Successful exclusion of a large bronchopleural fistula using an Amplatzer II vascular plug and glue embolization

Acta Radiol. 2012 May 1;53(4):406-9. doi: 10.1258/ar.2012.110688.

Abstract

We report a case of a 63-year-old man with a complicated postsurgical bronchopleural fistula (BPF), which was treated with a minimally-invasive hybrid procedure using fluoroscopy, bronchoscopy, and thoracoscopy. A previous surgical attempt had failed to seal the pathologic tract. An Amplazter II vascular plug was successfully deployed into the BPF, followed by autologous blood and glue injection. An adjunctive endoscopically-guided glue embolization was deemed necessary. The 14-month clinical and imaging follow-up confirmed the successful exclusion of the BPF. No migration of the device was noted and the patient remained asymptomatic. The combined endoscopic and fluoroscopic guided management of a BPF using the Amplatzer II vascular plug and glue was proven safe and effective after mid-term follow-up.

Publication types

  • Case Reports

MeSH terms

  • Bronchial Fistula / diagnosis
  • Bronchial Fistula / therapy*
  • Bronchoscopy
  • Carcinoma, Non-Small-Cell Lung / diagnosis
  • Carcinoma, Non-Small-Cell Lung / surgery
  • Combined Modality Therapy
  • Diagnostic Imaging
  • Embolization, Therapeutic / methods*
  • Fluoroscopy
  • Humans
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / surgery
  • Male
  • Middle Aged
  • Pleural Diseases / diagnosis
  • Pleural Diseases / therapy*
  • Pneumonectomy
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy*
  • Proteins / therapeutic use*
  • Septal Occluder Device*
  • Thoracic Surgery, Video-Assisted
  • Thoracoscopy
  • Tissue Adhesives / therapeutic use*

Substances

  • Bio-glue
  • Proteins
  • Tissue Adhesives