Endoscopic treatment of tracheobronchial tree fistulas using atrial septal defect occluders: preliminary results

Fistulas in the tracheobronchial tree (bronchopleural and tracheoesophageal fistulas) have a multifactorial etiology and present a variable incidence in the literature. In general, the related morbidity and mortality are high. Once such a fistula has been diagnosed, surgical closure is formally indi...

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Bibliographic Details
Published in:Jornal brasileiro de pneumologia 2009-11, Vol.35 (11), p.1156-1160
Main Authors: Scordamaglio, Paulo Rogério, Tedde, Miguel Lia, Minamoto, Hélio, Pedra, Carlos Augusto Cardoso, Jatene, Fábio Biscegli
Format: Article
Language:eng ; por
Subjects:
Aged
Bronchial Fistula - therapy
Bronchoscopy
Humans
Male
Middle Aged
Respiratory Tract Fistula - therapy
Septal Occluder Device
Tracheal Diseases - therapy
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Summary:Fistulas in the tracheobronchial tree (bronchopleural and tracheoesophageal fistulas) have a multifactorial etiology and present a variable incidence in the literature. In general, the related morbidity and mortality are high. Once such a fistula has been diagnosed, surgical closure is formally indicated. However, the clinical status of affected patients is usually unfavorable, which precludes the use of additional, extensive surgical interventions. In addition, attempts at endoscopic closure of these fistulas have seldom been successful, especially when the fistula is large in diameter. We report the cases of three patients submitted to endoscopic closure of fistulas, two of which were larger than 10 mm in diameter, by means of the insertion of atrial septal defect occluders. The procedure was minimally invasive, and the initial results were positive. The results indicate that this is a promising technique for the resolution of tracheobronchial tree fistulas.
ISSN:1806-3756
DOI:10.1590/S1806-37132009001100015