title: Endobronchial closure of total bronchopleural fistula with Occlutech Figulla ASD N device.
abstract: Bronchopleural fistula may be treated by medical, endoscopic, and surgical techniques, but large fistulas remain a challenge to be closed using endoscopic techniques. We describe the endoscopic closure of a bronchial total fistula with the Occlutech Figulla ASD N device (International Occlutech AB, Helsingborg, Sweden), originally designed for closure of an atrial septal defect. The procedure was conducted without general anesthesia or rigid bronchoscopy, bronchography, or radioscopy. An immediate reduction in the air leak was observed and also later on bronchoscopy, as the device was almost covered by granulation tissue. The endobronchial technique described seems to be safe and effective to manage large bronchopleural fistulas.
authors.affiliation: Thoracic Surgery Department, Heart Institute (InCor) and Hospital das Clinicas of São Paulo Medical School, São Paulo, Brazil.
authors.forename: Miguel L
authors.initials: ML
authors.lastname: Tedde
authors.forename: Paulo R
authors.initials: PR
authors.lastname: Scordamaglio
authors.forename: Helio
authors.initials: H
authors.lastname: Minamoto
authors.forename: Viviane R
authors.initials: VR
authors.lastname: Figueiredo
authors.forename: Carlos C
authors.initials: CC
authors.lastname: Pedra
authors.forename: Fabio B
authors.initials: FB
authors.lastname: Jatene
mesh_terms: D001983:Bronchial Fistula / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods*; D015505:Chest Tubes; D016724:Empyema, Pleural / Q000601:surgery; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000601:surgery*; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D055732:Pulmonary Aspergillosis / Q000601:surgery; D011859:Radiography; D012086:Reoperation / Q000379:methods