Leivaditis Vasileios, Braun-Lambur Hermann, Windmüller Volker, Papatriantafyllou Athanasios, Huwe Carmen, Lang David, Grapatsas Konstantinos, Koletsis Efstratios N, Mulita Francesk, Dahm Manfred
Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, DEU.
Department of Pneumonology, Westpfalz-Klinikum, Kaiserslautern, DEU.
Cureus. 2023 Nov 26;15(11):e49431. doi: 10.7759/cureus.49431. eCollection 2023 Nov.
Bronchial stump insufficiency (BSI), also reported as bronchopleural fistula, following pneumonectomy is a rare but potentially devastating complication that can result in substantial morbidity and mortality. Despite advances in thoracic surgical techniques and perioperative care, bronchial stump dehiscence remains a challenging clinical scenario, especially when associated with severe infections and compromised patient conditions. Traditional surgical re-intervention to address this complication may carry significant risks and might be contraindicated in certain patients. As a result, innovative interventions are necessary to address these challenging cases effectively. In this report, we present an interventional endoscopic technique using an Amplatzer Duct occluder for the successful management of BSI in a 55-year-old male patient with a complex medical history.
肺切除术后支气管残端闭合不全（BSI），也被称为支气管胸膜瘘，是一种罕见但可能具有毁灭性的并发症，可导致严重的发病和死亡。尽管胸外科技术和围手术期护理取得了进展，但支气管残端裂开仍然是一个具有挑战性的临床情况，特别是当与严重感染和患者病情不佳相关时。传统的手术再次干预来解决这一并发症可能会带来重大风险，并且在某些患者中可能是禁忌的。因此，需要创新的干预措施来有效处理这些具有挑战性的病例。在本报告中，我们介绍了一种使用Amplatzer导管封堵器的介入性内镜技术，成功治疗了一名有复杂病史的55岁男性患者的BSI。
