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Note the gastric fundus (asterisk) protruding into the left subphrenic region. (B) Lateral chest X-ray confirming the retrocardiac location of the opacity (white arrows) with the air-fluid level (black arrows). (C) Axial CT image showing an extensively necrotic, cavitary mass (asterisk) in the paramediastinal region of the right lower lobe. Note the presence of an air-fluid level in the cavitated area. (D) Coronal CT image (pulmonary parenchymal window) confirming intrapulmonary lesion and preserved hemidiaphragms.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe Sarasúa, Andrés González-García, Isabel García Gómez-Muriel" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis Gorospe" "apellidos" => "Sarasúa" ] 1 => array:2 [ "nombre" => "Andrés" "apellidos" => "González-García" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "García Gómez-Muriel" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289617302971" "doi" => "10.1016/j.arbres.2017.08.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302971?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301745?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918301745/v1_201808020514/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Selective Bronchograpy for Locating Iatrogenic Bronchopleural Fistula After Pulmonary Radiofrequency Ablation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "428" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Blanca De Vega Sánchez, Carlos Disdier Vicente" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Blanca" "apellidos" => "De Vega Sánchez" "email" => array:1 [ 0 => "blancadevegasanchez@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Carlos" "apellidos" => "Disdier Vicente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Clínico Universitario Valladolid, Valladolid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Investigación en Red Enfermedades Respiratorias (CIBERES), Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Broncografía selectiva para localización de fistula broncopleural iatrogénica tras ablación por radiofrecuencia pulmonar" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 55-year-old man, former smoker, diagnosed with very severe COPD and lung adenocarcinoma (cT1aN0M0) in the left upper lobe (LUL). After evaluation by the chest tumor committee, lung radiofrequency ablation (Cool-tip<span class="elsevierStyleSup">®</span> electrode) was recommended. This procedure caused a tension pneumothorax that required chest tube drainage, resulting in a persistent air leak. To locate the segment in which the bronchopleural fistula (BPF) originated and to visualize its trajectory, we performed selective bronchogram (SB) of the LUL under deep sedation with propofol, using radioscopy-guided instillation of 10<span class="elsevierStyleHsp" style=""></span>ml Omnipaque<span class="elsevierStyleSup">®</span> iodohexol with a Combicath radiopaque catheter, revealing BPF in the apical segmental bronchus of the LUL (<a class="elsevierStyleCrossRef" href="#sec0005">video 1</a>).</p><p id="par0010" class="elsevierStylePara elsevierViewall">There are many different techniques for confirmation and localization of BPF, including computed tomography, selective collapse of the affected bronchus with a Fogarty catheter<span class="elsevierStyleSup">®</span>, instillation of methylene blue, and visualization of the passage of <span class="elsevierStyleSup">133</span>Xe to the pleural cavity,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> none of which has been accepted as the gold standard. In our opinion, the combined use of bronchoscopy and SB is useful for locating and characterizing the size and number of BPFs, providing the interventional pulmonologist with a valuable tool for endoscopic therapeutic management.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: De Vega Sánchez B, Disdier Vicente C. Broncografía selectiva para localización de fistula broncopleural iatrogénica tras ablación por radiofrecuencia pulmonar. Arch Bronconeumol. 2018;54:428.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:1 [ 0 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1708873 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "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" => "Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Lois" 1 => "M. Noppen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.128.6.3955" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2005" "volumen" => "128" "paginaInicial" => "3955" "paginaFinal" => "3965" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16354867" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radiologic assessment of bronchopleural fistula with empyema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.T. Hsu" 1 => "G.M. Bennett" 2 => "E. Wolff" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/103.1.41" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1972" "volumen" => "103" "paginaInicial" => "41" "paginaFinal" => "45" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5015836" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918301757/v1_201808020514/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000008/v1_201808020514/S1579212918301757/v1_201808020514/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301757?idApp=UINPBA00003Z" ]
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