Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Med Sci. 2024 Feb 1;49(2):130-133. doi: 10.30476/IJMS.2023.97068.2872. eCollection 2024 Feb.
Bronchopleural fistula (BPF), a sinus tract between the bronchial system and the pleural space, is associated with COVID-19 and can lead to pneumothorax, which increases the mortality rate. Due to the analytical status of COVID-19 patients, sealing the BPF necessitates the least minimal invasive treatment. Herein, we demonstrated a technique of sealing post-COVID-19 BPF with direct injection of cyanoacrylate glue under the guidance of a computed tomography scan. Following glue injection, the BPF was completely sealed in all four patients. In conclusion, in COVID-19 patients with small and distal BPF, percutaneous glue injection is recommended for BPF closure.
支气管胸膜瘘(BPF)是支气管系统和胸膜腔之间的窦道,与 COVID-19 相关,并可导致气胸,从而增加死亡率。由于 COVID-19 患者的分析状况,用最小侵入性治疗方法来封闭 BPF 是必要的。在此,我们展示了一种在 CT 扫描引导下直接注射氰基丙烯酸酯胶来封闭 COVID-19 后 BPF 的技术。在胶注射后,所有 4 名患者的 BPF 均完全封闭。总之,对于小而远端的 BPF 的 COVID-19 患者,建议经皮注射胶封闭 BPF。