Document Detail


Is transcatheter rescue management of a pulmonary artery bronchial fistula justified?
MedLine Citation:
PMID:  20514579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endobronchial brachytherapy and interventional bronchology have changed the management of stage 3A (T4N0M0) non-small cell lung carcinoma. We discuss the case of a female patient who developed massive hemoptysis due to a fistula between the left pulmonary artery and stented left main bronchus. Although transcatheter management of the fistula was initially successful, the patient outcome secondary to coronary insult was poor. We present our management dilemma to highlight the need for careful consideration when selecting patients with heavily irradiated chests for endobronchial stenting.
Authors:
C M Bhamidipati; L J Kohman
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-31
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  58     ISSN:  1439-1902     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-01     Completed Date:  2010-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  229-31     Citation Subset:  IM    
Affiliation:
Department of Surgery, State University of New York Upstate Medical University, Syracuse, New York, USA. bhamidic@upstate.edu
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MeSH Terms
Descriptor/Qualifier:
Brachytherapy / adverse effects*
Bronchial Diseases / diagnosis,  etiology,  therapy*
Bronchial Fistula / diagnosis,  etiology,  therapy*
Bronchoscopy
Carcinoma, Non-Small-Cell Lung / pathology,  radiotherapy*
Catheterization, Swan-Ganz* / adverse effects,  instrumentation
Constriction, Pathologic
Fatal Outcome
Female
Heart Diseases / etiology
Hemoptysis / etiology,  therapy
Humans
Lung Neoplasms / pathology,  radiotherapy*
Middle Aged
Neoplasm Staging
Patient Selection
Pulmonary Artery* / radiography
Radiography, Interventional
Stents
Tomography, X-Ray Computed
Treatment Outcome
Vascular Fistula / diagnosis,  etiology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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