Bronchoscopic device closure of postoperative bronchopleural fistulae: Novel devices and innovative techniques

Background: Bronchoscopic device closure plays a significant role in the nonsurgical management of bronchopleural fistulae (BPF). Herein, we describe our 10-year experience in the management of postoperative BPF using various device closure modalities. This is the largest series of bronchoscopic dev...

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Bibliographic Details
Published in:Lung India 2020-03, Vol.37 (2), p.107-113
Main Authors: Marwah, Vikas, Katoch, C, Kumar, Kunal, Pathak, Kamal, Bhattacharjee, Saikat, Jindamwar, Prashant
Format: Article
Language:English
Subjects:
Analysis
Anesthesia
bronchoscopic device closure
Bronchoscopy
Cardiology
Catheters
Embolization
Fistula
Localization
Methods
Methylene blue
Original
Patients
postoperative bronchopleural fistulae
Stents
therapeutic bronchoscopy
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Summary:Background: Bronchoscopic device closure plays a significant role in the nonsurgical management of bronchopleural fistulae (BPF). Herein, we describe our 10-year experience in the management of postoperative BPF using various device closure modalities. This is the largest series of bronchoscopic device closure of BPF being reported from India. Materials and Methods: This was a retrospective analysis of data of patients who underwent bronchoscopic device closure with various techniques for the management of postoperative BPF. In total, 11 patients (six males and five females) with a mean age (±standard deviation) of 42.72 ± 14.40 years with BPFs were treated with various bronchoscopic interventions for BPF closure. We used various devices such as endobronchial coils, occluder devices, and covered tracheobronchial self-expandable stents for BPF closure depending on the size of air leaks. We describe the various devices used, technique, and outcome of bronchoscopic management of BPF. Results: All our patients had developed BPFs postoperatively. Pulmonary tuberculosis was the most common etiology seen in nine of our patients. All the devices were placed using a fiberoptic bronchoscope, and all patients were followed up for a minimum duration of 6 months. We successfully localized and closed BPFs in nine (81.81%) of our patients. Conclusions: Bronchoscopic device closure can be a successful strategy to manage postoperative BPF with minimal complications.
ISSN:0970-2113
0974-598X
DOI:10.4103/lungindia.lungindia_179_19