[Chemical pleurodesis with iodized talcum in persistent therapy refractory bronchocutaneous fistula].
The common therapy of a persistent bronchocutaneous fistula is the operative endoscopic repair of the leak, the parietal pleurectomy or the endoscopic pleurodesis with different agents. Therefore the thoracotomy with all the risks for the patient can be avoid. Complications seen in the thoracoscopic treatment are low and often the result of techniqual problems. However there must be an alternative therapy for patients with a high operational risk. In our case we treated a bronchocutaneous persistent fistula by the instillation of iodized talc effectively. Although talc and others agents are used in the therapy of malignant pleural effusions, the talc poudrage in the therapy of bronchocutaneous fistulas is a good alternative treatment for patients in a bad condition.
Jacobi
C A
CA
Chirurgische Universitätsklinik Köln.
Reichert
V
V
Schmitz-Rixen
T
T
D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D001026:Coronary Artery Bypass; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage; D006333:Heart Failure / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D007455:Iodine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000628:therapy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D013627:Talc / Q000008:administration & dosage*
D013627:Talc; D007455:Iodine
Chemische Pleurodese mit Talcumjodid bei einer persistierenden therapierefraktären bronchocutanen Fistel.