Marwah Vikas, Katoch C D S, Kumar Kunal, Pathak Kamal, Bhattacharjee Saikat, Jindamwar Prashant
Department of Pulmonary, Critical Care and Sleep Medicine, Military Hospital (CTC), Pune, Maharashtra, India.
Department of Interventional Radiology, Excelcare Hospitals, Guwahati, Assam, India.
Lung India. 2020 Mar-Apr;37(2):107-113. doi: 10.4103/lungindia.lungindia_179_19.
Bronchoscopic device closure plays a significant role in the nonsurgical management of bronchopleural fistulae (BPF). Herein, we describe our 10-year experience in the management of postoperative BPF using various device closure modalities. This is the largest series of bronchoscopic device closure of BPF being reported from India.
This was a retrospective analysis of data of patients who underwent bronchoscopic device closure with various techniques for the management of postoperative BPF. In total, 11 patients (six males and five females) with a mean age (±standard deviation) of 42.72 ± 14.40 years with BPFs were treated with various bronchoscopic interventions for BPF closure. We used various devices such as endobronchial coils, occluder devices, and covered tracheobronchial self-expandable stents for BPF closure depending on the size of air leaks. We describe the various devices used, technique, and outcome of bronchoscopic management of BPF.
All our patients had developed BPFs postoperatively. Pulmonary tuberculosis was the most common etiology seen in nine of our patients. All the devices were placed using a fiberoptic bronchoscope, and all patients were followed up for a minimum duration of 6 months. We successfully localized and closed BPFs in nine (81.81%) of our patients.
Bronchoscopic device closure can be a successful strategy to manage postoperative BPF with minimal complications.
支气管镜下器械封堵在支气管胸膜瘘（BPF）的非手术治疗中发挥着重要作用。在此，我们描述了我们使用各种器械封堵方式治疗术后BPF的10年经验。这是印度报道的最大规模的支气管镜下器械封堵BPF系列病例。
这是一项对采用各种技术进行支气管镜下器械封堵以治疗术后BPF的患者数据的回顾性分析。共有11例BPF患者（6例男性和5例女性）接受了各种支气管镜干预以封堵BPF，其平均年龄（±标准差）为42.72±14.40岁。根据漏气大小，我们使用了各种器械，如支气管内线圈、封堵器和带膜气管支气管自膨式支架来封堵BPF。我们描述了所使用的各种器械、技术以及BPF支气管镜治疗的结果。
我们所有的患者均在术后发生了BPF。肺结核是我们9例患者中最常见的病因。所有器械均通过纤维支气管镜放置，所有患者均接受了至少6个月的随访。我们成功地对9例（81.81%）患者的BPF进行了定位和封堵。
支气管镜下器械封堵可以是一种成功的策略，用于治疗术后BPF，并发症最少。
