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

par Dooms, Christophe;Decaluwe, Herbert;Yserbyt, Jonas;De Leyn, Paul;van Raemdonck, Dirk ML;Ninane, Vincent
Référence The European respiratory journal, 43, 4, page (1142-1148)
Publication Publié, 2014-04

Article révisé par les pairs

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Résumé :

A persistent post-operative pulmonary expiratory air leak after an anatomical 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 anatomical surgical resection for cancer was investigated. 10 out of 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 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 anatomical lung resection for cancer. Copyright ? ERS 2014.