Bronchoscopic interventions for bronchopleural fistulas
Bronchopleural fistula is a potentially fatal disease most often caused after pneumonectomy. Concomitant problems such as pulmonary infection and respiratory failure are typically the main contributors to patient mortality because of the improper contact between the bronchial and pleural cavity. The...
Main Authors: | , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2023-04-01
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Series: | Therapeutic Advances in Respiratory Disease |
Online Access: | https://doi.org/10.1177/17534666231164541 |
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author | Lingli Jin Yaqing Li |
author_facet | Lingli Jin Yaqing Li |
author_sort | Lingli Jin |
collection | DOAJ |
description | Bronchopleural fistula is a potentially fatal disease most often caused after pneumonectomy. Concomitant problems such as pulmonary infection and respiratory failure are typically the main contributors to patient mortality because of the improper contact between the bronchial and pleural cavity. Therefore, bronchopleural fistulas need immediate treatment, which requires the accurate location and timely closure of the fistula. Currently, bronchoscopic interventions, because of their flexibility and versatility, are reliable alternative therapies in patients for whom surgical intervention is unsuitable. Possible interventions include bronchoscopic placement of blocking agents, atrial septal defect (ASD)/ventricular septal defect (VSD) occluders, airway stents, endobronchial valves (EBVs) and endobronchial Watanabe spigots (EWSs). Recent developments in mesenchymal stem cells (MSCs) transplantation technology and three-dimensional (3D) printed stents have also contributed to the treatment of bronchopleural fistula, but more research is needed to investigate the long-term benefits. This review focuses on the effectiveness of various bronchoscopic measures for the treatment of bronchopleural fistula and the directions for future development. |
first_indexed | 2024-04-09T17:37:49Z |
format | Article |
id | doaj.art-d43d3ed39231461080c3bbe177aefd57 |
institution | Directory Open Access Journal |
issn | 1753-4666 |
language | English |
last_indexed | 2024-04-09T17:37:49Z |
publishDate | 2023-04-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Therapeutic Advances in Respiratory Disease |
spelling | doaj.art-d43d3ed39231461080c3bbe177aefd572023-04-17T12:33:40ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46662023-04-011710.1177/17534666231164541Bronchoscopic interventions for bronchopleural fistulasLingli JinYaqing LiBronchopleural fistula is a potentially fatal disease most often caused after pneumonectomy. Concomitant problems such as pulmonary infection and respiratory failure are typically the main contributors to patient mortality because of the improper contact between the bronchial and pleural cavity. Therefore, bronchopleural fistulas need immediate treatment, which requires the accurate location and timely closure of the fistula. Currently, bronchoscopic interventions, because of their flexibility and versatility, are reliable alternative therapies in patients for whom surgical intervention is unsuitable. Possible interventions include bronchoscopic placement of blocking agents, atrial septal defect (ASD)/ventricular septal defect (VSD) occluders, airway stents, endobronchial valves (EBVs) and endobronchial Watanabe spigots (EWSs). Recent developments in mesenchymal stem cells (MSCs) transplantation technology and three-dimensional (3D) printed stents have also contributed to the treatment of bronchopleural fistula, but more research is needed to investigate the long-term benefits. This review focuses on the effectiveness of various bronchoscopic measures for the treatment of bronchopleural fistula and the directions for future development.https://doi.org/10.1177/17534666231164541 |
spellingShingle | Lingli Jin Yaqing Li Bronchoscopic interventions for bronchopleural fistulas Therapeutic Advances in Respiratory Disease |
title | Bronchoscopic interventions for bronchopleural fistulas |
title_full | Bronchoscopic interventions for bronchopleural fistulas |
title_fullStr | Bronchoscopic interventions for bronchopleural fistulas |
title_full_unstemmed | Bronchoscopic interventions for bronchopleural fistulas |
title_short | Bronchoscopic interventions for bronchopleural fistulas |
title_sort | bronchoscopic interventions for bronchopleural fistulas |
url | https://doi.org/10.1177/17534666231164541 |
work_keys_str_mv | AT linglijin bronchoscopicinterventionsforbronchopleuralfistulas AT yaqingli bronchoscopicinterventionsforbronchopleuralfistulas |