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使用Amplatzer装置进行支气管胸膜瘘的支气管内封堵

Use of Amplatzer device for endobronchial closure of bronchopleural fistulas.

作者信息

Kramer Mordechai R, Peled Nir, Shitrit David, Atar Eli, Saute Milton, Shlomi Dekel, Amital Anat, Bruckheimer Elchanan

机构信息

Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel.

Pulmonary Institute, Rabin Medical Center, Petah Tiqwa, Israel.

出版信息

Chest. 2008 Jun;133(6):1481-1484. doi: 10.1378/chest.07-1961.

Abstract

Bronchopulmonary fistula (BPF) is associated with high morbidity and mortality. It occurs as an uncommon but often severe complication of pneumonectomy. BPF may be treated by a range of surgical and medical techniques, including chest drain, Eloesser muscle flap, omental flap, transsternal bronchial closure, thoracoplasty, and prolonged therapy with antibiotic regimens. The use of bronchoscopy has been reported for the delivery of biological glue, coils, covered stents, and sealants. In this work, we describe a novel method of BPF closure using the Amplatzer device, which is commonly used for transcatheter closure of atrial septal defects.

摘要

支气管肺瘘(BPF)与高发病率和死亡率相关。它作为肺切除术后一种罕见但通常很严重的并发症出现。BPF可通过一系列外科和医学技术进行治疗,包括胸腔引流、埃洛塞尔肌瓣、网膜瓣、经胸骨支气管闭合术、胸廓成形术以及抗生素方案的长期治疗。已有报道使用支气管镜来输送生物胶、线圈、覆膜支架和密封剂。在这项工作中,我们描述了一种使用Amplatzer装置闭合BPF的新方法,该装置通常用于经导管闭合房间隔缺损。

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