A novel guidewire technique for endobronchial silicone plug occlusion for bronchopleural fistula

Abstract

Successful bronchoscopic bronchopleural fistula closure requires both accurate localization of the fistula and device implantation; placing a silicone plug requires experience and skill because of the limited endobronchial working space. We report a novel bronchoscopic silicone plug placement technique for a bronchopleural fistula that developed after a left upper lobectomy following induction chemoradiation therapy, which was then successfully treated by omentopexy.

Keywords: Bronchopleural fistula; Bronchoscopy; Claget; Endobronchial Watanabe spigot; Wire skills.