Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/19986
Title: Can total bronchopleural fistulas from complete stump dehiscence be endoscopically treated?
Authors: SCORDAMAGLIO, Paulo RogerioTEDDE, Miguel LiaMINAMOTO, HelioASSAD, Renato SamyFERNANDES, Paulo Manuel Pego
Citation: EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, v.51, n.4, p.702-708, 2017
Abstract: OBJECTIVES: Bronchopleural fistula (BPF) is an uncommon complication following a lung resection to address various conditions. BPFs are associated with high morbidity and mortality rates. This study evaluated the endoscopic treatment of 'total' BPFs using the Occlutech-Figulla (R) cardiac device at a single centre. METHODS: We selected nine patients with chronic and complete BPFs. Under direct bronchoscopic visualization, the BPFs were treated using the Occlutech-Figulla device. The patients were followed up for 12 months to determine the treatment level and complications. RESULTS: The procedure had a favourable outcome in three patients, resulting in complete fistula closure. Two patients had partial closure and showed improvements in their clinical conditions. In two other cases, closure of the bronchial stump was unsuccessful using this method. Two patients died from causes unrelated to the procedure or the device. During the follow-up period, no complications related to infection or device-related injuries were reported. CONCLUSIONS: In patients without clinical conditions that require surgical treatment, the Occlutech-Figulla cardiac device can be a safe and effective method for the endoscopic treatment of large BPFs resulting from complete dehiscence of a bronchial stump. No severe events were reported.
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCP
Departamento de Cardio-Pneumologia - FM/MCP

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HC/InCor
Instituto do Coração - HC/InCor

Artigos e Materiais de Revistas Científicas - LIM/11
LIM/11 - Laboratório de Cirurgia Cardiovascular e Fisiopatologia da Circulação

Artigos e Materiais de Revistas Científicas - LIM/61
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica


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