Methylene Blue for Bronchopleural Fistula Localization

被引:8
作者
Sakata, Kenneth K. [1 ]
Nasim, Faria [1 ]
Schiavo, Dante N. [1 ]
Nelson, Darlene R. [1 ]
Kern, Ryan M. [1 ]
Mullon, John J. [1 ]
机构
[1] Mayo Clin, Div Pulm & Crit Care Med, 200 First St SW, Rochester, MN 55905 USA
关键词
bronchopleural fistula; persistent air leak; prolonged air leak; interventional pulmonology; bronchoscopy; methylene blue;
D O I
10.1097/LBR.0000000000000423
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
A bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree. BPFs are challenging to diagnose and are associated with a high morbidity and mortality. Sequential balloon occlusion is commonly used for localization of a BPF. We describe our experience with 4 cases of successful localization of the BPF by instillation of methylene blue into the pleural space through a pigtail catheter, with simultaneous bronchoscopic visualization of dye in the tracheobronchial tree. Two patients were treated with endobronchial valves and 3 had a surgical thoracic muscle flap placed.
引用
收藏
页码:63 / 66
页数:4
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