Xinwei Han1, Meipan Yin1, Lei Li1, Ming Zhu1, Kewei Ren1, Yu Qi2, Xiangnan Li2, Gang Wu3. 1. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China. 2. Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China. 3. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China. wuganghenan2004@163.com.
Abstract
BACKGROUND: Bronchopleural fistula after pulmonary resection is a serious complication, with major impact on the quality of life and survival. This study aims to evaluate the efficacy and safety of customized airway stenting in the treatment of bronchopleural fistula. METHODS: A series of airway stents for dedicated bronchopleural fistula occlusion were designed after taking into account the anatomical and pathophysiological features of post-pulmonary resection fistulas and the shortcomings of airway stents currently available. The fistulas were occluded with the bullet head or a special part of the covered airway stent. Successful stenting was defined as immediate cessation of air leak from the residual cavity after stenting. The results were retrospectively analyzed. RESULTS: Airway occlusion stenting was successful on the first attempt in 143/148 (96.6%) patients with bronchopleural fistulas. In the remaining 5 patients, occlusion was successful only on the second try. At follow-up 30 days after stenting, 141 patients reported relief in symptoms. No choking, laryngeal edema, or airway rupture occurred in any patient during stent insertion or removal; 2 patients developed hemorrhage during stent removal. CONCLUSIONS: Airway occlusion stenting appears to be a feasible and effective technique for treatment of bronchopleural fistula.
BACKGROUND:Bronchopleural fistula after pulmonary resection is a serious complication, with major impact on the quality of life and survival. This study aims to evaluate the efficacy and safety of customized airway stenting in the treatment of bronchopleural fistula. METHODS: A series of airway stents for dedicated bronchopleural fistula occlusion were designed after taking into account the anatomical and pathophysiological features of post-pulmonary resection fistulas and the shortcomings of airway stents currently available. The fistulas were occluded with the bullet head or a special part of the covered airway stent. Successful stenting was defined as immediate cessation of air leak from the residual cavity after stenting. The results were retrospectively analyzed. RESULTS: Airway occlusion stenting was successful on the first attempt in 143/148 (96.6%) patients with bronchopleural fistulas. In the remaining 5 patients, occlusion was successful only on the second try. At follow-up 30 days after stenting, 141 patients reported relief in symptoms. No choking, laryngeal edema, or airway rupture occurred in any patient during stent insertion or removal; 2 patients developed hemorrhage during stent removal. CONCLUSIONS: Airway occlusion stenting appears to be a feasible and effective technique for treatment of bronchopleural fistula.
Authors: Brendan P Madden; Abhijat Sheth; Timothy B L Ho; Gregory R McAnulty; Richard E Sayer Journal: Ann Thorac Surg Date: 2005-06 Impact factor: 4.330
Authors: Laura V Klotz; Wolfgang Gesierich; Sabine Schott-Hildebrand; Rudolf A Hatz; Michael Lindner Journal: J Thorac Dis Date: 2015-08 Impact factor: 2.895