Transbronchoscopic selective bronchial occlusion for intractable pneumothorax

  1. Yiming ZENG1,*,
  2. Minli HONG3,
  3. Huaping ZHANG1,
  4. Dongyong YANG1,
  5. Xiaoyang CHEN1,
  6. Xibin ZUANG2,
  7. Yunfeng CHENG1,
  8. Jianhua GUAN4,
  9. Qunyeng LIN5

Article first published online: 5 NOV 2009

DOI: 10.1111/j.1440-1843.2009.01650.x

Issue

Respirology

Respirology

Volume 15, Issue 1, pages 168–171, January 2010

Additional Information

How to Cite

ZENG, Y., HONG, M., ZHANG, H., YANG, D., CHEN, X., ZUANG, X., CHENG, Y., GUAN, J. and LIN, Q. (2010), Transbronchoscopic selective bronchial occlusion for intractable pneumothorax. Respirology, 15: 168–171. doi: 10.1111/j.1440-1843.2009.01650.x

Author Information

  1. 1

    Department of Respiratory Disease, The Second Affiliated Hospital of Fujian Medical University,

  2. 2

    Department of Respiratory Disease, The First Hospital of Quanzhou City, Quanzhou City,

  3. 3

    Department of Respiratory Disease, Traditional Chinese Medicine Hospital of Zhangzhou City, Zhangzhou City,

  4. 4

    Department of Respiratory Disease, The First Hospital of Putian City, and

  5. 5

    Department of Respiratory Disease, Affiliated Hospital of Putian College, Putian City, Fujian, China

*Zeng Yiming, North Zhongshan Road, Quanzhou City 362000, Fujian, China. Email: zeng_yi_ming@126.com

Publication History

  1. Issue published online: 27 DEC 2009
  2. Article first published online: 5 NOV 2009
  3. Received 17 April 2009; Invited to revise 25 May 2009; revised 21 June 2009; accepted 8 July 2009.

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (248K)

Keywords:

  • balloon;
  • bronchial occlusion;
  • bronchoscopy;
  • pneumothorax

Transbronchoscopic balloon detection and selective bronchial occlusion were applied in the management of 40 patients with intractable pneumothorax. An autologous blood clot was used as a bronchial sealant. The efficacy of the procedure, effect on oxygenation and radiographic changes in occluded areas of the lung were evaluated.

ABSTRACT

Background and objective:  The aim of this study was to evaluate the efficacy, complications and safety of the application of transbronchoscopic balloon detection (TBD) and selective bronchial occlusion (SBO) to intractable pneumothorax.

Methods:  Forty patients with pneumothorax, who had experienced more than 7 days of chest tube drainage without closure of the pleural fistula, underwent TBD and SBO. In 10 patients, oxygenation and pulse rates were recorded. A thoracic CT scan was performed 10 days after SBO.

Results:  The bronchi leading to the pleural fistula were located by TBD in 34 of 40 patients (85%). The air leakages ceased after the first occlusion in 30 patients, and five of these 30 patients underwent a second occlusion due to recurrence of pneumothorax 72 h after the first occlusion. In three of these patients, air leakages ceased after the second occlusion, while the remaining two patients underwent thoracoscopy. In total, 28 of 40 patients (70%) were cured using SBO. During TBD/SBO, the lowest SaO2 was 89.0 ± 2.8%, the mean SaO2 was 93.4 ± 2. 6% and the percentage of time during the procedure that SaO2 was <90% was 10.7 ± 17.5%. Ten days after SBO, thoracic CT scans were performed on 10 patients and no obstructive atelectasis was detected in any patient.

Conclusions:  These results indicate that TBD and SBO are safe and effective procedures for treating patients with intractable pneumothorax.

View Full Article (HTML) Get PDF (248K)