2023
DOI: 10.1177/17534666231164541
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Bronchoscopic interventions for bronchopleural fistulas

Abstract: Bronchopleural fistula is a potentially fatal disease most often caused after pneumonectomy. Concomitant problems such as pulmonary infection and respiratory failure are typically the main contributors to patient mortality because of the improper contact between the bronchial and pleural cavity. Therefore, bronchopleural fistulas need immediate treatment, which requires the accurate location and timely closure of the fistula. Currently, bronchoscopic interventions, because of their flexibility and versatility,… Show more

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Cited by 9 publications
(18 citation statements)
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“…The first step is to attempt to close the bronchopleural fistula (BPF) after treatment of the active infection. BPFs can be closed with endoscopic or surgical procedures, including decortication, direct closure, thoracoplasty, or omental or muscle transposition 4,5 . If closure of the BPF cannot be achieved, open window thoracotomy is considered to evacuate the retained pus.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…The first step is to attempt to close the bronchopleural fistula (BPF) after treatment of the active infection. BPFs can be closed with endoscopic or surgical procedures, including decortication, direct closure, thoracoplasty, or omental or muscle transposition 4,5 . If closure of the BPF cannot be achieved, open window thoracotomy is considered to evacuate the retained pus.…”
Section: Discussionmentioning
confidence: 99%
“…Bronchial embolization with an EWS is a first‐line option in conservative management of BPF when the target bronchus is well defined, and its success rate has been reported as 40%–86% 4 . An EWS is a silicone bronchial plug that can be placed in the target bronchus.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…For patients with a high risk for surgery or who need a bridge to surgery, bronchoscopic interventions should be considered. Previous studies showed that the success rate of BPF treated by bronchoscopic techniques ranged from 40% to 100% [ 2 ].…”
Section: Discussionmentioning
confidence: 99%
“…The mortality rate for BPF after a pneumonectomy can be as high as 16% to 71%. 1,2 The primary clinical symptoms of BPF include fever, chills, purulent cough, chest distress, and dyspnea. If left untreated, BPF can lead to recurrent lung infections, sepsis, respiratory failure, and even death.…”
Section: Introductionmentioning
confidence: 99%