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array:24 [ "pii" => "S030028962200076X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.05.037" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "3007" "copyright" => "SEPAR" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T356-T357" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289621001939" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.06.009" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2870" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:358" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Tratamiento endoscópico de fístula broncopericárdica en paciente con cáncer de pulmón" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "358" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Endoscopic Treatment of Bronchopericardial Fistula in Lung Cancer Patient" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 632 "Ancho" => 950 "Tamanyo" => 92726 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Corte axial de TC de tórax donde se objetiva el trayecto fistuloso broncopericárdico (flecha negra) junto con neumopericardio (flecha blanca). B. Visión endoscópica donde se observa dicho trayecto fistuloso. C. Visión endoscópica donde se visualiza spigot de Watanabe al inicio del trayecto fistuloso. D. Corte coronal de TC tras 48 horas visualizándose spigot normoposicionado (flecha).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Esperanza Salcedo Lobera, Francisco M. Páez Codeso, Guillermo Bentabol Ramos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Esperanza" "apellidos" => "Salcedo Lobera" ] 1 => array:2 [ "nombre" => "Francisco M." "apellidos" => "Páez Codeso" ] 2 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Bentabol Ramos" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001939?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001939/v5_202301090807/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289621001861" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.05.026" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2863" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:356-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Tratamiento endoscópico combinado para el cierre de una fístula broncopleural de gran tamaño" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "356" "paginaFinal" => "357" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Combined Endoscopic Treatment for the Closure of a Large Bronchopleural Fistula" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1124 "Ancho" => 1305 "Tamanyo" => 160850 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">a) Radiografía posteroanterior de tórax en la que se aprecian cambios posquirúrgicos, un hidroneumotórax derecho con un nivel hidroaéreo en la parte más basal del hemitórax derecho y un derrame pleural derecho; b) Visión endoscópica de orificio fistuloso en la zona central del muñón de la bilobectomía inferior derecha; c) Visión endoscópica tras la implantación en el orificio fistuloso de la válvula intrabronquial de 9<span class="elsevierStyleHsp" style=""></span>mm Spiration® Olympus y d) Válvula intrabronquial implantada en el orificio fistuloso tras la instilación de un plasma rico en plaquetas. Nótese el tejido de granulación que existe a su alrededor.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María José Bernabé Barrios, Roberto Larrosa Barrero, Elena Forcén Vicente de Vera" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María José" "apellidos" => "Bernabé Barrios" ] 1 => array:2 [ "nombre" => "Roberto" "apellidos" => "Larrosa Barrero" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Forcén Vicente de Vera" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001861?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001861/v5_202301090807/es/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S0300289621001861" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.05.026" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2863" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:356-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Tratamiento endoscópico combinado para el cierre de una fístula broncopleural de gran tamaño" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "356" "paginaFinal" => "357" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Combined Endoscopic Treatment for the Closure of a Large Bronchopleural Fistula" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1124 "Ancho" => 1305 "Tamanyo" => 160850 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">a) Radiografía posteroanterior de tórax en la que se aprecian cambios posquirúrgicos, un hidroneumotórax derecho con un nivel hidroaéreo en la parte más basal del hemitórax derecho y un derrame pleural derecho; b) Visión endoscópica de orificio fistuloso en la zona central del muñón de la bilobectomía inferior derecha; c) Visión endoscópica tras la implantación en el orificio fistuloso de la válvula intrabronquial de 9<span class="elsevierStyleHsp" style=""></span>mm Spiration® Olympus y d) Válvula intrabronquial implantada en el orificio fistuloso tras la instilación de un plasma rico en plaquetas. Nótese el tejido de granulación que existe a su alrededor.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María José Bernabé Barrios, Roberto Larrosa Barrero, Elena Forcén Vicente de Vera" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María José" "apellidos" => "Bernabé Barrios" ] 1 => array:2 [ "nombre" => "Roberto" "apellidos" => "Larrosa Barrero" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Forcén Vicente de Vera" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001861?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621001861/v5_202301090807/es/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Combined Endoscopic Treatment for the Closure of a Large Bronchopleural Fistula" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "T356" "paginaFinal" => "T357" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María José Bernabé Barrios, Roberto Larrosa Barrero, Elena Forcén Vicente de Vera" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María José" "apellidos" => "Bernabé Barrios" "email" => array:1 [ 0 => "mariucha2002703@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Roberto" "apellidos" => "Larrosa Barrero" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Forcén Vicente de Vera" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Hospital Clínico San Carlos, Facultad de Medicina, Universidad Complutense, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento endoscópico combinado para el cierre de una fístula broncopleural de gran tamaño" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1124 "Ancho" => 1305 "Tamanyo" => 160850 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Posteroanterior chest X-ray showing post-surgical changes, right hydropneumothorax with air-fluid level at the most basal part of the right hemithorax and right pleural effusion; (b) endoscopic view of the fistula orifice in the central area of the right lower bilobectomy stump; (c) endoscopic view after implantation in the fistula orifice of the 9<span class="elsevierStyleHsp" style=""></span>mm Spiration® Olympus intrabronchial valve; and (d) intrabronchial valve implanted in the fistula orifice after instillation of platelet-rich plasma. Note the surrounding granulation tissue.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 74-year-old male, operated 10 months previously for epidermoid carcinoma with a right bilobectomy (middle lobe and right lower lobe) with double thoracotomy. Fifteen days after surgery, the patient developed empyema, with evidence of a fistula due to dehiscence of the bilobectomy suture, which required 2 new interventions that did not achieve closure of the fistula. A third surgery in this situation involved a high surgical risk and offered very little chance of success. Since at that time the patient showed no signs of endobronchial infection and the fistula orifice measured<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>1<span class="elsevierStyleHsp" style=""></span>cm on endoscopy, the placement of the largest commercially available intrabronchial valve (9<span class="elsevierStyleHsp" style=""></span>mm) was proposed.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Anchoring the device was very difficult and, in addition, there was a risk of complication with migration via the patient's thoracotomy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a and b).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">One month after the last attempt at surgical closure, the valve was implanted into the fistula orifice under conscious sedation, and correct positioning was confirmed by endoscopy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c).<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Fifteen days after the procedure, an endoscopic revision was conducted, showing that the occlusion was not complete, so we decided to use endoscopy to instill 10<span class="elsevierStyleHsp" style=""></span>ml of platelet-rich plasma over the mucosa bordering the valve. This prompted a fibrotic reaction (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>d), which facilitated the complete closure of the fistula and the disappearance of the air leak in one week.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1124 "Ancho" => 1305 "Tamanyo" => 160850 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Posteroanterior chest X-ray showing post-surgical changes, right hydropneumothorax with air-fluid level at the most basal part of the right hemithorax and right pleural effusion; (b) endoscopic view of the fistula orifice in the central area of the right lower bilobectomy stump; (c) endoscopic view after implantation in the fistula orifice of the 9<span class="elsevierStyleHsp" style=""></span>mm Spiration® Olympus intrabronchial valve; and (d) intrabronchial valve implanted in the fistula orifice after instillation of platelet-rich plasma. Note the surrounding granulation tissue.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Use of one-way intrabronchial valves in air leak management after tube thoracostomy drainage" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.R. Gilbert" 1 => "R.F. Casal" 2 => "H.J. Lee" 3 => "D. Feller-Kopman" 4 => "B. Frimpong" 5 => "H.E. Dincer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.athoracsur.2015.10.113" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2016" "volumen" => "101" "paginaInicial" => "1891" "paginaFinal" => "1896" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26876341" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Minimally invasive persistent air leak management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.S. Kurman" 1 => "K. Hogarth" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "AME Med J" "fecha" => "2018" "volumen" => "3" "paginaInicial" => "80" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000004/v5_202301090807/S030028962200076X/v5_202301090807/en/main.assets" "Apartado" => array:4 [ "identificador" => "93646" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images/Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000004/v5_202301090807/S030028962200076X/v5_202301090807/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962200076X?idApp=UINPBA00003Z" ]
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