be performed via the working channel of a flexible pediatric bronchoscope.
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Hetzel M, Hetzel J, Merk T, Willems P, Prettner R, Philipp A, Bartscher E, Muradov A, Babiak A. Endoskopische Behandlung von Karzinoidtumoren mit der flexiblen Kryosonde. Pneumologie 2010. [DOI: 10.1055/s-0030-1251176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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80
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Hetzel M, Hetzel J, Prettner R, Philipp A, Willems P, Merk T, Bartscher E, Berweiler I, Stamatopoulou A, Babiak A. Kryorekanalisation für die Behandlung von Tumorverschlüssen der Lappenbronchien. Pneumologie 2010. [DOI: 10.1055/s-0030-1251173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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81
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Hetzel M, Hetzel J, Merk T, Philipp A, Willems P, Prettner R, Hnidek K, Bartscher E, Babiak A. Möglichkeiten und Grenzen der Navigationsbronchoskopie. Pneumologie 2010. [DOI: 10.1055/s-0030-1251174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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82
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Rupp A, Neudert M, Hetzel M. Wichtigkeit und Notwendigkeit zur Einführung von Maßnahmen zur Tabakentwöhnung an pneumologischen Akut-Kliniken. Pneumologie 2010. [DOI: 10.1055/s-0030-1251293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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83
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Rupp A, Blattner S, Adzemovic E, Merk T, Hetzel M. Umsetzung einer strukturierten Erhebung der Rauch-Anamnese bei pneumologischen Patienten. Pneumologie 2010. [DOI: 10.1055/s-0030-1251291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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84
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Hetzel J, Eberhardt R, Herth FJF, Petermann C, Reichle G, Freitag L, Dobbertin I, Francke K, Stanzel F, Beyer T, Möller P, Fritz P, Schnabel PA, Kastendieck H, Lang W, Morresi-Hauf A, Szyrach M, Muche R, Babiak A, Hetzel M. Endobronchiale Kryosondenbiopsie oder endobronchiale Zangenbiopsie bei endoskopischem Malignitätsverdacht. Pneumologie 2010. [DOI: 10.1055/s-0030-1251108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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85
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Hetzel M, Hetzel J, Prettner R, Merk T, Philipp A, Willems P, Hnidek K, Berweiler I, Bartscher E, Babiak A. Die transbronchiale Biopsie mit der Kryosonde. Pneumologie 2010. [DOI: 10.1055/s-0030-1251172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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86
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Rupp A, Neudert M, Hetzel M. Hindernisse auf dem Weg zur Tabakentwöhnung. Pneumologie 2010. [DOI: 10.1055/s-0030-1251292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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87
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Hofmann B, Hetzel M, Eller S, Wienhausen-Wilke V. Entwicklung der Wartezeiten nach Erweiterung des Versorgungsangebotes von Schlaflaborplätzen durch das MVZ PNZ GmbH am Krankenhaus vom Roten Kreuz im Großraum Stuttgart im Vergleich eines seit Jahren etablierten Schlaflabors der Klinik Schillerhöhe. Pneumologie 2010. [DOI: 10.1055/s-0030-1251397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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88
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Hetzel M, Hetzel J, Prettner R, Merk T, Rupp A, Willems P, Philipp A, Hnidek K, Bartscher E, Babiak A. Diagnostische Bronchoskopien bei Spontanatmung unter tiefer Sedierung mit Propofol. Pneumologie 2010. [DOI: 10.1055/s-0030-1251106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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89
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Rupp A, Neudert M, Hetzel M. [Smoking cessation programmes at hospitals with departments for lung diseases]. Dtsch Med Wochenschr 2010; 135:501-6. [PMID: 20195956 DOI: 10.1055/s-0030-1247865] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND AND OBJECTIVES Tobacco smoking is the main preventable risk factor resulting in multiple diseases and premature death. In particular, the airways and the lungs are affected by the effects of smoking. Hospitals have considerable potential to advance smoking cessation. However, so far there have only been a few data on availability and effectiveness of smoking cessation programs in hospitals. This study aimed to assess such programs in general hospitals with a special department for lung disease in South West Germany. METHODS 40 hospitals with at least one pulmonary specialist were identified. This doctor was subsequently interviewed by a telephone call. 39 hospitals participated, one could not be reached by telephone. RESULTS Although most of the interviewed specialists confirmed the importance of smoking cessation in the field of pneumology only 3 hospitals had own activities for promoting smoking cessation. Another 7 hospitals cooperated with other institutions. Accompanying pharmacotherapy was not practised regularly. The main reasons for a lack of smoking cessation activities in the hospitals were due to the lack of personnel, time and money. CONCLUSION Our study highlights the tremendous difficulties facing general hospitals when trying to implement a smoking cessation program. Changes in the economic frameworks, and further examination of appropriate measures for brief interventions in the hospital setting are necessary.
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Hetzel M, Hetzel J, Babiak A, Willems P, Hofmann B, Philipp A, Hnidek K, Miller M, Balli T. Verwendung von Führungskathetern bei der Untersuchung des Alveolarraumes mittels konfokaler Laserscanmikroskopie. Pneumologie 2009. [DOI: 10.1055/s-0029-1213915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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91
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Balli T, Miller M, Shahid A, Babiak A, Philipp A, Willems P, Hetzel M. Bronchoskopische Kryoextraktion eines trachealen Karzinoids: Ein Fallbericht. Pneumologie 2009. [DOI: 10.1055/s-0029-1213863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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92
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Balli T, Babiak A, Shahid A, Philipp A, Willems P, Hoffmann B, Hetzel M. Die Dilatationsthorakotomie als Zugang für die flexible Pleuroskopie. Pneumologie 2009. [DOI: 10.1055/s-0029-1213867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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93
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Hetzel M, Hetzel J, Bartscher E, Berweiler I, Philipp A, Willems P, Babiak A, Stamatopoulou A, Hnidek K, Blattner S, Balli T. Ein Rekanalisationsverfahren für die flexible Bronchoskopie: Die Kryoextraktion mit flexiblen Kältesonden. Pneumologie 2009. [DOI: 10.1055/s-0029-1213912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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94
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Balli T, Miller M, Shahid A, Babiak A, Philipp A, Willems P, Hetzel M. Mehrfach-resistente Lungentuberkulose bei einem Patienten aus Kasachstan: Ein Fallbericht. Pneumologie 2009. [DOI: 10.1055/s-0029-1213877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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95
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Hetzel M, Hetzel J, Babiak A, Bartscher E, Berweiler I, Stamatopoulou A, Willems P, Philipp A, Balli T. Transbronchiale Biopsie mit der flexiblen Kryosonde. Pneumologie 2009. [DOI: 10.1055/s-0029-1214101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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96
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Hetzel M, Hetzel J, Babiak A, Philipp A, Willems P, Hofmann B, Bartscher E, Berweiler I, Willkomm F, Stamatopoulou A, Hnidek K. Therapie von bronchialen Blutungen in flexibler Bronchoskopietechnik. Pneumologie 2009. [DOI: 10.1055/s-0029-1213872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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97
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Balli T, Miller M, Shahid A, Babiak A, Philipp A, Willems P, Hetzel M. Progrediente Lungenfibrose unter Cisplatin und Vinorelbine bei fortgeschrittenem NSCLC: Ein Fallbericht. Pneumologie 2009. [DOI: 10.1055/s-0029-1214039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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98
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Hetzel M, Hetzel J, Topalidis T, Philipp A, Babiak A, Willems P, Bartscher E, Berweiler I, Nguyen T, Miller M, Stamatopoulou A. Kryosondenbiopsien für die Cytopathologie. Pneumologie 2009. [DOI: 10.1055/s-0029-1213871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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99
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Balli T, Babiak A, Shahid A, Philipp A, Willems P, Hoffmann B, Hetzel M. Die Kryobiopsie der Pleura während der flexiblen Pleuroskopie – eine Fallserie. Pneumologie 2009. [DOI: 10.1055/s-0029-1213866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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100
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Hofmann B, Hetzel M. Erfahrungen mit einem 10-Platz-WLAN-Polysomnografie-System im Schlaflabor des PNZ am Krankenhaus vom Roten Kreuz Bad Cannstatt GmbH, Datensicherheit bei Erfassung und Übertragung mit Erfahrungen zur Stabilität der Online-Ansicht. Pneumologie 2009. [DOI: 10.1055/s-0029-1214074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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