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DOI: 10.1055/s-0029-1240977
© Georg Thieme Verlag KG Stuttgart · New York
Is Transcatheter Rescue Management of a Pulmonary Artery Bronchial Fistula Justified?
Publikationsverlauf
received Nov. 10, 2009
Publikationsdatum:
31. Mai 2010 (online)
![](https://www.thieme-connect.de/media/thoracic/201004/lookinside/thumbnails/10.1055-s-0029-1240977-1.jpg)
Abstract
Endobronchial brachytherapy and interventional bronchology have changed the management of stage 3A (T4N0M0) non-small cell lung carcinoma. We discuss the case of a female patient who developed massive hemoptysis due to a fistula between the left pulmonary artery and stented left main bronchus. Although transcatheter management of the fistula was initially successful, the patient outcome secondary to coronary insult was poor. We present our management dilemma to highlight the need for careful consideration when selecting patients with heavily irradiated chests for endobronchial stenting.
Key words
pulmonary artery - non‐small cell lung cancer - endobronchial brachytherapy - external beam radiotherapy - interventional bronchology
References
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Dr. Castigliano M. Bhamidipati
Department of Surgery
State University of New York Upstate Medical University
8140 University Hospital
750 East Adams Street
Syracuse, NY 13210
United States
Telefon: + 1 20 72 29 16 60
Fax: + 1 70 25 43 46 56
eMail: bhamidic@upstate.edu