Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas
Abstract Background Bronchopleural fistula (BPF) is a relatively rare complication after various types of pulmonary resection. The double-sided mushroom-shaped occluder (Amplatzer device, AD) has been gradually used for BPF blocking due to its reliable blocking effect. We have improved the existing...
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | BMC Pulmonary Medicine |
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| Online Access: | https://doi.org/10.1186/s12890-021-01493-8 |
| _version_ | 1819025430387097600 |
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| author | Jisong Zhang Huihui Hu Li Xu Shan Xu Jihong Zhu Fengjie Wu Enguo Chen |
| author_facet | Jisong Zhang Huihui Hu Li Xu Shan Xu Jihong Zhu Fengjie Wu Enguo Chen |
| author_sort | Jisong Zhang |
| collection | DOAJ |
| description | Abstract Background Bronchopleural fistula (BPF) is a relatively rare complication after various types of pulmonary resection. The double-sided mushroom-shaped occluder (Amplatzer device, AD) has been gradually used for BPF blocking due to its reliable blocking effect. We have improved the existing AD implantation methods to facilitate clinical use and named the new approach Sheath-free method (SFM). The aim of the present report was to explore the reliability and advantages of the SFM in AD implantation. Methods We improved the existing implantation methods by abandoning the sheath of the AD and using the working channel of the bronchoscope to directly store or release the AD without general anesthesia, rigid bronchoscopy, fluoroscopy, or bronchography. A total of 6 patients (5 men and 1 woman, aged 66.67 ± 6.19 years [mean ± SD]) had BPF blocking and underwent the SFM in AD implantation. Results AD implantation was successfully performed in all 6 patients with the SFM, 4 persons had a successful closure of the fistula, one person died after few days and one person did not have a successful closure of the fistula. The average duration of operation was 16.17 min (16.17 ± 4.67 min [mean ± SD]). No patients died due to operation complications or BPF recurrence. The average follow-up time was 13.2 months (range 10–17 months). Conclusion We observed that the SFM for AD implantation—with accurate device positioning and a clear field of vision—is efficient and convenient. The AD is effective in BPF blocking, and could contribute to significantly improved symptoms of patients. |
| first_indexed | 2024-12-21T05:10:33Z |
| format | Article |
| id | doaj.art-13e90413547d4758a8a50b8f52f85bf2 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-12-21T05:10:33Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-13e90413547d4758a8a50b8f52f85bf22022-12-21T19:15:04ZengBMCBMC Pulmonary Medicine1471-24662021-04-012111610.1186/s12890-021-01493-8Innovative method for Amplatzer device implantation in patients with bronchopleural fistulasJisong Zhang0Huihui Hu1Li Xu2Shan Xu3Jihong Zhu4Fengjie Wu5Enguo Chen6Department of Pulmonary and Critical Care Medicine, Sir Run Run Shaw Hospital of Zhejiang UniversityDepartment of Pulmonary and Critical Care Medicine, Sir Run Run Shaw Hospital of Zhejiang UniversityDepartment of Pulmonary and Critical Care Medicine, Sir Run Run Shaw Hospital of Zhejiang UniversityDepartment of Pulmonary and Critical Care Medicine, Sir Run Run Shaw Hospital of Zhejiang UniversityDepartment of Anesthesiology, Sir Run Run Shaw Hospital of Zhejiang UniversityDepartment of Pulmonary and Critical Care Medicine, The Second Hospital of JiaxingDepartment of Pulmonary and Critical Care Medicine, Sir Run Run Shaw Hospital of Zhejiang UniversityAbstract Background Bronchopleural fistula (BPF) is a relatively rare complication after various types of pulmonary resection. The double-sided mushroom-shaped occluder (Amplatzer device, AD) has been gradually used for BPF blocking due to its reliable blocking effect. We have improved the existing AD implantation methods to facilitate clinical use and named the new approach Sheath-free method (SFM). The aim of the present report was to explore the reliability and advantages of the SFM in AD implantation. Methods We improved the existing implantation methods by abandoning the sheath of the AD and using the working channel of the bronchoscope to directly store or release the AD without general anesthesia, rigid bronchoscopy, fluoroscopy, or bronchography. A total of 6 patients (5 men and 1 woman, aged 66.67 ± 6.19 years [mean ± SD]) had BPF blocking and underwent the SFM in AD implantation. Results AD implantation was successfully performed in all 6 patients with the SFM, 4 persons had a successful closure of the fistula, one person died after few days and one person did not have a successful closure of the fistula. The average duration of operation was 16.17 min (16.17 ± 4.67 min [mean ± SD]). No patients died due to operation complications or BPF recurrence. The average follow-up time was 13.2 months (range 10–17 months). Conclusion We observed that the SFM for AD implantation—with accurate device positioning and a clear field of vision—is efficient and convenient. The AD is effective in BPF blocking, and could contribute to significantly improved symptoms of patients.https://doi.org/10.1186/s12890-021-01493-8Bronchopleural fistulaAmplatzer devicesPulmonary interventionBronchoscopySheath-free method |
| spellingShingle | Jisong Zhang Huihui Hu Li Xu Shan Xu Jihong Zhu Fengjie Wu Enguo Chen Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas BMC Pulmonary Medicine Bronchopleural fistula Amplatzer devices Pulmonary intervention Bronchoscopy Sheath-free method |
| title | Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas |
| title_full | Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas |
| title_fullStr | Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas |
| title_full_unstemmed | Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas |
| title_short | Innovative method for Amplatzer device implantation in patients with bronchopleural fistulas |
| title_sort | innovative method for amplatzer device implantation in patients with bronchopleural fistulas |
| topic | Bronchopleural fistula Amplatzer devices Pulmonary intervention Bronchoscopy Sheath-free method |
| url | https://doi.org/10.1186/s12890-021-01493-8 |
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