Endobronchial closure of total bronchopleural fistula with occlutech figulla ASD N device

ABSTRACT

Bronchopleural fistula may be treated by medical, endoscopic, and surgical techniques, but large fistulas remaina challenge to be closed using endoscopic techniques. We describe the endoscopic closure of a bronchial totalfistula with the Occlutech Figulla ASD N device (International Occlutech AB, Helsingborg, Sweden), originallydesigned for closure of an atrial septal defect. The procedure was conducted without general anesthesia or rigid bronchoscopy, bronchography, or radioscopy. An immediate reduction in the air leak was observed and alsolater on bronchoscopy, as the device was almost covered by granulation tissue. The endobronchial technique described seems to be safe and effective to manage large bronchopleuralfistulas.