Saturday, October 27, 2018

Bronchopleural fistula closure

Q: In patients with Broncho-pleural Fistula (BPF), if treatment via interventional bronchoscopy is taken, what is the cutoff point to use devices instead of only occlusive materials? 

 A) BPF ≥ 3 mm 
 B) BPF ≥ 5 mm 
 C) BPF ≥ 8 mm 
 D) BPF at the proximal level 
 E) C and D

Answer: E

When it comes to treating BPF via interventional bronchoscopy, t
here are two criteria to decide between using occlusive materials or devices such as stents, Amplatzer devices or combining them with sealants is 

  •  BPF ≥8 mm, and/or 
  • proximal fistulas (level of a major bronchus)



1. Hollaus PH, Lax F, Janakiev D, et al. Endoscopic treatment of postoperative bronchopleural fistula: experience with 45 cases. Ann Thorac Surg 1998; 66:923.

2. Hartmann W, Rausch V. New therapeutic application of the fiberoptic bronchoscope. Chest 1977; 71:237.

No comments:

Post a Comment