Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report
Abstract A 52‐year‐old man developed a right pneumothorax during treatment for COVID‐19. In a previous case report concerning this patient, his recovery was achieved through implanting four endobronchial Watanabe spigots (EWS) in the right B1 and B3 in two phases and spraying N‐butyl‐2‐cyanoacrylate...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1126 |
| _version_ | 1827977262715109376 |
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| author | Tomoaki Nakamura Shosei Ro Chie Morita Naoki Kanomata Atsushi Kitamura |
| author_facet | Tomoaki Nakamura Shosei Ro Chie Morita Naoki Kanomata Atsushi Kitamura |
| author_sort | Tomoaki Nakamura |
| collection | DOAJ |
| description | Abstract A 52‐year‐old man developed a right pneumothorax during treatment for COVID‐19. In a previous case report concerning this patient, his recovery was achieved through implanting four endobronchial Watanabe spigots (EWS) in the right B1 and B3 in two phases and spraying N‐butyl‐2‐cyanoacrylate (NBCA). One year later, EWS removal was planned. He was intubated under bronchoscopic guidance, and the right upper lobe was observed. The right B1 and B3 inlets were found to be covered with granuloma. Despite the presence of a nylon thread for easy retrieval and partial debridement of the granulation, removal of the implanted EWS in the right B1 and B3 using grasping forceps, basket forceps, and two types of balloons under fluoroscopic guidance was challenging. NBCA spraying is a possible cause of foreign body granuloma formation. Therefore, careful consideration of the indications for the combined EWS‐NBCA procedure is necessary. |
| first_indexed | 2024-04-09T21:02:08Z |
| format | Article |
| id | doaj.art-ae6395ae7cbb457a95b710fd1ffe34af |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-09T21:02:08Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-ae6395ae7cbb457a95b710fd1ffe34af2023-03-29T08:50:29ZengWileyRespirology Case Reports2051-33802023-04-01114n/an/a10.1002/rcr2.1126Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case reportTomoaki Nakamura0Shosei Ro1Chie Morita2Naoki Kanomata3Atsushi Kitamura4Department of Pulmonary Medicine, Thoracic Center St. Luke's International Hospital Tokyo JapanDepartment of Pulmonary Medicine, Thoracic Center St. Luke's International Hospital Tokyo JapanDepartment of Respiratory Medicine National Center for Global Health and Medicine Tokyo JapanDepartment of Pathology St. Luke's International Hospital Tokyo JapanDepartment of Pulmonary Medicine, Thoracic Center St. Luke's International Hospital Tokyo JapanAbstract A 52‐year‐old man developed a right pneumothorax during treatment for COVID‐19. In a previous case report concerning this patient, his recovery was achieved through implanting four endobronchial Watanabe spigots (EWS) in the right B1 and B3 in two phases and spraying N‐butyl‐2‐cyanoacrylate (NBCA). One year later, EWS removal was planned. He was intubated under bronchoscopic guidance, and the right upper lobe was observed. The right B1 and B3 inlets were found to be covered with granuloma. Despite the presence of a nylon thread for easy retrieval and partial debridement of the granulation, removal of the implanted EWS in the right B1 and B3 using grasping forceps, basket forceps, and two types of balloons under fluoroscopic guidance was challenging. NBCA spraying is a possible cause of foreign body granuloma formation. Therefore, careful consideration of the indications for the combined EWS‐NBCA procedure is necessary.https://doi.org/10.1002/rcr2.1126endobronchial Watanabe spigotforeign body granulomaN‐butyl‐2‐cyanoacrylate |
| spellingShingle | Tomoaki Nakamura Shosei Ro Chie Morita Naoki Kanomata Atsushi Kitamura Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report Respirology Case Reports endobronchial Watanabe spigot foreign body granuloma N‐butyl‐2‐cyanoacrylate |
| title | Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report |
| title_full | Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report |
| title_fullStr | Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report |
| title_full_unstemmed | Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report |
| title_short | Difficult removal after bronchial filling of an endobronchial Watanabe spigot with N‐butyl‐2‐cyanoacrylate for intractable pneumothorax: A case report |
| title_sort | difficult removal after bronchial filling of an endobronchial watanabe spigot with n butyl 2 cyanoacrylate for intractable pneumothorax a case report |
| topic | endobronchial Watanabe spigot foreign body granuloma N‐butyl‐2‐cyanoacrylate |
| url | https://doi.org/10.1002/rcr2.1126 |
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