The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 62 , ISSUE 1 ( January-March, 2020 ) > List of Articles


Endobronchial Stenting: A Novel Intervention for Bronchoscopic Closure of Bronchopleural Fistula

C.D.S. Katoch, S. Bhattacharjee, K. Kumar

Keywords : Bronchopleural fistula, Covered metallic stents, SEMS bronchoscopic intervention

Citation Information : Katoch C, Bhattacharjee S, Kumar K. Endobronchial Stenting: A Novel Intervention for Bronchoscopic Closure of Bronchopleural Fistula. Indian J Chest Dis Allied Sci 2020; 62 (1):27-29.

DOI: 10.5005/ijcdas-62-1-27

License: CC BY-NC 4.0

Published Online: 07-11-2022

Copyright Statement:  Copyright © 2020; The Author(s).


We report a case of a 66-year-old male who presented nine years after thoracoplasty with a broncho-pleuro-cutaneous fistula on the left side of the chest, with recurrent pleural infections. He had previously failed surgical attempts at closure of bronchopleural fistula. He was detected to have multiple fistulae in the left upper lobe and closure of air-leak was done by the bronchoscopic implantation of covered self-expandable metallic stent which bridged the left main bronchus to the left lower lobe bronchus, thereby completely occluding the left upper lobe orifice.

PDF Share
  1. Khan JH, Rahman SB, McElhinney DB, Harmon AL, Anthony JP, Hall TS, et al. Management strategies for complex bronchopleural fistula. Asian Cardiovasc Thorac Ann 2000;8:78–84.
  2. S irbu H, Busch T, Aleksic I, Schreiner W, Oster O, Dalichau H. Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors, and management. Ann Thorac Cardiovasc Surg 2001;7:330–6.
  3. Katoch CDS, Chandran VM, Bhattacharyya D, Barthwal MS. Closure of bronchopleural fistula by interventional bronchoscopy using sealants and endobronchial devices. Med J Armed Forces India 2013;69:326–9.
  4. Sivrikoz CM, Kaya T, Tulay CM, Ak I, Bilir A, Döner E. Effective approach for the treatment of bronchopleural fistula: application of endovascular metallic ring-shaped coil in combination with fibrin glue. Ann Thorac Surg 2007;83:2199–201.
  5. Watanabe S, Shimokawa S, Yotsumoto G, Sakasegawa K. The use of a Dumon stent for the treatment of a bronchopleural fistula. Ann Thorac Surg 2001;72:276–8.
  6. T ayama K, Eriguchi N, Futamata Y, Harada H, Yoshida A, Matsunaga A, et al. Modified Dumon stent for the treatment of a bronchopleural fistula after pneumonectomy. Ann Thorac Surg 2003;75:290–2.
  7. Marwah V, Rajput AK, Madan H, Garg Y. Closure of chronic bronchopleural fistula using atrial septal occluder device. J Bronchol Intervent Pulmonol 2014;21;82–84.
  8. Marwah V, Ravikumar R, Rajput AK, Singh A. Transcutaneous closure of chronic broncho-pleuro-cutaneous fistula by duct occluder device. Lung India 2016;33:216–8.
  9. Andreettia C, D'Andrillia A, Ibrahima M, Cicconea AM, Maurizia G, Venutab AMF, et al. Effective treatment of postpneumonectomy bronchopleural fistula by conical fully covered self-expandable stent. Interactive Cardiovasc Thoracic Surg 2012;14:420–5.
  10. T ulloch-Reid M, Pyne D, Baker T, Ebanks F, Sterman D. Tracheobronchial stenting for management of bronchopleural fistula-a novel solution to an old problem. West Indian Med J 2006;554:288–90.
  11. Han X, Yin M, Li L, Zhu M, Ren K, Qi Y, et al. Customized airway stenting for bronchopleural fistula after pulmonary resection by interventional technique: single-center study of 148 consecutive patients. Surg Endos 2018;32:4116–24.
  12. Avasarala SK, Freitag L, Mehta AC. Metallic endobronchial stents: a contemporary resurrection. Chest 2019;155:1246–59.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.