Ponn R B, D'Agostino R S, Stern H, Westcott J L
Department of Surgery, Hospital of Saint Raphael, New Haven, Connecticut.
Ann Thorac Surg. 1993 Dec;56(6):1343-7. doi: 10.1016/0003-4975(93)90679-c.
Persistent peripheral bronchopleural fistulas can be difficult to manage. Endoscopic plugging of involved bronchi has been accomplished in a number of ways. We have devised a method of permanently blocking small peripheral airways using Gianturco vascular occlusion coils placed endobronchially by modified angiographic techniques. This procedure has been applied in 5 cases of complicated parenchymal air leaks. Complete or substantial partial control was achieved in all cases. There were no complications.
持续性周围型支气管胸膜瘘可能难以处理。已经通过多种方式完成了对受累支气管的内镜封堵。我们设计了一种方法,即使用通过改良血管造影技术经支气管放置的吉安图尔科血管闭塞线圈永久性封堵小的周围气道。该方法已应用于5例复杂的实质肺漏气病例。所有病例均实现了完全或基本部分控制。无并发症发生。