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Review
. 2018 Oct;10(Suppl 27):S3352-S3355.
doi: 10.21037/jtd.2018.04.167.

Bronchoscopic management of prolonged air leak

Luca Bertolaccini  1 , Barbara Bonfanti  1 , Kenji Kawamukai  1 , Sergio Nicola Forti Parri  1 , Nicola Lacava  1 , Piergiorgio Solli  1
Affiliations
Review

Bronchoscopic management of prolonged air leak

Luca Bertolaccini et al. J Thorac Dis. 2018 Oct.

Abstract

Broncho-pleural fistula (BPF) is an atypical communication between the tracheobronchial tree and the alveolar/pleural space, with prolonged air leak (PAL). BPF is frequent and related to significant morbidity, prolonged length of hospital stay, and mortality. Nevertheless, in about 10%, more than 5 days of an air leak is considered a PAL, accounted for significant morbidity. Endobronchial valve is a novel device for the PAL management with minimal morbidity if related to surgical repairs. While it is suggested that surgical treatment should be undertaken when possible, endobronchial valves should be recommended as a therapeutic choice in high-risk patients. Placement techniques remain operator and patient friendly and allow the procedure to be performed with relative ease. Prospectively conducted, randomised, controlled clinical trials are needed where valve treatment is compared with other bronchoscopic techniques, surgical procedures, or both.

Keywords: Prolonged air leak (PAL); endoscopic valve; lung cancer.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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