Chest
Selected ReportsEndobronchial Closure of Bronchopleural Fistulae Using Amplatzer Devices: Our Experience and Literature Review
Section snippets
Amplatzer Devices
The Amplatzer double-disk occluders have been described in detail15, 16, 17, 18 and represent a large family of devices designed originally for the transcatheter closure of cardiac septal defects or patent ductus arteriosus. The devices are made of nitinol mesh with a central connector between the disks. In this series, we used the Amplatzer Atrial Septal Occluder (Fig 1) and the Amplatzer Ductal Occluder II (AGA Medical; Golden Valley, Minnesota). The Amplatzer Atrial Septal Occluders have a
Results
Overall, 10 patients with 11 BPFs (eight men and two women, aged 66.3 ± 10.1 years [mean ± SD]) were treated in our institution with bronchoscopic AD implantation between January 2007 and December 2009. During the study period, all 10 patients with central BPFs who were referred to our institution were treated with bronchoscopic AD implantation. Written informed consent was obtained from all patients before the procedure, and all patients were informed of the fact that an off-label use of the
Discussion
We present our extended experience with a novel technique for the endobronchial closure of BPFs by the implantation of ADs. In all of the cases described, previous conservative and operative treatments were unsuccessful. The technique described herein enables direct visualization of the fistula using a flexible bronchoscope and a fluoroscope simultaneously, while allowing the operator to perform standard transcatheter procedures. The ADs have been used extensively to treat congenital heart
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