Successful exclusion of a large bronchopleural fistula using an Amplatzer II vascular plug and glue embolization

Author:

Spiliopoulos Stavros1,Krokidis Miltiadis1,Gkoutzios Panagiotis1,McGrath Andrew1,Ahmed Irfan1,Karunanithy Narayan1,Routledge Tom2,Sabharwal Tarun1,Adam Andreas1

Affiliation:

1. Department of Radiology

2. Department of Thoracic Surgery, Guy's and St Thomas' Hospitals, NHS Foundation Trust, London, UK

Abstract

We report a case of a 63-year-old man with a complicated postsurgical bronchopleural fistula (BPF), which was treated with a minimally-invasive hybrid procedure using fluoroscopy, bronchoscopy, and thoracoscopy. A previous surgical attempt had failed to seal the pathologic tract. An Amplazter II vascular plug was successfully deployed into the BPF, followed by autologous blood and glue injection. An adjunctive endoscopically-guided glue embolization was deemed necessary. The 14-month clinical and imaging follow-up confirmed the successful exclusion of the BPF. No migration of the device was noted and the patient remained asymptomatic. The combined endoscopic and fluoroscopic guided management of a BPF using the Amplatzer II vascular plug and glue was proven safe and effective after mid-term follow-up.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,General Medicine,Radiological and Ultrasound Technology

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