Use of Amplatzer device for endobronchial closure of bronchopleural fistulas.
Bronchopulmonary fistula (BPF) is associated with high morbidity and mortality. It occurs as an uncommon but often severe complication of pneumonectomy. BPF may be treated by a range of surgical and medical techniques, including chest drain, Eloesser muscle flap, omental flap, transsternal bronchial closure, thoracoplasty, and prolonged therapy with antibiotic regimens. The use of bronchoscopy has been reported for the delivery of biological glue, coils, covered stents, and sealants. In this work, we describe a novel method of BPF closure using the Amplatzer device, which is commonly used for transcatheter closure of atrial septal defects.
Kramer
Mordechai R
MR
Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel. Electronic address: kramerm@netvision.net.il.
Peled
Nir
N
Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel.
Shitrit
David
D
Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel.
Atar
Eli
E
Department of Pediatric Cardiology, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel.
Saute
Milton
M
Department of Cardiothoracic Surgery, Rabin Medical Center, Petah Tiqwa, Israel.
Shlomi
Dekel
D
Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel.
Amital
Anat
A
Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel.
Bruckheimer
Elchanan
E
Department of Pediatric Cardiology, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel.
D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D013525:Surgical Instruments