Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip

Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip

Bronchopleural fistula (BPF) is a rare but severe complication of lung tumor ablation. The mainstay treatment of BPF is surgical or bronchoscopic intervention; however, there are no current guidelines on the best practice for the management of BPF. In this case presentation, a 72-year-old woman deve...

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Bibliographic Details
Published in:Journal of clinical interventional radiology isvir
Main Authors: DesRoche, Chloe, Digby, Geneviève, Mussari, Ben, Menard, Alexandre
Format: Journal Article
Language:English
Published: Thieme Medical Publishers, Inc 12-09-2024
Subjects:
bronchial fistula
bronchopleural fistula
case report
embolization
microwave ablation
pleural disease
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Description
Summary:Bronchopleural fistula (BPF) is a rare but severe complication of lung tumor ablation. The mainstay treatment of BPF is surgical or bronchoscopic intervention; however, there are no current guidelines on the best practice for the management of BPF. In this case presentation, a 72-year-old woman developed a persistent and refractory BPF post-thermal microwave ablation of a lung tumor, complicated by detachment of the ceramic ablation needle tip, which resulted in recurrent tension pneumothoraces. The BPF was successfully treated with cone beam computed tomography (CBCT) and fluoroscopy-guided catheter-directed glue embolization, which offers a novel potential treatment option for persistent, refractory BPF.
ISSN:2456-4869
2456-4869
DOI:10.1055/s-0044-1789281