Occlusion of a Broncho-Cutaneous Fistula With Endobronchial One-Way Valves

Snell, Gregory I; Holsworth, Lynda; Fowler, Sue; Eriksson, Leif; Reed, Anna; Daniels, Fredy; Williams, Trevor

doi:10.1016/j.athoracsur.2004.06.037

Cited by 60 publications

(33 citation statements)

References 5 publications

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“…Several investigators [15][16][17][18][19] have reported the use of this valve in the management of persistent air leaks following many pulmonary diseases; they describe complex clinical cases in which nonsurgical intervention was most appropriate. In our report we focused our attention on the treatment of only postoperative critical cases.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of persistent postoperative air leaks following the placement of an endobronchial one-way valve

Conforti

Torre

Fieschi

et al. 2016

Monaldi Arch Chest Dis

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resection in pathological conditions of the lung involve a very large spectrum of available methods, from chest drainage and placement of Heimlich valves to surgical repair or pleural decortication. However, in some of these patients surgery may be contraindicated. This report describes an endobronchial approach to the control of marked and prolonged air leaks in four patients using a newly designed one-way airway valve (Pulmonx Corporation; Redwood City, Ca.USA) placed into the segmental bronchus that is the source of air leakage. As the device is a one-way inspiratory airway blocker, it can be used to control persistent air leaks while maintaining the drainage of mucus. This approach potentially provides an effective nonsurgical and minimally invasive alternative addition to the armamentarium of treatments for patients who suffer with persistent post-operative air leaks where other methods have failed or in frail patients who are categorised as a high surgical risk.

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Section: Discussionmentioning

confidence: 99%

Successful treatment of persistent postoperative air leaks following the placement of an endobronchial one-way valve

Conforti

Torre

Fieschi

et al. 2016

Monaldi Arch Chest Dis

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“…Bronchoscopic placement of EBVs has been employed as a less invasive strategy to achieve LVR in selected patients [8][9][10]; they have then been applied successfully for occlusion of bronchopleural [20,21] and bronchocutaneous fistulas [22].…”

Section: Discussionmentioning

confidence: 99%

Endobronchial treatment of giant emphysematous bullae with one-way valves: a new approach for surgically unfit patients

Santini

Fiorelli

Vicidomini

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…We have used an endobronchial one-way valve, specifically designed for bronchoscopic lung volume reduction [4], to stop the passage of air distally to the lung lesion, but allowing the passage of secretions. The same endobronchial valves have been used for successfull occlusion of a broncho-cutaneous fistula after pulmonary lobectomy [5].…”

Section: Discussionmentioning

confidence: 99%

Successful treatment with one-way endobronchial valve of large air-leakage complicating narrow-bore enteral feeding tube malposition

Giacomo¹,

Venuta²,

Diso³

et al. 2006

European Journal of Cardio-Thoracic Surgery

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Tracheopulmonary intubation is the most common misplacement site for narrow-bore feeding tube and it might be associated with severe pleuro-pulmonary complications. A 38-year-old female with a severe bilateral pneumonia and acute respiratory insufficiency was admitted in the ICU, intubated, and mechanically ventilated. Few hours after the insertion of a narrow-bore feeding tube the patient's oxygen saturation dropped with hypotension and tachycardia. A large left-side hydropneumothorax developed requiring a chest tube. Air-leakage was important and bronchoscopic implant of one-way endobronchial valve was accomplished. Immediate and substantial decrease of air-leakage was observed, and it completely stopped after 5 days; as soon as the patient was extubated. Endobrochial one-way valve, specifically designed for bronchoscopic lung volume reduction, resulted in being safe and effective to control a significant and prolonged air-leakage due to a malposition of a narrow-bore feeding tube.

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Occlusion of a Broncho-Cutaneous Fistula With Endobronchial One-Way Valves

Cited by 60 publications

References 5 publications

Successful treatment of persistent postoperative air leaks following the placement of an endobronchial one-way valve

Successful treatment of persistent postoperative air leaks following the placement of an endobronchial one-way valve

Endobronchial treatment of giant emphysematous bullae with one-way valves: a new approach for surgically unfit patients

Successful treatment with one-way endobronchial valve of large air-leakage complicating narrow-bore enteral feeding tube malposition

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