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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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-12-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1789281 |
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| author | Chloe DesRoche Geneviève Digby Ben Mussari Alexandre Menard |
| author_facet | Chloe DesRoche Geneviève Digby Ben Mussari Alexandre Menard |
| author_sort | Chloe DesRoche |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b7a355ae2e6d4c1682227b5be0496aab |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-b7a355ae2e6d4c1682227b5be0496aab2025-08-20T02:19:19ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692024-12-01080319920110.1055/s-0044-1789281Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle TipChloe DesRoche0https://orcid.org/0000-0001-6743-3095Geneviève Digby1https://orcid.org/0000-0002-1858-0387Ben Mussari2Alexandre Menard3https://orcid.org/0009-0005-1924-0121Department of Diagnostic Radiology, Queen's University, Kingston, Ontario, CanadaDivision of Respirology, Department of Medicine, Queen's University, Kingston, Ontario, CanadaDepartment of Diagnostic Radiology, Queen's University, Kingston, Ontario, CanadaDepartment of Diagnostic Radiology, Queen's University, Kingston, Ontario, CanadaBronchopleural 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1789281bronchial fistulaembolizationpleural diseasemicrowave ablationbronchopleural fistulacase report |
| spellingShingle | Chloe DesRoche Geneviève Digby Ben Mussari Alexandre Menard Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip Journal of Clinical Interventional Radiology ISVIR bronchial fistula embolization pleural disease microwave ablation bronchopleural fistula case report |
| title | Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip |
| title_full | Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip |
| title_fullStr | Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip |
| title_full_unstemmed | Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip |
| title_short | Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip |
| title_sort | catheter directed glue embolization for the treatment of bronchopleural fistula with associated retained microwave ablation needle tip |
| topic | bronchial fistula embolization pleural disease microwave ablation bronchopleural fistula case report |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1789281 |
| work_keys_str_mv | AT chloedesroche catheterdirectedglueembolizationforthetreatmentofbronchopleuralfistulawithassociatedretainedmicrowaveablationneedletip AT genevievedigby catheterdirectedglueembolizationforthetreatmentofbronchopleuralfistulawithassociatedretainedmicrowaveablationneedletip AT benmussari catheterdirectedglueembolizationforthetreatmentofbronchopleuralfistulawithassociatedretainedmicrowaveablationneedletip AT alexandremenard catheterdirectedglueembolizationforthetreatmentofbronchopleuralfistulawithassociatedretainedmicrowaveablationneedletip |