Document Detail


The role of computed tomography bronchography in the management of bronchopleural fistulas.
MedLine Citation:
PMID:  20160584     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of complex bronchopleural fistulas (BPFs) remains a major diagnostic and therapeutic challenge to all chest physicians. Successful management of a fistula revolves around treatment of the associated empyema cavity first. Definitive repair should be accomplished expeditiously to minimize the number of procedures performed. When treatment is protracted, secondary complications are more likely to develop and survival is adversely affected. Diagnosis and localization of a BPF is therefore paramount; however, it is sometimes difficult and may require multiple imaging studies and bronchoscopies. Herein, we describe our experience with computed tomography bronchography as a new technique for diagnosis and localization of difficult BPF. In addition, other modalities for diagnosis and medical management are discussed along with a relevant review of the literature.
Authors:
Pralay Sarkar; Nick Patel; Jessie Chusid; Rakesh Shah; Arunabh Talwar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  25     ISSN:  1536-0237     ISO Abbreviation:  J Thorac Imaging     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  W10-3     Citation Subset:  IM    
Affiliation:
Department of Medicine, North Shore University Hospital, New Hyde Park, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aged
Bronchial Fistula / radiography*,  surgery,  therapy
Bronchography / methods
Contrast Media / diagnostic use
Diagnosis, Differential
Female
Fibrin Tissue Adhesive / therapeutic use
Follow-Up Studies
Hemostatics / therapeutic use
Humans
Iohexol / diagnostic use
Male
Middle Aged
Pleura / radiography*,  surgery
Pleural Diseases / radiography*,  surgery,  therapy
Radiographic Image Enhancement / methods
Tomography, Spiral Computed / methods
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Fibrin Tissue Adhesive; 0/Hemostatics; 66108-95-0/Iohexol

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


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