Journal
JOURNAL OF BRONCHOLOGY & INTERVENTIONAL PULMONOLOGY
Volume 25, Issue 1, Pages 63-66Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/LBR.0000000000000423
Keywords
bronchopleural fistula; persistent air leak; prolonged air leak; interventional pulmonology; bronchoscopy; methylene blue
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A bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree. BPFs are challenging to diagnose and are associated with a high morbidity and mortality. Sequential balloon occlusion is commonly used for localization of a BPF. We describe our experience with 4 cases of successful localization of the BPF by instillation of methylene blue into the pleural space through a pigtail catheter, with simultaneous bronchoscopic visualization of dye in the tracheobronchial tree. Two patients were treated with endobronchial valves and 3 had a surgical thoracic muscle flap placed.
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