Endobronchial Closure of Total Bronchopleural Fistula With Occlutech Figulla ASD N Device
Bronchopleural fistula may be treated by medical, endoscopic, and surgical techniques, but large fistulas remain a challenge to be closed using endoscopic techniques. We describe the endoscopic closure of a bronchial total fistula with the Occlutech Figulla ASD N device (International Occlutech AB,...
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Veröffentlicht in: | The Annals of thoracic surgery 2009-09, Vol.88 (3), p.e25-e26 |
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container_title | The Annals of thoracic surgery |
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creator | Tedde, Miguel L., MD, PhD Scordamaglio, Paulo R., MD Minamoto, Helio, MD, PhD Figueiredo, Viviane R., MD, PhD Pedra, Carlos C., MD, PhD Jatene, Fabio B., MD, PhD |
description | Bronchopleural fistula may be treated by medical, endoscopic, and surgical techniques, but large fistulas remain a challenge to be closed using endoscopic techniques. We describe the endoscopic closure of a bronchial total fistula with the Occlutech Figulla ASD N device (International Occlutech AB, Helsingborg, Sweden), originally designed for closure of an atrial septal defect. The procedure was conducted without general anesthesia or rigid bronchoscopy, bronchography, or radioscopy. An immediate reduction in the air leak was observed and also later on bronchoscopy, as the device was almost covered by granulation tissue. The endobronchial technique described seems to be safe and effective to manage large bronchopleural fistulas. |
doi_str_mv | 10.1016/j.athoracsur.2009.06.069 |
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We describe the endoscopic closure of a bronchial total fistula with the Occlutech Figulla ASD N device (International Occlutech AB, Helsingborg, Sweden), originally designed for closure of an atrial septal defect. The procedure was conducted without general anesthesia or rigid bronchoscopy, bronchography, or radioscopy. An immediate reduction in the air leak was observed and also later on bronchoscopy, as the device was almost covered by granulation tissue. The endobronchial technique described seems to be safe and effective to manage large bronchopleural fistulas.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2009.06.069</identifier><identifier>PMID: 19699881</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Bronchial Fistula - surgery ; Bronchoscopy - methods ; Cardiothoracic Surgery ; Chest Tubes ; Empyema, Pleural - surgery ; Fistula - diagnostic imaging ; Fistula - surgery ; Humans ; Male ; Middle Aged ; Pleural Diseases - surgery ; Pneumonectomy ; Postoperative Complications - surgery ; Prostheses and Implants ; Prosthesis Design ; Prosthesis Implantation - methods ; Pulmonary Aspergillosis - surgery ; Radiography ; Reoperation - methods ; Surgery</subject><ispartof>The Annals of thoracic surgery, 2009-09, Vol.88 (3), p.e25-e26</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2009 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-e299137ef8dc3b2a4ed59b3450fb6a9c49adadbfff041815d8c6c240c155ad463</citedby><cites>FETCH-LOGICAL-c462t-e299137ef8dc3b2a4ed59b3450fb6a9c49adadbfff041815d8c6c240c155ad463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19699881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tedde, Miguel L., MD, PhD</creatorcontrib><creatorcontrib>Scordamaglio, Paulo R., MD</creatorcontrib><creatorcontrib>Minamoto, Helio, MD, PhD</creatorcontrib><creatorcontrib>Figueiredo, Viviane R., MD, PhD</creatorcontrib><creatorcontrib>Pedra, Carlos C., MD, PhD</creatorcontrib><creatorcontrib>Jatene, Fabio B., MD, PhD</creatorcontrib><title>Endobronchial Closure of Total Bronchopleural Fistula With Occlutech Figulla ASD N Device</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Bronchopleural fistula may be treated by medical, endoscopic, and surgical techniques, but large fistulas remain a challenge to be closed using endoscopic techniques. 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The endobronchial technique described seems to be safe and effective to manage large bronchopleural fistulas.</description><subject>Bronchial Fistula - surgery</subject><subject>Bronchoscopy - methods</subject><subject>Cardiothoracic Surgery</subject><subject>Chest Tubes</subject><subject>Empyema, Pleural - surgery</subject><subject>Fistula - diagnostic imaging</subject><subject>Fistula - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pleural Diseases - surgery</subject><subject>Pneumonectomy</subject><subject>Postoperative Complications - surgery</subject><subject>Prostheses and Implants</subject><subject>Prosthesis Design</subject><subject>Prosthesis Implantation - methods</subject><subject>Pulmonary Aspergillosis - surgery</subject><subject>Radiography</subject><subject>Reoperation - methods</subject><subject>Surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUcFqGzEQFaWlcZP-QtlTb-tK2pW8uhQSJ2kKoTkkoe1JaEeztVx55UqrQP4-cmwI9BQYEPPmzRvNG0IqRueMMvllPTfTKkQDKcc5p1TNqSyh3pAZE4LXkgv1lswopU3dqoU4Ih9SWpeUl_J7csSUVKrr2Iz8vhht6GMYYeWMr5Y-FEmswlDdhakAZ8-lsPWYY0kvXZqyN9VPN62qGwCfJ4RVgf9kX-DT2_PqR3WODw7whLwbjE_48fAek_vLi7vlVX198-378vS6hlbyqUauFGsWOHQWmp6bFq1QfdMKOvTSKGiVscb2wzDQlnVM2A4k8JZC2cTYVjbH5PNedxvDv4xp0huXAMt3Rgw5abkQSsiOFmK3J0IMKUUc9Da6jYmPmlG9s1Wv9YutemerprKEKq2fDjNyv0H70njwsRDO9gQsmz44jDqBwxHQuogwaRvca6Z8_U8EvBsdGP8XHzGtQ45jcVIznbim-nZ33t11qaKsofJX8wTMxKRH</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Tedde, Miguel L., MD, PhD</creator><creator>Scordamaglio, Paulo R., MD</creator><creator>Minamoto, Helio, MD, PhD</creator><creator>Figueiredo, Viviane R., MD, PhD</creator><creator>Pedra, Carlos C., MD, PhD</creator><creator>Jatene, Fabio B., MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Endobronchial Closure of Total Bronchopleural Fistula With Occlutech Figulla ASD N Device</title><author>Tedde, Miguel L., MD, PhD ; Scordamaglio, Paulo R., MD ; Minamoto, Helio, MD, PhD ; Figueiredo, Viviane R., MD, PhD ; Pedra, Carlos C., MD, PhD ; Jatene, Fabio B., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-e299137ef8dc3b2a4ed59b3450fb6a9c49adadbfff041815d8c6c240c155ad463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Bronchial Fistula - surgery</topic><topic>Bronchoscopy - methods</topic><topic>Cardiothoracic Surgery</topic><topic>Chest Tubes</topic><topic>Empyema, Pleural - surgery</topic><topic>Fistula - diagnostic imaging</topic><topic>Fistula - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pleural Diseases - surgery</topic><topic>Pneumonectomy</topic><topic>Postoperative Complications - surgery</topic><topic>Prostheses and Implants</topic><topic>Prosthesis Design</topic><topic>Prosthesis Implantation - methods</topic><topic>Pulmonary Aspergillosis - surgery</topic><topic>Radiography</topic><topic>Reoperation - methods</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tedde, Miguel L., MD, PhD</creatorcontrib><creatorcontrib>Scordamaglio, Paulo R., MD</creatorcontrib><creatorcontrib>Minamoto, Helio, MD, PhD</creatorcontrib><creatorcontrib>Figueiredo, Viviane R., MD, PhD</creatorcontrib><creatorcontrib>Pedra, Carlos C., MD, PhD</creatorcontrib><creatorcontrib>Jatene, Fabio B., MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tedde, Miguel L., MD, PhD</au><au>Scordamaglio, Paulo R., MD</au><au>Minamoto, Helio, MD, PhD</au><au>Figueiredo, Viviane R., MD, PhD</au><au>Pedra, Carlos C., MD, PhD</au><au>Jatene, Fabio B., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endobronchial Closure of Total Bronchopleural Fistula With Occlutech Figulla ASD N Device</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>88</volume><issue>3</issue><spage>e25</spage><epage>e26</epage><pages>e25-e26</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Bronchopleural fistula may be treated by medical, endoscopic, and surgical techniques, but large fistulas remain a challenge to be closed using endoscopic techniques. We describe the endoscopic closure of a bronchial total fistula with the Occlutech Figulla ASD N device (International Occlutech AB, Helsingborg, Sweden), originally designed for closure of an atrial septal defect. The procedure was conducted without general anesthesia or rigid bronchoscopy, bronchography, or radioscopy. An immediate reduction in the air leak was observed and also later on bronchoscopy, as the device was almost covered by granulation tissue. The endobronchial technique described seems to be safe and effective to manage large bronchopleural fistulas.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>19699881</pmid><doi>10.1016/j.athoracsur.2009.06.069</doi></addata></record> |
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subjects | Bronchial Fistula - surgery Bronchoscopy - methods Cardiothoracic Surgery Chest Tubes Empyema, Pleural - surgery Fistula - diagnostic imaging Fistula - surgery Humans Male Middle Aged Pleural Diseases - surgery Pneumonectomy Postoperative Complications - surgery Prostheses and Implants Prosthesis Design Prosthesis Implantation - methods Pulmonary Aspergillosis - surgery Radiography Reoperation - methods Surgery |
title | Endobronchial Closure of Total Bronchopleural Fistula With Occlutech Figulla ASD N Device |
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