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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR 2024; 08(03): 199-201
DOI: 10.1055/s-0044-1789281
Case Report

Catheter-Directed Glue Embolization for the Treatment of Bronchopleural Fistula with Associated Retained Microwave Ablation Needle Tip

Authors

  • Chloe DesRoche 

    1   Department of Diagnostic Radiology, Queen's University, Kingston, Ontario, Canada

  • Geneviève Digby 

    2   Division of Respirology, Department of Medicine, Queen's University, Kingston, Ontario, Canada

  • Ben Mussari

    1   Department of Diagnostic Radiology, Queen's University, Kingston, Ontario, Canada

  • Alexandre Menard 

    1   Department of Diagnostic Radiology, Queen's University, Kingston, Ontario, Canada

Funding None.
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Abstract

Bronchopleural fistula (BPF) is a rare but severe complication of lung tumor ablation. The mainstay treatment of BPF is surgical or bronchoscopic intervention; however, there are no current guidelines on the best practice for the management of BPF. In this case presentation, a 72-year-old woman developed a persistent and refractory BPF post-thermal microwave ablation of a lung tumor, complicated by detachment of the ceramic ablation needle tip, which resulted in recurrent tension pneumothoraces. The BPF was successfully treated with cone beam computed tomography (CBCT) and fluoroscopy-guided catheter-directed glue embolization, which offers a novel potential treatment option for persistent, refractory BPF.

Keywords

bronchial fistula - embolization - pleural disease - microwave ablation - bronchopleural fistula - case report

Ethical Approval

Queen's University Health Sciences and Affiliated Teaching Hospitals Research Ethics Board (HSREB) approval was received for this case report (file number: 6038579). All the procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


Informed Consent

Informed consent was obtained from all individual participants included in the study.




Publication History

Article published online:
12 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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