Ethanolamine Oleate for Bronchopleural Fistula Case Series

被引:3
作者
Alcaraz, Sandra R. [1 ,3 ,4 ]
Del Mar Garcia, Maria [1 ,3 ,4 ]
Gimenez, Andres [5 ]
Fernandez, Cleofe [1 ,3 ,4 ]
Sesma, Julio [2 ,3 ,4 ]
Bolufer, Sergio [2 ,3 ,4 ]
Martin, Concepcion [1 ,3 ,4 ]
机构
[1] Gen Univ Hosp Alicante, Pulmonol Serv, Alicante, Spain
[2] Gen Univ Hosp Alicante, Thorac Surg Serv, Alicante, Spain
[3] Univ Miguel Hernandez Elche, Clin Med Dept, Alicante, Spain
[4] Hlth & Biomed Res Inst Alicante ISABIAL, Alicante, Spain
[5] Hosp Fdn Jimenez Diaz, Intervent Bronchoscopy & Pulmonol Unit, Pulmonol Serv, Madrid, Spain
关键词
bronchopleural fistula; sclerosing agents; ethanolamine oleate; bronchoscopic sclerosis;
D O I
10.1097/LBR.0000000000000678
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Bronchopleural fistula (BPF) is a severe complication of pulmonary resection associated with high morbidity and mortality. Treatment options include both surgical and endoscopic procedures. The size of the fistula and the functional status of the patient are decisive factors in the choice of treatment. The aim of this study is to describe the experience of using ethanolamine oleate (EO) in endoscopic treatment for BPFs. Methods: A prospective observational, descriptive study, involving patients with subcentimeter BPF and treated with EO. The diagnosis of the fistula was confirmed by flexible bronchoscopy. Patients under conscious sedation received a perifistular injection of EO with a Wang 22-G needle. The procedure was repeated every to 2 weeks until definitive closure. Results: Eight patients were included: in 7 (87.5%), the fistula was a complication of lung cancer surgery. The number of sessions needed before the resolution of the BPF was from 1 to 4. Only 1 patient received 4 sessions. Complete closure was obtained in 6 patients (75%). None of the fistulas reopened, and there were no serious complications. Conclusion: Sclerosis with EO through endoscopic injection enables the closure of small (< 1 cm) BPFs after a limited number of sessions and with scarce morbidity. These results suggest that EO could be a valid treatment option for selected patients.
引用
收藏
页码:42 / 46
页数:5
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