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- W2777438635 abstract "Background: Bronchopleural fistula (BPF) causing persistent air leak is a therapeutic challenge. There are different non- surgical treatments with various availability and efficacy. We describe our experience of fiberoptic bronchoscopy(FOB) guided blood instillation for air leak control in BPF. Methods: We included patients with BPF following cardiothoracic surgery. After identifying the lesion by a double- lumen balloon catheter through the bronchoscope, autologus blood and tranexamic acid were used to seal the culprit bronchus. Results: Eleven patients were evaluated (9 men, age range, 34 to 78 years). Nine patients were smoker with emphysematouse lungs. Two patients had coronary artery bypass graft surgery. In the remainder, video-assisted thoracoscopic bullectomy, lobectomy and biopsy were done. The overall success rate was 82%(9/11).Air leak reduced significantly in 7 patients (64%) after the first session and another 2(18%) after 2 sessions. None of the patients developed complication. Conclusion: Intrabronchial instillation of autologus blood and tranexamic acid is a useful and feasible technique to seal the BPF." @default.
- W2777438635 created "2018-01-05" @default.
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- W2777438635 date "2017-09-01" @default.
- W2777438635 modified "2023-09-28" @default.
- W2777438635 title "Intrabronchial autologus blood and tranexamic acid instillation provides effective control of persistent air leak in inoperable bronchopleural fistula" @default.
- W2777438635 doi "https://doi.org/10.1183/1393003.congress-2017.pa3785" @default.
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