Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques
Background: Bronchoscopic device closure plays a significant role in the nonsurgical management of bronchopleural fistulae (BPF). Herein, we describe our 10-year experience in the management of postoperative BPF using various device closure modalities. This is the largest series of bronchoscopic dev...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Lung India |
| Subjects: | |
| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2020;volume=37;issue=2;spage=107;epage=113;aulast=Marwah |
| _version_ | 1811236870496976896 |
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| author | Vikas Marwah C D S Katoch Kunal Kumar Kamal Pathak Saikat Bhattacharjee Prashant Jindamwar |
| author_facet | Vikas Marwah C D S Katoch Kunal Kumar Kamal Pathak Saikat Bhattacharjee Prashant Jindamwar |
| author_sort | Vikas Marwah |
| collection | DOAJ |
| description | Background: Bronchoscopic device closure plays a significant role in the nonsurgical management of bronchopleural fistulae (BPF). Herein, we describe our 10-year experience in the management of postoperative BPF using various device closure modalities. This is the largest series of bronchoscopic device closure of BPF being reported from India. Materials and Methods: This was a retrospective analysis of data of patients who underwent bronchoscopic device closure with various techniques for the management of postoperative BPF. In total, 11 patients (six males and five females) with a mean age (±standard deviation) of 42.72 ± 14.40 years with BPFs were treated with various bronchoscopic interventions for BPF closure. We used various devices such as endobronchial coils, occluder devices, and covered tracheobronchial self-expandable stents for BPF closure depending on the size of air leaks. We describe the various devices used, technique, and outcome of bronchoscopic management of BPF. Results: All our patients had developed BPFs postoperatively. Pulmonary tuberculosis was the most common etiology seen in nine of our patients. All the devices were placed using a fiberoptic bronchoscope, and all patients were followed up for a minimum duration of 6 months. We successfully localized and closed BPFs in nine (81.81%) of our patients. Conclusions: Bronchoscopic device closure can be a successful strategy to manage postoperative BPF with minimal complications. |
| first_indexed | 2024-04-12T12:15:32Z |
| format | Article |
| id | doaj.art-47e8029de43c42929aa4c18f42721662 |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-04-12T12:15:32Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-47e8029de43c42929aa4c18f427216622022-12-22T03:33:26ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2020-01-0137210711310.4103/lungindia.lungindia_179_19Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniquesVikas MarwahC D S KatochKunal KumarKamal PathakSaikat BhattacharjeePrashant JindamwarBackground: Bronchoscopic device closure plays a significant role in the nonsurgical management of bronchopleural fistulae (BPF). Herein, we describe our 10-year experience in the management of postoperative BPF using various device closure modalities. This is the largest series of bronchoscopic device closure of BPF being reported from India. Materials and Methods: This was a retrospective analysis of data of patients who underwent bronchoscopic device closure with various techniques for the management of postoperative BPF. In total, 11 patients (six males and five females) with a mean age (±standard deviation) of 42.72 ± 14.40 years with BPFs were treated with various bronchoscopic interventions for BPF closure. We used various devices such as endobronchial coils, occluder devices, and covered tracheobronchial self-expandable stents for BPF closure depending on the size of air leaks. We describe the various devices used, technique, and outcome of bronchoscopic management of BPF. Results: All our patients had developed BPFs postoperatively. Pulmonary tuberculosis was the most common etiology seen in nine of our patients. All the devices were placed using a fiberoptic bronchoscope, and all patients were followed up for a minimum duration of 6 months. We successfully localized and closed BPFs in nine (81.81%) of our patients. Conclusions: Bronchoscopic device closure can be a successful strategy to manage postoperative BPF with minimal complications.http://www.lungindia.com/article.asp?issn=0970-2113;year=2020;volume=37;issue=2;spage=107;epage=113;aulast=Marwahbronchoscopic device closurepostoperative bronchopleural fistulaetherapeutic bronchoscopy |
| spellingShingle | Vikas Marwah C D S Katoch Kunal Kumar Kamal Pathak Saikat Bhattacharjee Prashant Jindamwar Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques Lung India bronchoscopic device closure postoperative bronchopleural fistulae therapeutic bronchoscopy |
| title | Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques |
| title_full | Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques |
| title_fullStr | Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques |
| title_full_unstemmed | Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques |
| title_short | Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques |
| title_sort | bronchoscopic device closure of postoperative bronchopleural fistulae novel devices and innovative techniques |
| topic | bronchoscopic device closure postoperative bronchopleural fistulae therapeutic bronchoscopy |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2020;volume=37;issue=2;spage=107;epage=113;aulast=Marwah |
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