TY - JOUR
T1 - Endobronchial valve treatment for prolonged air leaks of the lung
T2 - A case series
AU - Gillespie, Colin T.
AU - Sterman, Daniel H.
AU - Cerfolio, Robert J.
AU - Nader, Daniel
AU - Mulligan, Michael S.
AU - Mularski, Richard A.
AU - Musani, Ali I.
AU - Kucharczuk, John C.
AU - Gonzalez, H. Xavier
AU - Springmeyer, Steven C.
PY - 2011/1
Y1 - 2011/1
N2 - Purpose An endobronchial valve developed for treatment of severe emphysema has characteristics favorable for bronchoscopic treatment of air leaks. We present the results of a consecutive case series treating complex alveolopleural fistula with valves. Description Patients with air leaks that persisted after treatment gave consent and compassionate use approval was obtained. Bronchoscopy with balloon occlusion was used to identify the airways to be treated. IBV Valves (Spiration, Redmond, WA) were placed after airway measurement. Evaluation During a 15-month period, 8 valve placement procedures were performed in 7 patients and all had improvement in the air leak. The median duration of air leakage was 4 weeks before and 1 day after treatment, with a mean of 4.5 days. Discharge within 2 to 3 days of the procedure occurred in 57% of the patients. A median of 3.5 valves (mode, 2.4) were used, and all valve removals were successful. There were no procedural or valve-related complications. Conclusions Removable endobronchial valves appear to be a safe and effective intervention for prolonged air leaks.
AB - Purpose An endobronchial valve developed for treatment of severe emphysema has characteristics favorable for bronchoscopic treatment of air leaks. We present the results of a consecutive case series treating complex alveolopleural fistula with valves. Description Patients with air leaks that persisted after treatment gave consent and compassionate use approval was obtained. Bronchoscopy with balloon occlusion was used to identify the airways to be treated. IBV Valves (Spiration, Redmond, WA) were placed after airway measurement. Evaluation During a 15-month period, 8 valve placement procedures were performed in 7 patients and all had improvement in the air leak. The median duration of air leakage was 4 weeks before and 1 day after treatment, with a mean of 4.5 days. Discharge within 2 to 3 days of the procedure occurred in 57% of the patients. A median of 3.5 valves (mode, 2.4) were used, and all valve removals were successful. There were no procedural or valve-related complications. Conclusions Removable endobronchial valves appear to be a safe and effective intervention for prolonged air leaks.
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U2 - 10.1016/j.athoracsur.2010.07.093
DO - 10.1016/j.athoracsur.2010.07.093
M3 - Article
C2 - 21172529
AN - SCOPUS:78650452236
SN - 0003-4975
VL - 91
SP - 270
EP - 273
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
ER -
