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Chirurg. 2019 Jun 3. doi: 10.1007/s00104-019-0977-2. [Epub ahead of print]

[Interventional treatment of tracheopleural and bronchopleural fistulas].

[Article in German]

Author information

1
Abteilung für Thoraxchirurgie, Thoraxklinik am Universitätsklinikum Heidelberg gGmbH, Röntgenstraße 1, 69126, Heidelberg, Deutschland. Laura.Klotz@med.uni-heidelberg.de.
2
Translational Lung Research Center Heidelberg (TLRC‑H), Deutsches Zentrum für Lungenforschung (DZL), Heidelberg, Deutschland. Laura.Klotz@med.uni-heidelberg.de.
3
Abteilung für Pneumologie, Thoraxklinik am Universitätsklinikum Heidelberg gGmbH, Röntgenstraße 1, Heidelberg, 69126, Deutschland.
4
Translational Lung Research Center Heidelberg (TLRC‑H), Deutsches Zentrum für Lungenforschung (DZL), Heidelberg, Deutschland.
5
Abteilung für Thoraxchirurgie, Thoraxklinik am Universitätsklinikum Heidelberg gGmbH, Röntgenstraße 1, 69126, Heidelberg, Deutschland.

Abstract

BACKGROUND:

Interventional bronchoscopy is an indispensable option to manage bronchopleural and tracheopleural fistulas in patients in a poor general condition and at high risk for developing postoperative complications.

METHODS:

This article is based on a search in the PubMed database for relevant publications and own experiences as surgeons and pneumologists.

RESULTS:

Various interventional techniques can be used for the treatment of bronchopleural and tracheopleural fistulas. Currently, the insertion of stents or endobronchial valves is the most frequently used treatment. Ideally, the attending anesthesiologist will have experience with high frequency jet ventilation and the attending surgeon will have experience with rigid bronchoscopy, flexible bronchoscopy, and interventional bronchoscopy.

DISCUSSION:

Due to a lack of standardized treatment recommendations, individual treatment plans must be decided according to the location of the bronchopleural or tracheopleural fistula and taking existing comorbidities into account.

KEYWORDS:

Bronchial stump insufficiency; Bronchoscopy; Endobronchial valve; Lung parenchyma fistula; Stent implantation

PMID:
31161248
DOI:
10.1007/s00104-019-0977-2

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