A novel technique for Endobronchial Watanabe Spigot placement for bronchopleural fistula: a traction method. (19th July 2021)

• Record Type: Journal Article
• Authors: Date, Naoki; Komatsu, Teruya; Fujinaga, Takuji
• Is Part Of: European journal of cardio-thoracic surgery. Volume 60:Number 5(2021)
• Page Start: 1237
• Page End: 1238
• Publication Date: 2021-07-19
• Subjects: Endobronchial Watanabe Spigot -- Bronchopleural fistula -- Guidewire; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; 617.54
• DOI: 10.1093/ejcts/ezab332
• Languages: English
• ISSNs: 1010-7940

Abstract

Abstract: Empyema with bronchopleural fistula is a challenging condition that often requires open-window thoracostomy. Bronchial occlusion with Endobronchial Watanabe Spigot is an effective and less invasive procedure to close the fistula; however, delivering a spigot into the target bronchus requires high technical skills. Herein, we report a case of bronchopleural fistula occluded with a spigot using a new 'traction method' in which the spigot is tied as an anchor to a guidewire and pulled into the target bronchus. Our method allows selective and steady placement of the spigot for patients who undergo open-window thoracostomy for the treatment of bronchopleural fistula.