title: A novel approach to endobronchial closure of a bronchial pleural fistula.
abstract: Bronchopleural fistula presents an important and challenging management problem after lung parenchymal resection. The mainstay of treatment has been surgical revision of the bronchial stump, however increasingly endobronchial therapies are being employed. We report the novel use of a liquid embolic agent with an Amplatzer vascular plug to seal a chronic bronchopleural fistula. Using rigid bronchoscopy, fluoroscopy, radio opaque liquid embolic agent, and the Amplatzer vascular plug, we were able to demonstrate not only feasibility but also safety and a marked reduction in symptoms consistent with successful closure of the bronchopleural fistula.
authors.affiliation: Section of Interventional Pulmonology, Division of Pulmonary and Critical Care, University of North Carolina in Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Jason
authors.initials: J
authors.lastname: Akulian
authors.affiliation: Section of Interventional Pulmonology, Division of Pulmonary and Critical Care, University of North Carolina in Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Vikas
authors.initials: V
authors.lastname: Pathak
authors.affiliation: Section of Interventional Radiology, Division of Radiology, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Mark
authors.initials: M
authors.lastname: Lessne
authors.affiliation: Section of Interventional Radiology, Division of Radiology, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Kelvin
authors.initials: K
authors.lastname: Hong
authors.affiliation: Section of Interventional Pulmonology, Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, Maryland.
authors.forename: David
authors.initials: D
authors.lastname: Feller-Kopman
authors.affiliation: Section of Interventional Pulmonology, Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Hans
authors.initials: H
authors.lastname: Lee
authors.affiliation: Section of Interventional Pulmonology, Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, Maryland. Electronic address: lyarmus@jhmi.edu.
authors.forename: Lonny
authors.initials: L
authors.lastname: Yarmus
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000601:surgery*; D016156:Respiratory Tract Fistula / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods