Intrabronchial valves a case series describing a minimally invasive approach to bronchopleural fistulas in medical intensive care unit patients

Amit Kumar Mahajan, Philip Verhoef, Shruti B. Patel, Gordon Carr, Douglas Kyle Hogarth

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Background: Bronchopleural fistulas (BPF) are conditions associated with prolonged hospital course, high morbidity, and possibly increased mortality. The presence of BPFs in critically ill patients may cause difficulty in ventilation and increased oxygen requirements. Intrabronchial valves (Spiration IBV) serve as a noninvasive therapeutic option for the closure of BPFs. Methods: This report is a retrospective description of 3 patients transferred to our medical intensive care unit (ICU) with BPFs and persistent air leaks (PAL). One patient required high levels of oxygen supplementation through a nonrebreather face mask, whereas 2 required mechanical ventilation because of respiratory failure. IBVs were placed in each patient with the intention of closing their BPF and weaning them from respiratory support. Results: The use of IBVs in ICU patients with BPFs and PALs resulted in 1 patient being weaned from the persistent need for a nonrebreather face mask to room air and also aided in the liberation from mechanical ventilation of 2 patients who had been failing spontaneous breathing trials. Conclusions: The use of IBVs is safe and well tolerated in ICU patients with BPFs and PALs. The placement of IBVs results in significant clinical improvement, allowing for either weaning from high levels of oxygen support or liberation from mechanical ventilation.

Original languageEnglish (US)
Pages (from-to)137-141
Number of pages5
JournalJournal of Bronchology and Interventional Pulmonology
Volume19
Issue number2
DOIs
StatePublished - Apr 1 2012

Keywords

  • Bronchopleural fistula
  • Bronchoscopy
  • Intrabronchial valve
  • Persistent air leaks
  • Respiratory failure

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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