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Richard S. D'Agostino
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Ann Thorac Surg 1993;56:000349759390679C
© 1993 The Society of Thoracic Surgeons

Articles

Treatment of peripheral bronchopleural fistulas with endobronchial occlusion coils

Ronald B. Ponn, MD*, Richard S. D'Agostino, MD, Harold Stern, MD, Jack L. Westcott, MD

Departments of Surgery and Radiology, The Hospital of Saint Raphael, New Haven, Connecticut USA

Accepted for publication January 30, 1993.

* Address reprint requests to Dr Ponn, 40 Temple St, New Haven, CT 06510.

Persistent peripheral bronchopleural fistulas can be difficult to manage. Endoscopic plugging of involved bronchi has been accomplished in a number of ways. We have devised a method of permanently blocking small peripheral airways using Gianturco vascular occlusion coils placed endobronchially by modified angiographic techniques. This procedure has been applied in 5 cases of complicated parenchymal air leaks. Complete or substantial partial control was achieved in all cases. There were no complications.






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