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Bronchial valve treatment for pulmonary air leak after anatomic lung resection for cancer

Christophe A. Dooms, Herbert Decaluwe, Jonas Yserbyt, Paul De Leyn, Dirk Van Raemdonck, Vincent Ninane
European Respiratory Journal 2013; DOI: 10.1183/09031936.00117613
Christophe A. Dooms
*Respiratory Division, University Hospitals Leuven, Belgium
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  • For correspondence: christophe.dooms@uzleuven.be
Herbert Decaluwe
#Dept of Thoracic Surgery, University Hospitals Leuven, Belgium
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Jonas Yserbyt
*Respiratory Division, University Hospitals Leuven, Belgium
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Paul De Leyn
#Dept of Thoracic Surgery, University Hospitals Leuven, Belgium
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Dirk Van Raemdonck
#Dept of Thoracic Surgery, University Hospitals Leuven, Belgium
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Vincent Ninane
*Respiratory Division, University Hospitals Leuven, Belgium
ΒΆChest Service Saint-Pierre Hospital Brussels, Belgium
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Abstract

A persistent postoperative pulmonary expiratory air leak after an anatomic pulmonary resection is usually managed conservatively, but can be associated with significant morbidity and increased costs. The use of bronchial valves is a minimally invasive method that may be an effective and safe treatment in this setting.

In a prospective study, the clinical efficacy of intrabronchial valve treatment in patients with a prolonged persistent pulmonary air leak after anatomic surgical resection for cancer was investigated.

Ten out 277 patients with anatomical pulmonary resection for cancer were included, and 90% were scheduled for valve treatment. We demonstrated an air leak cessation at a median of 2 days after valve placement, which resulted in a chest tube removal at a median of 4 days after valve placement. Elective removal of the intrabronchial valves could be safely planned 3 weeks after valve implantation. Lung function alteration associated with airway occlusion by valves was limited.

Intrabronchial valve treatment with the aid of a digital thoracic drainage system is an effective and safe therapy for patients with a prolonged pulmonary air leak after anatomic lung resection for cancer.

  • Bronchial valve treatment
  • digital drainage system
  • lung cancer
  • surgery
  • ERS
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European Respiratory Journal: 62 (6)
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Bronchial valve treatment for pulmonary air leak after anatomic lung resection for cancer
Christophe A. Dooms, Herbert Decaluwe, Jonas Yserbyt, Paul De Leyn, Dirk Van Raemdonck, Vincent Ninane
European Respiratory Journal Jan 2013, erj01176-2013; DOI: 10.1183/09031936.00117613

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Bronchial valve treatment for pulmonary air leak after anatomic lung resection for cancer
Christophe A. Dooms, Herbert Decaluwe, Jonas Yserbyt, Paul De Leyn, Dirk Van Raemdonck, Vincent Ninane
European Respiratory Journal Jan 2013, erj01176-2013; DOI: 10.1183/09031936.00117613
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