First Case of Endobronchial Valves for Persistent Air Leak After Mycetoma Resection in a Bilateral Lung Transplant Recipient

Romero-Legro, Ivan; Fuentes, Xavier Fonseca

doi:10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3140

Cited by 1 publication

(1 citation statement)

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“…There are no multicenter, randomized controlled trials demonstrating efficacy of EVB for the management of PAL but here we mention the largest publications related to their use. There are also several case series and interesting case reports on EVB use for PAL in many different underlying lung condition (49)(50)(51)(52). These studies are predominantly retrospective cohort studies and few prospective ones with small number of patients enrolled.…”

Section: Ebvmentioning

confidence: 99%

Evaluation and endoscopic management of persistent air leaks

Secasanu¹,

Keshishyan²,

Revelo³

2020

Shanghai Chest

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The endoscopic management of persistent or prolonged air leak (PAL) has gained popularity, not only in post-surgical PAL but also in non-surgical scenarios. The literature that supports an endoscopic approach is restricted to case series, case reports, retrospective and some small prospective studies. Every patient who suffers from PAL secondary to bronchopleural fistula (BPF) or alveolopleural fistula (APF) should always be evaluated to determine surgical repair candidacy. There have been a number of articles that summarize the bronchoscopic modalities for the management of PAL, but none emphasize the initial evaluation with an algorithmic approach or discuss how to follow-up these patients in the immediate posttreatment phase and long-term. Medical causes of PAL are, in our opinion, more difficult to localize and consequently treat compared to surgical causes of air leak. The bronchoscopic management for either surgical or non-surgical BPF's is similar. In this review, we discuss the initial evaluation, management and follow up with an algorithmic approach of PAL as well as review the available endoscopic modalities.

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Section: Ebvmentioning

confidence: 99%