Extracellular matrix fistula plug for repair of bronchopleural fistula
Introduction: Bronchopleural fistula (BPF) is a feared complication of pulmonary resection. Fistula plugs (FP) have been described as an adequate treatment in anorectal disease. We describe our early experience placing an FP in the treatment of BPF. Materials and methods: We retrospectively reviewed...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-01-01
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| Series: | Respiratory Medicine Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007118301229 |
| _version_ | 1818409238807969792 |
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| author | Kenneth K. Sakata Janani S. Reisenauer Ryan M. Kern David E. Midthun James P. Utz Shanda H. Blackmon John J. Mullon Dennis A. Wigle |
| author_facet | Kenneth K. Sakata Janani S. Reisenauer Ryan M. Kern David E. Midthun James P. Utz Shanda H. Blackmon John J. Mullon Dennis A. Wigle |
| author_sort | Kenneth K. Sakata |
| collection | DOAJ |
| description | Introduction: Bronchopleural fistula (BPF) is a feared complication of pulmonary resection. Fistula plugs (FP) have been described as an adequate treatment in anorectal disease. We describe our early experience placing an FP in the treatment of BPF. Materials and methods: We retrospectively reviewed 5 patients for whom a FP was placed for BPF at our institution. Demographic data, initial perioperative information, method and technique of FP placement, and success is reported. Results: Five patients (4 male, 1 female) with a median age of 63 years (range, 57–76 years) underwent 6 FP placements for BPF. Two patients were post-pneumonectomy and 3 patients post-lobectomy. The median time to presentation following surgery was 118 days (range 22–218). Upon bronchoscopic or operative re-evaluation, 3 patients had successful cessation of their air leak at 0, 1 and 4 days. Two of three patients subsequently underwent a thoracic muscle flap placement to augment healing. One patient had a persistent air leak despite 2 separate FP placements. The air leak stopped with endobronchial valves (EBV) which were deployed proximal to the FP, 9 days after placement of the FP. Another patient had a successful muscle flap placed 80 days after FP placement. There were no complications associated with the FP. Three of five patients were deemed successfully treated with FP placement alone. Conclusion: In patients with a postoperative BPF and pleural window, placement of a FP had a modest success rate and can be considered as a treatment modality option for BPF. Keywords: Bronchopleural fistula, Fistula plug, Persistent air leak, Prolong air leak |
| first_indexed | 2024-12-14T09:56:27Z |
| format | Article |
| id | doaj.art-6c1171457a34484495fdcaac2440d692 |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-14T09:56:27Z |
| publishDate | 2018-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-6c1171457a34484495fdcaac2440d6922022-12-21T23:07:23ZengElsevierRespiratory Medicine Case Reports2213-00712018-01-0125207210Extracellular matrix fistula plug for repair of bronchopleural fistulaKenneth K. Sakata0Janani S. Reisenauer1Ryan M. Kern2David E. Midthun3James P. Utz4Shanda H. Blackmon5John J. Mullon6Dennis A. Wigle7Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN USA; Corresponding author. Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN USA; Division of General Thoracic Surgery, Mayo Clinic, Rochester, MN USADivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN USADivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN USADivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN USADivision of General Thoracic Surgery, Mayo Clinic, Rochester, MN USADivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN USADivision of General Thoracic Surgery, Mayo Clinic, Rochester, MN USAIntroduction: Bronchopleural fistula (BPF) is a feared complication of pulmonary resection. Fistula plugs (FP) have been described as an adequate treatment in anorectal disease. We describe our early experience placing an FP in the treatment of BPF. Materials and methods: We retrospectively reviewed 5 patients for whom a FP was placed for BPF at our institution. Demographic data, initial perioperative information, method and technique of FP placement, and success is reported. Results: Five patients (4 male, 1 female) with a median age of 63 years (range, 57–76 years) underwent 6 FP placements for BPF. Two patients were post-pneumonectomy and 3 patients post-lobectomy. The median time to presentation following surgery was 118 days (range 22–218). Upon bronchoscopic or operative re-evaluation, 3 patients had successful cessation of their air leak at 0, 1 and 4 days. Two of three patients subsequently underwent a thoracic muscle flap placement to augment healing. One patient had a persistent air leak despite 2 separate FP placements. The air leak stopped with endobronchial valves (EBV) which were deployed proximal to the FP, 9 days after placement of the FP. Another patient had a successful muscle flap placed 80 days after FP placement. There were no complications associated with the FP. Three of five patients were deemed successfully treated with FP placement alone. Conclusion: In patients with a postoperative BPF and pleural window, placement of a FP had a modest success rate and can be considered as a treatment modality option for BPF. Keywords: Bronchopleural fistula, Fistula plug, Persistent air leak, Prolong air leakhttp://www.sciencedirect.com/science/article/pii/S2213007118301229 |
| spellingShingle | Kenneth K. Sakata Janani S. Reisenauer Ryan M. Kern David E. Midthun James P. Utz Shanda H. Blackmon John J. Mullon Dennis A. Wigle Extracellular matrix fistula plug for repair of bronchopleural fistula Respiratory Medicine Case Reports |
| title | Extracellular matrix fistula plug for repair of bronchopleural fistula |
| title_full | Extracellular matrix fistula plug for repair of bronchopleural fistula |
| title_fullStr | Extracellular matrix fistula plug for repair of bronchopleural fistula |
| title_full_unstemmed | Extracellular matrix fistula plug for repair of bronchopleural fistula |
| title_short | Extracellular matrix fistula plug for repair of bronchopleural fistula |
| title_sort | extracellular matrix fistula plug for repair of bronchopleural fistula |
| url | http://www.sciencedirect.com/science/article/pii/S2213007118301229 |
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