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Right arrow Trachea and bronchi

Ann Thorac Surg 2006;81:1867-1871
© 2006 The Society of Thoracic Surgeons

New technology

A Novel Approach: Treatment of Bronchial Stump Fistula With a Plugged, Bullet-Shaped, Angled Stent

Xinwei Han, MD, PhD a , * , Gang Wu, MD a , Yongdong Li, MD, PhD b , Minghua Li, MD, PhD b

a Department of Radiology, The First Affiliated Hospital, Zheng Zhou, China
b Department of Radiology, The Sixth Affiliated People's Hospital, Shanghai Jiao Tong University, Shanghai, China

Accepted for publication December 2, 2005.

* Address correspondence to Dr Han, No. 1, East Jian She Rd, Zheng Zhou, Henan Province, Zheng zhou, 450052 China (Email: hanxinwei{at}tom.com).

PURPOSE: The purpose of this study was to evaluate the initial clinical efficacy of a plugged, bullet-shaped, angled stent for managing bronchial stump fistula.

DESCRIPTION: The stent consisted of two parts. The body part had a diameter of 18 ~ 25 mm and was 30 mm long in a tubular configuration covered with polyethylene at the lower part. The bronchial limb was a bullet-shaped configuration with a dead end, 11 ~ 14 mm in diameter, 10 ~ 30 mm long covered with polyethylene. The body part and the bronchial limb were connected at the angled portion without overlap with use of nitinol wire and polyethylene. The stents were placed in 6 patients under fluoroscopic guidance.

EVALUATION: Stent placement was technically successful in all patients without complications. Immediate closure of the bronchial stump fistula was achieved in all patients after stent placement. Follow-up of 4 ~ 16 months, permanent closure of the bronchial pleural fistula was achieved in 4 patients (66.67%), and permanent closure of the bronchial stump fistula was achieved in 5 patients (83.33%). No complications occurred.

CONCLUSIONS: Closure of the bronchial stump fistula with the stent was a simple, safe, and effective procedure.




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