Bronchial catheterization with a TIPS dilator after failure of conventional technique.
OBJECTIVE
A technique is presented for catheterization of an obstructed bronchus when use of a conventional vascular catheter has failed. In some cases, strictures become too stenotic or blunt for passage of a guidewire, making further intervention impossible. We attempted to negotiate a stricture opening using a transjugular intrahepatic portosystemic shunt (TIPS) dilator with a guidewire inside it.


CONCLUSIONS
The catheterization technique with a TIPS dilator was successful in nine cases in which use of conventional catheters and guidewires had failed.
Shin
Ji Hoon
JH
Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, 388-1, Pungnap-dong, Songpa-gu, Seoul 138-736, Korea [corrected] jhshin@amc.seoul.kr
Song
Ho-Young
HY
Yoon
Chang Jin
CJ
Kim
Jin Hyoung
JH
Lim
Jin-Oh
JO
Kim
Yong Jae
YJ
Ko
Heung-Kyu
HK
D000328:Adult; D000368:Aged; D000402:Airway Obstruction / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications