JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Cemal Asim Kutlu
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kutlu, C. A.
Right arrow Articles by Kapicibasi, O.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Kutlu, C. A.
Right arrow Articles by Kapicibasi, O.
Related Collections
Right arrow Trachea and bronchi

J Thorac Cardiovasc Surg 2009;137:e46-e47
© 2009 The American Association for Thoracic Surgery

Brief Communication

A novel technique for bronchopleural fistula closure: An hourglass-shaped stent

Cemal Asim Kutlu, MD, FETCS*, Suat Patlakoglu, MD, Ahmet Erdal Tasci, MD, Oguz Kapicibasi, MD

Department of Thoracic Surgery, Sureyyapasa Chest Disease and Chest Surgery Research and Training Hospital, Istanbul, Turkey

Received for publication January 15, 2008; revisions received February 22, 2008; accepted for publication March 2, 2008.

* Address for reprints: C. A. Kutlu, MD, FETCS, Assistant Professor of Thoracic Surgery, Hakki Yeten Cad, 17/12, Sisli 80200, Istanbul, Turkey. (Email: cakutlu@tnn.net).

The first 20% of the full text of this article appears below.

Bronchopleural fistula (BPF) occurs in 4.5% of the patients having pneumonectomy.1Go It often causes life-threatening complications that delay the appropriate management of the underlying malignant or infectious disease. Small fistulae tend to close spontaneously with conservative management; however, larger ones usually require reexploration, sometimes necessitating repeated and complex procedures. In recent years, there have been anecdotal reports on the closure of BPFs by stenting.2-4Go In this article, we describe a novel technique involving the use of an hourglass-shaped tracheobronchial stent for the immediate closure of BPF.

Technique and Comment

In the case of a BPF, urgent drainage of the pleural cavity, together with appropriate antibiotic treatment, prevents the aspiration of infected material into the contralateral lung and is therefore mandatory to achieve infection control at the time of admission. Bronchoscopy should be undertaken at the earliest time possible to evaluate the bronchial stump and the size of the fistula. Management options are decided depending on not . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
C. Tezel
1-Year Follow-Up With an Hourglass-Shaped Stent
Ann. Thorac. Surg., September 1, 2010; 90(3): 1062 - 1062.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The American Association for Thoracic Surgery.