PT  - JOURNAL ARTICLE
AU  - Jing Li
AU  - Guohong Zeng
AU  - Shushui Wang
AU  - Xinglin Gao
AU  - Zhengxian Chen
AU  - Yuanliang Sun
AU  - Junwei Huang
AU  - Jingjing Chen
AU  - Zixing Chen
TI  - Endotracheal closure of a tracheoesophageal fistula using an atrial septal defect occluder device
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P3764
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P3764.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P3764.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - We report a large tracheoesophageal fistula successfully closed by means of implantation of an Atrial Septal Defect (ASD) Occluder device through trachea.A 65-year-old male got a large tracheoesophageal fistula because of reintubation.The patient was unable to tolerate surgery because of his poor condition. Approved by the Ethics Committee and obtained the informed consent, we chose ASD occluder device to close the fistula through trachea by bronchoscope.The process was performed under general anesthesia. The occluder was conveyed through the fistula by guide wire and sheath. Both discs were expanded under direct vision of bronchoscope.After the procedure, the patient’s condition recovered well. Three months later, we could see that the occluder expanded and fixed well.The treatments for acquired tracheoesophageal fistulas, all with thier own disadvatages, include conservative treatments, surgery and endoscopy treatments.The ASD occluder is self-expandable double-disc connected by a waist and filled with film. The encouraging efficacy in this case indicated that this procedure may be effective in selective patients.