Fiberoptic Bronchial Blockade in a Small Bronchopleural Fistula

Traumatic esophago-bronchopleural fistula-CT finding and treatment using glue: A procedure not so commonly performed

“…Endoscopic closure of a bronchopleural fistula has been attempted using a variety of materials[1] including fibrin, autologous blood clots,[6] doxycycline,[6] detachable balloons,[7] silicon rubber plugs, glue,[89] and metallic coils. [10] In 1977, Hartmann and Rausch[8] reported closure of a postoperative peripheral fistula after two bronchoscopic applications of methylcyanoacrylate.…”

Endobronchial Closure of a Bronchopleural Cutaneous Fistula Using Angiography Catheters

“…Recently a variety of endobronchial occlusion methods performed with different bronchoscopes and a long list of embolic agents, which includes blood clots, gelatin, gelatin capsule-shaped silicon rubber plugs, machined brass screws, lead fishing sinkers, various sponge materials, tetracyclines, fibrin glue, cyanoacrylate, detachable balloons, and metallic coils, have been tried successfully [1][2][3][4][5][6][7][8].…”

“…In 1987, Lan et al [5] similarly could only temporarily occlude the fistula using autologous blood clot. However, the addition of doxycycline produced permanent closure, presumably by inducing local mucosal inflammation and edema [5].…”

“…In 1987, Lan et al [5] similarly could only temporarily occlude the fistula using autologous blood clot. However, the addition of doxycycline produced permanent closure, presumably by inducing local mucosal inflammation and edema [5]. In 1991, Walter et al [1] also obtained fistula closure by instillation of tetracycline into the fistula via a fiberoptic bronchoscope using a balloon catheter and blood clot occlusion technique [1].…”

Role of Flexible-Bronchoscopy in Pulmonary and Critical Care Practice

“…In patients with suspected distal BPF a careful sequential inspection of each bronchopulmonary segment should be performed; this usually requires the use of balloons to occlude the bronchial segments to locate the one leading to the fistula and then apply sealants. (Lan et al, 1987;Regel et al 1989;Lois & Noppen,2005;Oren et al, 2011) Other indications include confirmation of endotracheal tube (ETT) placement, double lumen ETT placement, diagnosis of bronchial rupture or bronchial stump dehiscence. Less common indications include inspection of upper airway prior to extubation when edema or other anatomical problems are expected in an intubated patient.…”