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Images in Thorax
Customised Y-shaped self-expandable covered metallic stent with a dead end for the treatment of bronchopleural fistula
  1. Yahua Li1,
  2. Yiyang Liu2,
  3. Kewei Ren1,
  4. Xinwei Han1,
  5. Jianzhuang Ren1
  1. 1 Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
  2. 2 Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
  1. Correspondence to Dr Xinwei Han, Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China; fcchanxw{at}zzu.edu.cn

https://doi.org/10.1136/thoraxjnl-2021-218080

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    A 54-year-old male patient underwent right middle and lower lobectomy due to squamous cell carcinoma of the lung. He recovered well, and the thoracic drainage tube was removed. However, he developed a cough and severe fever (39.5°C) 8 days postsurgery. Sputum culture suggested Klebsiella pneumoniae infection. Piperacillin tazobactam and voriconazole were administered according to drug sensitivity results. Bronchoscopy (figure 1A) and CT demonstrated the formation of an intermediate bronchial fistula. Pneumothorax was not observed. A residual cavity with a small volume of empyema associated with the intermediate bronchi was detected on CT tracheal reconstruction imaging (figure 1B). A customised Y-shaped self-expandable covered metallic stent with a dead end was planned to occlude the fistula under the guidance of fluoroscopy.1 2 According to our experience, the diameter of the stent was designed to be 15%–20% larger than the corresponding airway. Based on the measurement of the corresponding bronchi, the diameter and length were determined …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.