Intrathoracic fibrin sealant application using computed tomography fluoroscopy.
Persistent intrathoracic airspace and bronchopleural fistula remain a problem following lung resection or in patients with severe bullous disease experiencing a spontaneous pneumothorax. Although fibrin sealant has been used successfully to manage such air-leaks, precise nonoperative intrathoracic application is difficult. This report describes a novel technique using computed tomography fluoroscopy for catheter-directed FS application through a previously placed thoracostomy tube. Continuous computed tomography-fluoroscopy images allowed real-time catheter manipulation for precise placement of fibrin sealant.
O'Neill
P J
PJ
Department of General Surgery, Thoracic and Cardiovascular Surgery, and Tissue Adhesive Center, University of Virginia Health System, Charlottesville 22908, USA.
Flanagan
H L
HL
Mauney
M C
MC
Spotnitz
W D
WD
Daniel
T M
TM
D000388:Air; D015718:Fibrin Tissue Adhesive; D005471:Fluoroscopy; D006801:Humans; D008171:Lung Diseases / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013594:Syringes; D014014:Tissue Adhesives; D014057:Tomography, X-Ray Computed
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives