Preview

Russian Sklifosovsky Journal "Emergency Medical Care"

Advanced search

Temporary Endobronchial Occlusion in the Complex Treatment for Pleural Empyema with Bronchopleural Fistula

https://doi.org/10.23934/2223-9022-2025-14-4-820-827

Abstract

This article presents data from systemic reviews on the incidence of purulent complications leading to bronchial fistula formation, confirming the relevance of this research. The full range of diagnostic procedures for bronchial fistulas using endoscopic and radiographic techniques is presented. The results of using all possible endobronchial occluders for sealing air leaks from bronchopleural fistulas are also presented. The advantages and disadvantages of each of the presented occluders are described in detail. A vector for further development of optimal systems for bronchial occlusion in bronchopleural fistulas was identified.

About the Authors

A. M. Gasanov
N.V. Sklifosovsky Research Institute for Emergency Medicine Bolshaya; Penza Institute of Advanced Medical Training – branch of the Russian Medical Academy of Continuous Professional Education
Russian Federation

Ali M. Gasanov, Doctor of Medical Sciences, Associate Professor, Leading Researcher, Department of Emergency Surgery, Endoscopy, and Intensive Care, N.V. Sklifosovsky Research Institute for Emergency Medicine; Associate Professor, Department of Surgery and Endoscopy, Penza Institute of Advanced Medical Training – branch of the Russian Medical Academy of Continuous Professional Education

Sukharevskaya Sq. 3, Moscow, 129090,

Stasov Str. 8A, Penza, 440060



G. L. Azizyan
L.M. Roshal Children’s Clinical Center
Russian Federation

Georgy L. Azizyan, Endoscopist

Children’s Clinical Center Territory bldg. 1, Krasnogorsk District, Moscow Region, 142117



P. A. Yartsev
N.V. Sklifosovsky Research Institute for Emergency Medicine Bolshaya
Russian Federation

Petr A. Yartsev, Doctor of Medical Sciences, Professor, Head, Department of Emergency Surgery, Endoscopy, and Intensive Care

Sukharevskaya Sq. 3, Moscow, 129090

 



D. V. Zolotarev
N.V. Sklifosovsky Research Institute for Emergency Medicine Bolshaya
Russian Federation

Dmitry V. Zolotarev, Candidate of Medical Sciences, Thoracic Surgeon, Senior Researcher, Department of Emergency Surgery, Endoscopy, and Intensive Care

Sukharevskaya Sq. 3, Moscow, 129090



References

1. Tseimakh EA, Levin AV, Shvetsov IV, Broder IA. Application of endobronchial valve occlusion and videothoracoscopy in complex treatment of pyopneumothorax. Endoscopic Surgery. 2011;17(2):14–17. (In Russ.)

2. Khrupkin VI, Gostishchev VK, Zolotarev DV, Degtiareva EV. The thoracoscopy in complex treatment of non-specific pleural empyema and purulent-destructive diseases of lungs. Pirogov Russian Journal of Surgery. 2014;(10):15–20. (In Russ.)

3. Bisenkov LN, Popov VI, Shalaev SA. Khirurgiya ostrykh infektsionnykh destruktsiy legkikh. Saint-Petersburg: DEAN Publ.; 2003. 398 p. (In Russ.)

4. Gostishchev VK, Khrupkin VI, Nefedov AV, Zolotarev DV, Telyashov AD, Milov VE, et al. Nespetsificheskaya empiema plevry – differentsirovannyy podkhod k kompleksnomu lecheniyu. In: Sbornik tezisov II Mezhdunarodnogo kongressa “Aktual’nye napravleniya sovremennoy kardio-torakal’noy khirurgii” (Sankt-Peterburg, 24–26 maya 2012 g.). Saint Petersburg; 2012:113–114. (In Russ.)

5. Voronin VP, Levochkin SP, Frolov EA, Galitsa VV, Vishnyakov AN, Sharapov VI. Method of Temporary Bronchial Occlusion in the Treatment of Children With Destructive Pneumonia Complicated by Bronchoplleural Fistulas. Zdravookhranenie Yugry: Opyt i Innovatsii. 2024;2(39):56–62. (In Russ.)

6. Babilashvili IN, Gvetadze P. Role of temporary bronchial endoscopic occlusion in surgical pulmonology. Chest. 2008;134(4 Suppl 2):139. https://doi.org/10.1378/chest.134.4_MeetingAbstracts.p139004

7. Safoev BB, Qurbonov OM, Xasanov AQ, Yarikulov SHSH. The Role of Bronchoscopy in the Treatment of Complicated Endobronhial Ligature Fistulas After Echinococctomy of the Lung. New Day In Medicine. 2019;(3):239–241. (In Russ.)

8. McManigle JE, Fletcher GL, Tenholder MF. Bronchoscopy in the management of bronchopleural fistula. Chest. 1990;97(5):1235–1238. PMID: 2331919 https://doi.org/10.1378/chest.97.5.1235.

9. Sarkar P, Patel N, Chusid J, Shah R, Talwar A. The role of computed tomography bronchography in the management of bronchopleural fistulas. J Thorac Imaging. 2010;25(1):W10–13. PMID: 20160584 https://doi.org/10.1097/RTI.0b013e31819d12f1.

10. Iqbal N, Ali AS, Zahid A, Jabeen K, Irfan M. Fungal empyema thoracis, a rare but an emerging entity: a retrospective case series from Pakistan. Ther Adv Infect Dis. 2023;11:20499361231223887. PMID: 38164127 https://doi.org/10.1177/20499361231223887

11. Cheng YF, Chen CM, Chen YL, Cheng CY, Huang CL, Hung WH, et al. The outcomes of thoracoscopic decortication between fungal empyema and bacterial empyema. BMC Infect Dis. 2023;23(1):8. PMID: 36609233. https://doi.org/10.1186/s12879-022-07978-z

12. Zablockis R, Petruskeviciene R, Nargela RV. Pleuros empiemos ir komplikuoto parapneumoninio pleurito priezastys ir rizikos veiksniai [Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. Medicina (Kaunas). 2010;46(2):113–119. (In Lith.). PMID: 20440084.

13. Woldemariam ST, Molla IB, Merine SK, Yilma DG. Prevalence and treatment outcome of bronchopleural fistula: a multi-center study in Ethiopia. J Cardiothorac Surg. 2023;18(1):227. PMID: 37438756 https://doi.org/10.1186/s13019-023-02325-y.

14. Klimov SV, Kravtsov AYa, Kanterman MA, Sipuhin YaM. Computer Tomography in Diagnosis of Lung Tuberculosis. Siberian Medical Journal (Irkutsk). 1999;16(1):60–64. (In Russ.)

15. Jin L, Li Y. Bronchoscopic interventions for bronchopleural fistulas. Ther Adv Respir Dis. 2023;17:17534666231164541. PMID: 37067054 https://doi.org/10.1177/17534666231164541.

16. Sarkar P, Chandak T, Shah R, Talwar A. Diagnosis and management bronchopleural fistula. Indian J Chest Dis Allied Sci. 2010;52(2):97–104. PMID: 20578402.

17. Kuramochi M, Shinonaga M, Kuraoka S. Closure of open window thoracostomy due to MRSA pyothorax by EWS bronchial occlusion and modified extraperiosteal air plombage: a case report. Surg Case Rep. 2024;10(1):19. PMID: 38228980 https://doi.org/10.1186/s40792-024-01815-y.

18. Herrera LJ, Schumacher LY, Hartwig MG, Bakhos CT, Reddy RM, Vallières E, et al. Pulmonary Open, Robotic, and Thoracoscopic Lobectomy study: Outcomes and risk factors of conversion during minimally invasive lobectomy. J Thorac Cardiovasc Surg. 2023;166(1):251–262.e3. PMID: 36509569 https://doi.org/10.1016/j.jtcvs.2022.10.050

19. Kotlayrov PM. Virtual Bronchoscopy in the Diagnosis of Lung Cancer. Diagnostic Radiology and Radiotherapy. 2015;(1):56–63. (In Russ.)

20. Dobrokvashin SV, Sysoev PN, Volkov DE, Demyanov SL. Modern Approaches to Diagnosis and Treatment of Pleural Empyema. Practical medicine. 2013; 5(74):32–37. (In Russ.)

21. Levin AV, Tseymakh EA, Zimonin PE. Primenenie klapannoy bronkhoblokatsii pri oslozhnennom tuberkuleze legkikh. 2nd ed. Barnaul; 2008. (In Russ.)

22. Tchkonia D, Vacharadze K, Mskhaladze T. The Efficacy of Endobronchial Valve Therapy in Complex Treatment of Broncho-Pleural Fistulas. Georgian Med News. 2020;(306):73–76. PMID: 33130650.

23. Boyko VV, Tkachenko VV, Sochnieva AL, Kritsak VV. Modern view on the problem of acute pleural empyema surgical treatment. Wiad Lek. 2024;77(2):327–337. PMID: 38592997 https://doi.org/10.36740/WLek202402121.

24. Malkoc A, Gill H, Liu N, Nguyen DT, Phan AT, Nguyen A, et al. Bronchopulmonary Fistula Development in an Elderly Male With COVID-19 Infection. Cureus. 2022;14(11):e31686. PMID: 36561584 https://doi.org/10.7759/cureus.31686.

25. Hosna AU, Miller D. A Case of Bronchopleural Fistula and Hydropneumothorax in a Patient With Necrotizing Pneumonia Complicated by Mycobacterium avium Complex. Cureus. 2022;14(10):e30280. PMID: 36407137 https://doi.org/10.7759/cureus.30280.

26. Gostishchev VK, Khrupkin VI, Telyashov AD, Zolotarev DV, Nefedov AV, Milov VE, et al. Lechebnyy algoritm pri nespetsificheskikh empiemakh plevry s bronkhoplevral’nymi svishchami. In: Sbornik tezisov III Mezhdunarodnogo kongressa “Aktual’nye napravleniya sovremennoy kardio-torakal’noy khirurgii” (Sankt-Peterburg, 26–30 iyunya 2013 g.). Saint Petersburg; 2013:120. (In Russ.)

27. Matveev VJ, Khasanov RM, Gayfullin RF, Galkov EM, Fakhrutdinov RN, Ibragimov AI. Combination surgical treatment of pleural empyema pleura using video-assisted thoracoscopy. Practical medicine. 2012;(8-2):111–116. (In Russ.)

28. Matveev VY, Khasanov RM. Videothoracoscopy in Surgical Treatment of Pleural Empyema. Practical medicine. 2012;(8-1):23–27. (In Russ.)

29. Lazarus DR, Casal RF. Persistent air leaks: a review with an emphasis on bronchoscopic management. J Thorac Dis. 2017;9(11):4660–4670. PMID: 29268535 https://doi.org/10.21037/jtd.2017.10.122

30. Mizumori Y, Nakahara Y, Hirata N, Hiraoka R, Kominami R, Hirano K, et al. Toward Easy and Rapid Bronchial Occlusion With an Endobronchial Watanabe Spigot: A New Technique Using a Guide Sheath and Curette. J Bronchology Interv Pulmonol. 2020;27(2):122–127. PMID: 31851015 https://doi.org/10.1097/LBR.0000000000000642.

31. Chuliev MS, Uglonov IM, Narbaev TT, Xotamov XN, Pulatov FT, Barotov FT, et al. Temporary Bronchial Occlusion in Fistulous Forms of Bacterial Lung Destruction in Children. Progressing Aspects in Pediatrics and Neonatology. 2018;1(1):16–20. https://doi.org/10.32474/PAPN.2018.01.000105

32. Drobyazgin EA, Chikinev YuV, Sudovykh IE. Endoscopic bronchial valve treatment of bronchopleural fistala and air leakage. Pirogov Russian Journal of Surgery. 2020;(5):49–57. (In Russ.) https://doi.org/10.17116/hirurgia202005149

33. Gallyamov EA, Nikulin AV, Diduyev GI, Surkov AI, Horobrykh TV. Surgical Treatment of Bronchopleural Fistulas on the Background of Pleural Empyema. Journal of Experimental and Clinical Surgery. 2022;15:4:306–313. (In Russ.) https://doi.org/10.18499/2070-478X-2022-15-4-306-313.

34. Lin H, Wang Y, Lu D, Hong W, Wu W, Song D, et al. A novel method for the bronchial occlusion of prolonged air leakage using customized endobronchial plugs. J Thorac Dis. 2023;15(12):6419–6426. PMID: 38249896 https://doi.org/10.21037/jtd-23-1053.


Review

For citations:


Gasanov A.M., Azizyan G.L., Yartsev P.A., Zolotarev D.V. Temporary Endobronchial Occlusion in the Complex Treatment for Pleural Empyema with Bronchopleural Fistula. Russian Sklifosovsky Journal "Emergency Medical Care". 2025;14(4):820-827. (In Russ.) https://doi.org/10.23934/2223-9022-2025-14-4-820-827

Views: 15

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)