Endoscopic Treatment of Bronchopleural Fistulas

Varoli, F.; Roviaro, Giancarlo; Grignani, F; Vergani, Contardo; Maciocco, M.; Rebuffat, C.

doi:10.1016/s0003-4975(97)01427-6

Cited by 109 publications

(72 citation statements)

References 12 publications

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“…BPF is an infrequent but potentially life-threatening complication in lung surgery, with incidences from 1.3% A B to 34.3% and mortalities from 0.7% to 67% (1)(2)(3)(4)(5)7,9). Various risk factors as neoadjuvant therapy and closure of bronchial stump, had been reported (1,(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

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Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years

et al. 2016

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Section: Discussionmentioning

confidence: 99%

“…Chest cavity cleanup using antibiotics or disinfectants was considered in the second step to create an aseptic residual chest cavity. However, all these maneuvers were associated with certain failure rate (5,7).…”

Section: Original Articlementioning

confidence: 99%

Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years

et al. 2016

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“…Varoli et al in 1998 [14] published their study describing another method in closing central BPF. They successfully treated 23 out of 35 consecutive patients with central postresectional BPF with multiple and repeatedly submucosal injections of polidocanol -hydroxypolyethoxidodecane (Aethoxysklerol Kreussler) on the margins of the fistula.…”

Section: Bronchoscopic Treatment Of Bronchopleural Fistulamentioning

confidence: 99%

Bronchoscopic management of bronchopleural fistula

Stamenovic¹

2016

Curr Thorac Surg

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Bronchopleural fistula (BPF) represents a pathological communication between any part of bronchial tree and the pleural space. Mostly it is a rare yet serious complication of different pulmonary conditions like certain infections, trauma, malignancy and/or surgery, going along with significant mortality reported to be as high as 58%. Diagnosis of BPF is mostly done by evaluating these three data: clinical appearance, bronchoscopy and CT scan. The treatment of BPF may initially differ according to the time of appearance as well as clinical presentation. As most BPF goes along with empyema, it is, obviously, necessary to deal with it. This is most commonly achieved with a chest tube. Conservative management of BPF can be achieved using a significant variety of materials and methods with reportedly moderate to excellent results in the treatment of etiologically and sizably different BPF. Methyl-2-cyanoacrylate, fibrin sealant together with spongy calf bone, polidocanol -hydroxypolyethoxidodecane, amplatzer device, silver nitrate, stenting and endobronchial valves have all been employed in bronchoscopic treatment of a BPF. There is no evidence based guideline for its management, either surgically or endoscopically. The treatment of choice is always in the hands of the physician, preferably armed with the current knowledge and capacity of utilizing it.

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“…Recently, endoscopic injections of polidocanol, a sclerosing agent, and ethanol have been successfully used to treat bronchopleural fistulas. A large case series by Varoli et al [64] provides the strongest evidence for treatment efficacy with this modality. In that series, polidocanol was used to treat bronchopleural fistulas that developed in 35 patients between 3 and 25 years post-operatively, although the majority occurred within 1 month.…”

Section: Therapeutic Applications Of Tbnimentioning

confidence: 99%

Transbronchial Needle Injection: A Systematic Review of a New Diagnostic and Therapeutic Paradigm

et al. 2006

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Background and Objective: Transbronchial needle catheters are commonly used during flexible and rigid bronchoscopy for needle aspiration. The use of these catheters can be expanded by employing the technique of transbronchial needle injection. Methods and Results: By injecting lesions in the airways, peribronchial structures, mediastinum, or lung parenchyma, transbronchial needle injection has been applied to the treatment of lung cancer, inflammatory disorders of the airways, recurrent respiratory papillomatosis, as well as bronchopleural fistulas. Diagnostic applications have included the localization of peripheral lung nodules as well as sentinel lymph nodes. Conclusions: Our review defines this bronchoscopic technique and summarizes its various reported applications.

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Endoscopic Treatment of Bronchopleural Fistulas

Cited by 109 publications

References 12 publications

Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years

Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years

Bronchoscopic management of bronchopleural fistula

Transbronchial Needle Injection: A Systematic Review of a New Diagnostic and Therapeutic Paradigm

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