Selective bronchography (SB) to confirm bronchopleural fistula (BPF) in patients with persistent air leaks
| Autor: | Carlos Disdier Vicente, Sofia Jaurrieta Largo, Marta Belver Blanco, Vicente Roig Figueroa, Blanca de Vega Sánchez, Santiago Juarros Martinez |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.diagnostic_test
business.industry Sedation Bronchopleural fistula Gold standard (test) medicine.disease Air leak 03 medical and health sciences Catheter 0302 clinical medicine 030228 respiratory system medicine Fluoroscopy In patient 030212 general & internal medicine medicine.symptom business Nuclear medicine Propofol medicine.drug |
| Zdroj: | Interventional pulmonology. |
| DOI: | 10.1183/13993003.congress-2019.pa3388 |
| Popis: | Bronchopleural fistula(BPF)requires different diagnostic methods to know its location, number and size for a correct treatment. The aim of our study is to compare the computed tomography scan(CT)results with the selective bronchograpy(SB)information in BPF. Retrospective study including SB between 03.2014-2.2019. We analysed patient´s factors, pathology, CT and SB results and final treatment. SB technique requires instilling 10cc of Yodohexol Omnipaque® through a radiopaque catheter Combicath® during fluoroscopy, under deep sedation with propofol. We have included 27 SB performed under suspicion of BPF in patients with persistent air leaks(≥5 days). The characteristics of our sample are in table 1. In our patients, CT reported BPF in 55.55% of them(n=15), discarding it in 44.45%(n=12);however, SB demonstrated BPF in 81.5% of our patients(n=22). Table 2. Also, we have proved with SB that in 50% of the cases there was multiple BPF, findings that de CT only described in two cases. The treatment of BPF was performed with:Zephyr unidirectional endobronchial valves(65%), surgical adhesive Bioglue®(25%)and a combination of both(10%). SB technique could be the new gold standard to confirm and quantify BPF in patients with persistent air leaks due to a better sensitivity and specificity than CT scan, which is 50%(95%CI, 26-73) and 20%(95%CI,0-65) respectively. |
| Databáze: | OpenAIRE |
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