Transthoracic closure of a postpneumonectomy bronchopleural fistula with coils and cyanoacrylate.
Standard treatment for persistent bronchopleural fistulas involves thoracotomy with primary closure and transposition of a vascularized muscle flap to the bronchial leak site. This major operation may be ineffective or medically contraindicated. We successfully treated 2 patients by insertion of coils and cyanoacrylate glue into and adjacent to the fistula of a postpneumonectomy bronchial stump with computed tomographic-guided transthoracic needle. The coils served as scaffolding for cyanoacrylate glue to control the bronchopleural fistula.
Clemson
Lindsey A
LA
School of Medicine, Department of Radiology, The University of Texas Medical Branch, Galveston, Texas 77555, USA.
Walser
Eric
E
Gill
Amanjit
A
Lynch
James E
JE
Zwischenberger
Joseph B
JB
D000230:Adenocarcinoma / Q000601:surgery; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery; D003487:Cyanoacrylates / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011013:Pneumonectomy / Q000009:adverse effects*; D012189:Retrospective Studies; D014014:Tissue Adhesives / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D003487:Cyanoacrylates; D014014:Tissue Adhesives