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Advanced Bronchial Thermoplasty Procedure

Bronchial thermoplasty offers a breakthrough treatment option for patients with severe asthma who don't respond well to standard treatments. 

Doctors perform the bronchial thermoplasty treatment in three separate sessions, spacing them roughly three weeks apart. The right lower lobe receives treatment in the first session, while the left lower lobe follows in the second session. Both upper lobes get treated in the final session. The procedure specifically helps adults over 18 whose asthma remains poorly controlled despite using high-dose inhaled corticosteroids and long-acting beta-agonists.

This article covers essential information about bronchial thermoplasty surgery - from procedure details to recovery expectations and potential risks. 

Why Care Group Hospitals is Your Top Choice for Bronchial Thermoplasty Procedure in Hyderabad

CARE Hospitals guides patients toward advanced respiratory treatments through its specialised bronchial thermoplasty program. The pulmonology department has highly qualified specialists who maintain international certifications and update their expertise through continuing medical education.

Best Bronchial Thermoplasty Surgery Doctors in India

State-of-the-art Surgical Breakthroughs at CARE Hospital

CARE Hospitals has upgraded its speciality services with state-of-the-art Robot-assisted Surgery technologies. The hospital uses the Alair Bronchial Thermoplasty System for bronchial thermoplasty procedures. This system has an RF energy generator, an earthing plate, and a single-use flexible RF delivery basket catheter. CARE became one of the first hospitals in the region to welcome this treatment by using catheters that deliver controlled radiofrequency energy to the airways.

Indications for the Bronchial Thermoplasty Procedure 

Bronchial thermoplasty candidates typically meet these criteria:

  • Adults with severe persistent asthma who keep taking inhaled corticosteroids and long-acting beta agonists
  • Patients whose asthma doesn't respond to standard treatments
  • People who experience frequent asthma attacks or severe episodes needing hospital care
  • Patients whose symptoms affect their daily life quality

Types of Bronchial Thermoplasty Procedure 

CARE Hospitals' bronchial thermoplasty protocol has three separate sessions:

  • First session: Treatment of the right lower lobe
  • Second session: Treatment of the left lower lobe
  • Third session: Treatment of both upper lobes

Patients undergo each session approximately three weeks apart to ensure complete recovery between treatments. Each session lasts about 30-60 minutes and uses local anaesthesia or conscious sedation based on patient requirements.

Pre-procedure Preparation

Patients must:

  • Take prescribed medicines before, during, and the day after the procedure.
  • Avoid eating for 4-8 hours before the procedure.
  • Keep using the regular inhaled medicines.
  • Ask someone to drive home.
  • Make sure that asthma remains stable without any flare-ups for at least 14 days.

Bronchial Thermoplasty Procedure 

Your pulmonologist will perform this outpatient procedure by:

  • Giving sedation or general anaesthesia
  • Placing a bronchoscope through your nose or mouth
  • Using a catheter with a four-electrode basket
  • Applying controlled thermal energy (65°C) to the airway walls for 10 seconds
  • Treating different areas of your lungs across three sessions, each 3 weeks apart

Post-procedure Recovery

Recovery involves:

  • Staff monitoring you for 2-4 hours before you go home
  • Some patients need to stay overnight for observation
  • Your asthma symptoms might worsen temporarily for 1-2 weeks
  • The medical team will check on you at 24 hours, 48 hours, and 7 days

Risks and Complications

You should know about these possible complications:

  • Your breathing symptoms might get elevated temporarily (common)
  • A small number of patients need hospital care due to few symptoms
  • Your airways might develop atelectasis from mucus buildup
  • Rare complications might include lung abscess, pneumothorax, or bleeding

Benefits of the Bronchial Thermoplasty Procedure 

Research shows patients see significant improvements:

  • Emergency room visits drop by a lot
  • Missed workdays will be decreased 
  • Severe asthma attacks are reduced by a lot
  • The majority of patients report a better quality of life

Insurance Assistance for Bronchial Thermoplasty Procedure 

Understanding insurance coverage:

  • Many commercial insurers will cover this procedure
  • Some health plans review cases individually
  • Check your coverage and get confirmation before starting the treatment

Second Opinion for Bronchial Thermoplasty Procedure Surgery

One needs a second opinion in order to:

  • Get expert confirmation that validate your diagnosis and treatment options
  • Look for specialists with similar expertise

Conclusion

Bronchial thermoplasty gives new hope to patients with severe asthma who don't respond well to standard treatments. This breakthrough procedure helps patients by using controlled thermal energy to reduce airway smooth muscle mass. The treatment consists of three sessions that have helped patients live better lives. They experience fewer asthma attacks and spend less time in emergency rooms.

CARE Hospitals definitely guides the way with their specialised bronchial thermoplasty program. The hospital's team of qualified specialists will give patients expert care throughout their treatment journey.

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Bronchial Thermoplasty Surgery Hospitals in India

Frequently Asked Questions

Bronchial thermoplasty is a minimally invasive procedure that treats severe asthma. The procedure:

  • Delivers controlled thermal energy (65°C) to airway walls
  • Reduces excessive smooth muscle in airways
  • Limits the airway's ability to narrow
  • Uses a thin tube with a special catheter through the mouth

Doctors suggest this procedure if:

  • Your asthma stays poorly controlled despite using inhaled corticosteroids and long-acting bronchodilators
  • You experience frequent asthma attacks despite maximum medical therapy
  • Standard treatments fail to improve life quality
  • Symptoms disrupt your daily activities

The best candidates are:

  • Adults 18 years or older with severe, persistent asthma
  • Patients who don't respond well to standard treatments
  • People without pacemakers or implantable electronic devices
  • Patients who show no sensitivity to bronchoscopy medications

The procedure has proven its safety in the following aspects:

  • Side effects typically clear up within a week with standard care
  • Hospital admission risk remains low after the procedure
  • Studies tracking patients for 10+ years show long-term safety
  • Minor resolvable temporary breathing symptoms

The procedure ensures patient comfort:

  • You receive sedation or general anaesthesia
  • Medical staff perform the procedure under controlled sedation
  • Some throat discomfort might occur afterwards
  • Medications help manage any post-procedure pain

Each treatment session:

  • Takes 30-60 minutes
  • Includes about 60 thermal energy activations
  • Needs 2-4 hours of recovery time
  • Makes up one part of three separate sessions

This procedure isn't major surgery because:

  • Doctors perform it as an outpatient procedure
  • The process needs no incisions—just a bronchoscope through the mouth or nose
  • Patients return home the same day
  • Recovery between sessions happens quickly

Risks include:

  • Temporary worsening of breathing symptoms 
  • Hospital admission due to worsening symptoms
  • Atelectasis 
  • Rare complications include lung abscess, pneumothorax, or bleeding.

Most people bounce back within a few days after bronchial thermoplasty. You might feel a bit of coughing or wheezing for a week, but recovery is generally smooth and manageable.

Doctors generally perform the procedure under general anaesthesia.

  • Patients with pacemakers or implantable devices.
  • Individuals with other serious lung diseases (like COPD).
  • Those with recent respiratory infections.
  • People with severe or uncontrolled heart conditions.

Bronchial thermoplasty isn't typically used for bronchitis. Most people with bronchitis get better with rest, fluids, and basic treatment. This procedure is usually meant for those with severe, hard-to-control asthma.

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