Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope

Author:

Rodriguez Fernando Figueroa12ORCID,Minhas Parminder12ORCID,Youness Houssein A.12ORCID

Affiliation:

1. Interventional Pulmonary Program, Section of Pulmonary, Critical Care and Sleep Medicine, The University of Oklahoma Health Sciences Center, USA

2. The Oklahoma City Veteran Affairs Medical Center, USA

Abstract

Cryoprobes inserted through a bronchoscope in the airways have frequently been used for the removal of foreign bodies and clots. We present a case of a 72-year-old man who presented with COVID-19 pneumonia and respiratory failure, requiring intubation and proning. During his stay, he developed pneumothoraces in the left hemithorax, which necessitated the placement of two large-bore chest tubes. However, the pneumothorax recurred. There was no air leak in either chest tube, and attempts to restore their patency through flushing or suctioning were unsuccessful. A disposable flexible bronchoscope was inserted into the chest tubes, allowing visualization of the source of occlusion and identification of a blood clot obstructing both tubes. These clots were successfully removed using a cryoprobe inserted through the working channel of the bronchoscope, leading to the restoration of chest tube patency and resolution of the pneumothorax.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine

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1. Dexamethasone/remdesivir;Reactions Weekly;2024-04-27

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