Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors

Jun Sakurai; Takao Hiraki; Takashi Mukai; Hidefumi Mimura; Kotaro Yasui; Hideo Gobara; Soichiro Hase; Hiroyasu Fujiwara; Toshihiro Iguchi; Nobuhisa Tajiri; Motoi Aoe; Yoshifumi Sano; Hiroshi Date; Susumu Kanazawa

doi:10.1016/j.jvir.2006.10.011

Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors

Jun Sakurai, Takao Hiraki, Takashi Mukai, Hidefumi Mimura, Kotaro Yasui, Hideo Gobara, Soichiro Hase, Hiroyasu Fujiwara, Toshihiro Iguchi, Nobuhisa Tajiri, Motoi Aoe, Yoshifumi Sano, Hiroshi Date, Susumu Kanazawa

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Abstract

We describe two cases of intractable pneumothorax that were attributed to a bronchopleural fistula (BPF) after radiofrequency ablation of lung tumors. In both cases, radiofrequency ablation induced necrosis of the lung tissue between the pleural space and the bronchus. The bronchopleural fistula formed after sloughing of the necrotic tissue. Management of the bronchopleural fistula was quite challenging, requiring frequent treatments, including pleurodesis, endobronchial management, and/or surgical repair. In one of the patients, air leakage persisted despite these efforts, and the patient died of acute pneumonia 52 days after the procedure. Although it is rare, with an incidence of 0.6% (2/334) at our institution, intractable pneumothorax due to bronchopleural fistula should be recognized as a risk associated with radiofrequency ablation of lung tumors.

Original language	English
Pages (from-to)	141-145
Number of pages	5
Journal	Journal of Vascular and Interventional Radiology
Volume	18
Issue number	1
DOIs	https://doi.org/10.1016/j.jvir.2006.10.011
Publication status	Published - Jan 2007

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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Sakurai, J., Hiraki, T., Mukai, T., Mimura, H., Yasui, K., Gobara, H., Hase, S., Fujiwara, H., Iguchi, T., Tajiri, N., Aoe, M., Sano, Y., Date, H., & Kanazawa, S. (2007). Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors. Journal of Vascular and Interventional Radiology, 18(1), 141-145. https://doi.org/10.1016/j.jvir.2006.10.011

Sakurai, J , Hiraki, T, Mukai, T, Mimura, H, Yasui, K, Gobara, H, Hase, S, Fujiwara, H, Iguchi, T, Tajiri, N, Aoe, M, Sano, Y, Date, H & Kanazawa, S 2007, 'Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors', Journal of Vascular and Interventional Radiology, vol. 18, no. 1, pp. 141-145. https://doi.org/10.1016/j.jvir.2006.10.011

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title = "Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors",

abstract = "We describe two cases of intractable pneumothorax that were attributed to a bronchopleural fistula (BPF) after radiofrequency ablation of lung tumors. In both cases, radiofrequency ablation induced necrosis of the lung tissue between the pleural space and the bronchus. The bronchopleural fistula formed after sloughing of the necrotic tissue. Management of the bronchopleural fistula was quite challenging, requiring frequent treatments, including pleurodesis, endobronchial management, and/or surgical repair. In one of the patients, air leakage persisted despite these efforts, and the patient died of acute pneumonia 52 days after the procedure. Although it is rare, with an incidence of 0.6% (2/334) at our institution, intractable pneumothorax due to bronchopleural fistula should be recognized as a risk associated with radiofrequency ablation of lung tumors.",

author = "Jun Sakurai and Takao Hiraki and Takashi Mukai and Hidefumi Mimura and Kotaro Yasui and Hideo Gobara and Soichiro Hase and Hiroyasu Fujiwara and Toshihiro Iguchi and Nobuhisa Tajiri and Motoi Aoe and Yoshifumi Sano and Hiroshi Date and Susumu Kanazawa",

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AU - Yasui, Kotaro

AU - Gobara, Hideo

AU - Hase, Soichiro

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AU - Iguchi, Toshihiro

AU - Tajiri, Nobuhisa

AU - Aoe, Motoi

AU - Sano, Yoshifumi

AU - Date, Hiroshi

AU - Kanazawa, Susumu

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Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors

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