Closure of Chronic Bronchopleural Fistula Using Atrial Septal Occluder Device

Marwah, Vikas; Rajput, Ashok Kumar; Madan, Heman; Garg, Yadvir

doi:10.1097/lbr.0000000000000034

Cited by 11 publications

(6 citation statements)

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“…3,4 Previously published reports have also documented the use of Amplatzer devices in BPF closure after pneumonectomy. 5 The management of postpneumonectomy BPF is challenging. This case adds to the growing literature reporting on endoscopic, conservative management of this morbid complication and demonstrates the ease, feasibility, and success of conservative management of a BPF using an AV-PII under conscious sedation guided by flexible bronchoscopy and real-time fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

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Bronchoscopic treatment of a bronchopleural fistula after pneumonectomy

et al. 2020

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Section: Discussionmentioning

confidence: 99%

“… 3 , 4 Previously published reports have also documented the use of Amplatzer devices in BPF closure after pneumonectomy. 5 …”

Section: Discussionmentioning

confidence: 99%

Bronchoscopic treatment of a bronchopleural fistula after pneumonectomy

et al. 2020

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“…12 Some authors reported different closure methods such as atrial septal occluder device or Amplatzer device that could be used successfully to close BPF. 13,14 Bobocea et al 15 reported that videomediastinoscopic transcervical approach could be used successfully for BPF in selective cases. We think that the most accurate management for BPF is the individualization according to patients' general condition (sepsis, performance status, survey etc.)…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Possible Risk Factors on Bronchial Closure Techniques for Bronchopleural Fistula after Lung Resection

Yanık¹,

Karamustafaoğlu²,

Yörük³

2020

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Background: Broncho-pleural fistula (BPF) can occur after pulmonary resections as a complication with high morbidity and mortality rates.    Aim: In the present study, we analyzed the relation between the possible risk factors and the two major bronchial closure techniques for BPF after lung resections, and the management methods of BPF.    Materials and methods: A total of 26 cases detected and managed with BPF diagnosis in our clinic between September 2005 and September 2017 were evaluated retrospectively. The cases were divided into two groups: Group 1 (n=14); bronchial closure performed manually and Group 2 (n=12) bronchial closure with stapler. We analyzed cases for age, gender, body mass index, pulmonary function tests, time to fistula, total protein/albumin level, length of hospital stay, bronchial stump distance, presence of bronchial stump coverage, and the mean survivals.   Results: Twenty-three of the cases were males (88.5%) with a mean age of 60.03±8.7 years (range 38-73). While BPF was detected in twenty-three (88.5%) of the cases after pneumonectomy, three (11.5%) of them were after lobectomy. There was no statistically significant correlation between the two groups in gender, age, BMI, preoperative FEV1, time to fistula, total protein/albumin level, length of hospital stay, bronchial stump distance, and presence of bronchial stump coverage (chi-square test, p>0.05). As a result of the applied Kaplan-Meier analysis, we found no statistically significant difference in the mean survival rates between the two groups (p>0.05).   Conclusions: Broncho-pleural fistulas still remains a major challenge. Although there is no statistical relationship between bronchial closure techniques and possible risk factors in our study, patients should be assessed in terms of possible risk factors. The management strategy for BPF varies according to individual patients’ clinical condition, the size of the fistula, and development time.

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“…Endobronchial occlusion methods are now performed routinely with different bronchoscopes and a long list of embolic agents such as blood clots, gelatin, silicon rubber plugs, lead fishing sinkers, various sponge materials, tetracyclines, fibrin glue, cyanoacrylate, detachable balloons, metallic coils, stents, and septal occluder device with successful outcomes. [ 3 4 5 ]…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous closure of chronic broncho-pleuro-cutaneous fistula by duct occluder device

et al. 2016

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Bronchopleural fistula (BPF) is a well known complication of several pulmonary conditions posing challenging management problem and is often associated with high morbidity and mortality. Though no consensus exists on a definite closure management algorithm, strategies for closure widely include various methods like tube thoracostomy with suction, open surgical closure, bronchoscopy directed glue, coiling and sealants which now also includes use of occlusion devices. We report a case in which a novel method of delivery and closure of recurrent post-operative broncho-pleuro-cutaneous fistula by a duct occluder device was done transcutaneously which has not been previously described in literature.

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Closure of Chronic Bronchopleural Fistula Using Atrial Septal Occluder Device

Cited by 11 publications

References 2 publications

Bronchoscopic treatment of a bronchopleural fistula after pneumonectomy

Bronchoscopic treatment of a bronchopleural fistula after pneumonectomy

Evaluation of the Possible Risk Factors on Bronchial Closure Techniques for Bronchopleural Fistula after Lung Resection

Transcutaneous closure of chronic broncho-pleuro-cutaneous fistula by duct occluder device

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