Application of different types of congenital heart disease occluder in bronchopleural fistula_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

WANG Xiangqi , HUANG Haidong , ZHANG Wei , DONG Yuchao , XIA Ying , WANG Qin ,  BAI Chong

Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of the Naval Medical University, Changhai Hospital, Shanghai 200433, P. R. China;

Corresponding author：

BAI Chong, Email: bc7878@sohu.com

Keywords：

Bronchopleural fistula; Lung cancer; Occluder

DOI：

10.7507/1671-6205.201911070

Video：

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Objective To introduce implantation methods of different types of congenital heart disease occluder for the treatment of bronchopleural fistula (BPF) and its preliminary efficacy.Methods Three patients who diagnosed with BPF and treated by congenital heart disease occluder were reviewed. The clinical data was analyzed after comprehensively reviewing of relevant literature.Results All the three patients were treated with postoperative BPF and empyema. The diameter of the fistula ranged from 3 to 8 mm. We used occlusive devices for congenital heart diseases such as atrial septum (ASD), ventricular septum (VSD) defect or patent ductus arteriosus (PDA), respectively. After treatment, all three patients were cured of BPF and empyema caused by BPF in a short time, and the thoracic drainage tube was successfully removed. During the follow-up period from 7 to 25 months, no significant long-term complications were observed.Conclusion The use of ASD, VSD and PDA occluder for the treatment of BPF with a fistula more than 3 mm is effective and safe.

Citation： WANG Xiangqi, HUANG Haidong, ZHANG Wei, DONG Yuchao, XIA Ying, WANG Qin, BAI Chong. Application of different types of congenital heart disease occluder in bronchopleural fistula. Chinese Journal of Respiratory and Critical Care Medicine, 2021, 20(1): 37-41. doi: 10.7507/1671-6205.201911070 Copy

1.	陈云, 彭雄, 王彦卿, 等. 肺部手术后支气管胸膜瘘的临床分析. 中南大学学报(医学版), 2017, 42(10): 1163-1168.
2.	李亚华, 蒋天, 韩新巍. 支气管胸膜瘘介入治疗及研究进展. 中华介入放射学电子杂志, 2018, 6(1): 81-84.
3.	钟志成, 陈兢兢, 高兴林, 等. 房间隔封堵器用于治疗支气管胸膜瘘的进展与争议. 中华结核和呼吸杂志, 2018, 41(6): 490-492.
4.	王洪武, 张楠, 李冬妹, 等. 房间隔封堵器治疗支气管残端胸腔瘘二例效果分析. 中华结核和呼吸杂志, 2017, 40(4): 314-315.
5.	Kramer MR, Peled N, Shitrit D, et al. Use of Amplatzer device for endobronchial closure of bronchopleural fistulas. Chest, 2008, 133(6): 1481-1484.
6.	Spiliopoulos S, Krokidis M, Gkoutzios P, et al. Successful exclusion of a large bronchopleural fistula using an Amplatzer Ⅱ vascular plug and glue embolization. Acta Radiol, 2012, 53(4): 406-409.
7.	Papiashvilli M, Bar I, Sasson L, et al. Endobronchial closure of recurrent bronchopleural and tracheopleural fistulae by two amplatzer devices. Heart Lung Circ, 2013, 22(11): 959-961.
8.	Ottevaere A, Slabbynck H, Vermeersch P, et al. Use of an amplatzer device for endoscopic closure of a large bronchopleural fistula following lobectomy for a stage Ⅰ squamous cell carcinoma. Case Rep Oncol, 2013, 6(3): 550-554.
9.	Fruchter O, El Raouf BA, Abdel-Rahman N, et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up. Respiration, 2014, 87(3): 227-233.
10.	Akulian J, Pathak V, Lessne M, et al. A novel approach to endobronchial closure of a bronchial pleural fistula. Ann Thorac Surg, 2014, 98(2): 697-699.
11.	Klotz LV, Gesierich W, Schott-Hildebrand S, et al. Endobronchial closure of bronchopleural fistula using Amplatzer device. J Thorac Dis, 2015, 7(8): 1478-1482.
12.	Fruchter O, Bruckheimer E, Raviv Y, et al. Endobronchial closure of bronchopleural fistulas with Amplatzer vascular plug. Eur J Cardiothorac Surg, 2012, 41(1): 46-49.
13.	Fruchter O, Kramer MR, Dagan T, et al. Endobronchial closure of bronchopleural fistulae using amplatzer devices. Chest, 2011, 139(3): 682-687.
14.	Gulkarov I, Paul S, Altorki NK, et al. Use of amplatzer device for endobronchial closure of bronchopleural fistulas. Interact Cardiovasc Thorac Surg, 2008, 133(6): 1481-1484.
15.	丁培堃, 杨林. 介入封堵治疗肺切除术后支气管胸膜瘘的研究进展. 中国微创外科杂志, 2017, 17(8): 728-731.
16.	张莉, 叶联华, 王高伟, 等. 房间隔封堵器封堵支气管胸膜瘘1例报告. 中国当代医药, 2018, 25(6): 145-147.
17.	李强, 姚小鹏, 顾红军, 等. 镍钛合金支气管封堵器在支气管瘘封堵中的应用. 第二军医大学学报, 2004, 25(7): 743-745.
18.	李培文, 李宗明, 韩新巍, 等. 覆膜 Y 型单子弹头气道支架治疗左主支气管胸膜瘘 12 例. 介入放射学杂志, 2014, 23(11): 1000-1004.
19.	Gómez López A, García Luján R, De Pablo Gafas A, et al. First use of Amplatzer device for bronchopleural fistula after lung transplantation. Thorax, 2017, 72(7): 668-670.
20.	Triviño Ramírez AI, Merino Sánchez M, García Polo C. Bronchopleural fistula management with amplatzer insertion. Arch Bronconeumol, 2017, 53(11): 637.

1. 陈云, 彭雄, 王彦卿, 等. 肺部手术后支气管胸膜瘘的临床分析. 中南大学学报(医学版), 2017, 42(10): 1163-1168.
2. 李亚华, 蒋天, 韩新巍. 支气管胸膜瘘介入治疗及研究进展. 中华介入放射学电子杂志, 2018, 6(1): 81-84.
3. 钟志成, 陈兢兢, 高兴林, 等. 房间隔封堵器用于治疗支气管胸膜瘘的进展与争议. 中华结核和呼吸杂志, 2018, 41(6): 490-492.
4. 王洪武, 张楠, 李冬妹, 等. 房间隔封堵器治疗支气管残端胸腔瘘二例效果分析. 中华结核和呼吸杂志, 2017, 40(4): 314-315.
5. Kramer MR, Peled N, Shitrit D, et al. Use of Amplatzer device for endobronchial closure of bronchopleural fistulas. Chest, 2008, 133(6): 1481-1484.
6. Spiliopoulos S, Krokidis M, Gkoutzios P, et al. Successful exclusion of a large bronchopleural fistula using an Amplatzer Ⅱ vascular plug and glue embolization. Acta Radiol, 2012, 53(4): 406-409.
7. Papiashvilli M, Bar I, Sasson L, et al. Endobronchial closure of recurrent bronchopleural and tracheopleural fistulae by two amplatzer devices. Heart Lung Circ, 2013, 22(11): 959-961.
8. Ottevaere A, Slabbynck H, Vermeersch P, et al. Use of an amplatzer device for endoscopic closure of a large bronchopleural fistula following lobectomy for a stage Ⅰ squamous cell carcinoma. Case Rep Oncol, 2013, 6(3): 550-554.
9. Fruchter O, El Raouf BA, Abdel-Rahman N, et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up. Respiration, 2014, 87(3): 227-233.
10. Akulian J, Pathak V, Lessne M, et al. A novel approach to endobronchial closure of a bronchial pleural fistula. Ann Thorac Surg, 2014, 98(2): 697-699.
11. Klotz LV, Gesierich W, Schott-Hildebrand S, et al. Endobronchial closure of bronchopleural fistula using Amplatzer device. J Thorac Dis, 2015, 7(8): 1478-1482.
12. Fruchter O, Bruckheimer E, Raviv Y, et al. Endobronchial closure of bronchopleural fistulas with Amplatzer vascular plug. Eur J Cardiothorac Surg, 2012, 41(1): 46-49.
13. Fruchter O, Kramer MR, Dagan T, et al. Endobronchial closure of bronchopleural fistulae using amplatzer devices. Chest, 2011, 139(3): 682-687.
14. Gulkarov I, Paul S, Altorki NK, et al. Use of amplatzer device for endobronchial closure of bronchopleural fistulas. Interact Cardiovasc Thorac Surg, 2008, 133(6): 1481-1484.
15. 丁培堃, 杨林. 介入封堵治疗肺切除术后支气管胸膜瘘的研究进展. 中国微创外科杂志, 2017, 17(8): 728-731.
16. 张莉, 叶联华, 王高伟, 等. 房间隔封堵器封堵支气管胸膜瘘1例报告. 中国当代医药, 2018, 25(6): 145-147.
17. 李强, 姚小鹏, 顾红军, 等. 镍钛合金支气管封堵器在支气管瘘封堵中的应用. 第二军医大学学报, 2004, 25(7): 743-745.
18. 李培文, 李宗明, 韩新巍, 等. 覆膜 Y 型单子弹头气道支架治疗左主支气管胸膜瘘 12 例. 介入放射学杂志, 2014, 23(11): 1000-1004.
19. Gómez López A, García Luján R, De Pablo Gafas A, et al. First use of Amplatzer device for bronchopleural fistula after lung transplantation. Thorax, 2017, 72(7): 668-670.
20. Triviño Ramírez AI, Merino Sánchez M, García Polo C. Bronchopleural fistula management with amplatzer insertion. Arch Bronconeumol, 2017, 53(11): 637.

Chinese Journal of Respiratory and Critical Care Medicine

Application of different types of congenital heart disease occluder in bronchopleural fistula

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