EXPERIENCE OF TREATMENT OF FISTULA OF RIGHT MAIN BRONCHUS STUMP WITH THE USE OF VASCULAR OCCLUDER
https://doi.org/10.21292/2075-1230-2017-95-1-51-55
Abstract
Goal: to close the fistula of right main bronchus stump with the use of the vascular occluder of ASD. The clinical case is described. Materials and methods. The fistula of right main bronchus, developed after final pulmonectomy on the right performed due to emergency indications caused fibrous cavernous tuberculosis, complicated by pulmonary hemorrhage, was closed by ASD occluder with 8 mm diameter, relevant to the diameter of bronchopleural fistula. Empyema space was first of all sanitated through thoracostoma, the volume of right hemithorax was reduced due preceding seven-costal posterosuperior thoracoplasty. The intervention was done under local anesthesia with double monitoring from tracheal lumen by bronchoscope and from thoracostoma space. The intervention lasted for 20 minutes. Results. Air discharge stopped immediately after the installation of the occluder. The patient demonstrated significant improvement of respiration and voicing even without pleural space plugging. In the follow-up period in 12 months the occluder was covered by epithelium fully stopping the air inflow from bronchus into pleural space. Management of bronchial fistula with ASD occluder is a fast, safe and effective intervention.
About the Authors
A. V. Bazhenov
Ural Phthisiopulmonology Research Institute
Russian Federation
Russian Federation
Senior Researcher of Laboratory or Conservative and Surgical Techniques and Treatment of Tuberculosis,
50, XXII Parts'ezda St., Yekaterinburg, 620039
P. M. Kholny
Ural Phthisiopulmonology Research Institute
Russian Federation
Russian Federation
Head of Pulmonary Surgery Department,
50, XXII Parts'ezda St., Yekaterinburg, 620039
L. V. Kardapoltsev
Sverdlovsk Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Chief External Specialist of Sverdlovsk Regional Ministry of Health on X-ray and Endovascular Diagnostics and Treatment,
185, Volgogradskaya St., Yekaterinburg, 620102
A. S. Tsvirenko
Ural Phthisiopulmonology Research Institute
Russian Federation
Russian Federation
Endoscopist of X-ray Examination Department,
50, XXII Parts'ezda St., Yekaterinburg, 620039
R. T. Basyrov
Ural Phthisiopulmonology Research Institute
Russian Federation
Russian Federation
Endoscopist of X-ray Examination Department,
50, XXII Parts'ezda St., Yekaterinburg, 620039
I. Ya. Motus
Ural Phthisiopulmonology Research Institute
Russian Federation
Russian Federation
Head and Senior Researcher of Laboratory for Conservative and Surgical Techniques and Treatment of Tuberculosis,
50, XXII Parts'ezda St., Yekaterinburg, 620039
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Review
For citations:
Bazhenov A.V., Kholny P.M., Kardapoltsev L.V., Tsvirenko A.S., Basyrov R.T., Motus I.Ya. EXPERIENCE OF TREATMENT OF FISTULA OF RIGHT MAIN BRONCHUS STUMP WITH THE USE OF VASCULAR OCCLUDER. Tuberculosis and Lung Diseases. 2017;95(1):51-55. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-1-51-55
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