Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding
Transbronchial cryobiopsy (TBCB) is performed to aid diagnosis of interstitial lung disease, of which bleeding is a potentially life-threatening complication. Post-TBCB management involves temporary balloon blockade, bronchial artery embolisation (BAE) or surgery. Bronchial occlusion by endobronchia...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/20101058211019440 |
| _version_ | 1798004776805335040 |
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| author | Larry Ellee Nyanti Sze Shyang Kho Swee Kim Chan Chan Sin Chai Siew Teck Tie |
| author_facet | Larry Ellee Nyanti Sze Shyang Kho Swee Kim Chan Chan Sin Chai Siew Teck Tie |
| author_sort | Larry Ellee Nyanti |
| collection | DOAJ |
| description | Transbronchial cryobiopsy (TBCB) is performed to aid diagnosis of interstitial lung disease, of which bleeding is a potentially life-threatening complication. Post-TBCB management involves temporary balloon blockade, bronchial artery embolisation (BAE) or surgery. Bronchial occlusion by endobronchial Watanabe spigot (EWS) as the definitive method of bleeding control post TBCB has not been described. A 56-year-old male underwent TBCB to aid diagnosis of interstitial lung disease. TBCB had been performed at RB4 (lateral segment of right middle lobe) with a prophylactic balloon blocker. However, prolonged bleeding was observed upon deflation of the balloon blocker. Haemostasis was secured with successful deployment of EWS into RB4, with no evidence of rebleeding in surveillance bronchoscopy and chest radiographs. EWS was kept in situ for four days and subsequently removed. The patient was discharged with good functional status. This case demonstrates that EWS placement may be considered for definitive management of low-volume post-TBCB bleeding, especially when BAE and surgical intervention are not possible. |
| first_indexed | 2024-04-11T12:28:46Z |
| format | Article |
| id | doaj.art-22ae28ee3f084adf81660c635263f826 |
| institution | Directory Open Access Journal |
| issn | 2059-2329 |
| language | English |
| last_indexed | 2024-04-11T12:28:46Z |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-22ae28ee3f084adf81660c635263f8262022-12-22T04:23:49ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292022-12-013110.1177/20101058211019440Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleedingLarry Ellee Nyanti0Sze Shyang Kho1Swee Kim Chan2Chan Sin Chai3Siew Teck Tie4Division of Respiratory Medicine, Department of Medicine, Sarawak General Hospital, Ministry of Health, MalaysiaDivision of Respiratory Medicine, Department of Medicine, Sarawak General Hospital, Ministry of Health, MalaysiaDivision of Respiratory Medicine, Department of Medicine, Sarawak General Hospital, Ministry of Health, MalaysiaDivision of Respiratory Medicine, Department of Medicine, Sarawak General Hospital, Ministry of Health, MalaysiaDivision of Respiratory Medicine, Department of Medicine, Sarawak General Hospital, Ministry of Health, MalaysiaTransbronchial cryobiopsy (TBCB) is performed to aid diagnosis of interstitial lung disease, of which bleeding is a potentially life-threatening complication. Post-TBCB management involves temporary balloon blockade, bronchial artery embolisation (BAE) or surgery. Bronchial occlusion by endobronchial Watanabe spigot (EWS) as the definitive method of bleeding control post TBCB has not been described. A 56-year-old male underwent TBCB to aid diagnosis of interstitial lung disease. TBCB had been performed at RB4 (lateral segment of right middle lobe) with a prophylactic balloon blocker. However, prolonged bleeding was observed upon deflation of the balloon blocker. Haemostasis was secured with successful deployment of EWS into RB4, with no evidence of rebleeding in surveillance bronchoscopy and chest radiographs. EWS was kept in situ for four days and subsequently removed. The patient was discharged with good functional status. This case demonstrates that EWS placement may be considered for definitive management of low-volume post-TBCB bleeding, especially when BAE and surgical intervention are not possible.https://doi.org/10.1177/20101058211019440 |
| spellingShingle | Larry Ellee Nyanti Sze Shyang Kho Swee Kim Chan Chan Sin Chai Siew Teck Tie Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding Proceedings of Singapore Healthcare |
| title | Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding |
| title_full | Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding |
| title_fullStr | Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding |
| title_full_unstemmed | Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding |
| title_short | Endobronchial Watanabe spigot complementing prophylactic balloon blocker in the management of post-transbronchial cryobiopsy bleeding |
| title_sort | endobronchial watanabe spigot complementing prophylactic balloon blocker in the management of post transbronchial cryobiopsy bleeding |
| url | https://doi.org/10.1177/20101058211019440 |
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