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

Research output: Contribution to journalArticle

51 Citations (Scopus)

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 languageEnglish
Pages (from-to)141-145
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume18
Issue number1
DOIs
Publication statusPublished - Jan 2007

Fingerprint

Pneumothorax
Fistula
Lung
Neoplasms
Pleurodesis
Bronchi
Pneumonia
Necrosis
Air
Incidence
Therapeutics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors. / Sakurai, Jun; Hiraki, Takao; Mukai, Takashi; Mimura, Hidefumi; Yasui, Kotaro; Gobara, Hideo; Hase, Soichiro; Fujiwara, Hiroyasu; Iguchi, Toshihiro; Tajiri, Nobuhisa; Aoe, Motoi; Sano, Yoshifumi; Date, Hiroshi; Kanazawa, Susumu.

In: Journal of Vascular and Interventional Radiology, Vol. 18, No. 1, 01.2007, p. 141-145.

Research output: Contribution to journalArticle

Sakurai, Jun ; Hiraki, Takao ; Mukai, Takashi ; Mimura, Hidefumi ; Yasui, Kotaro ; Gobara, Hideo ; Hase, Soichiro ; Fujiwara, Hiroyasu ; Iguchi, Toshihiro ; Tajiri, Nobuhisa ; Aoe, Motoi ; Sano, Yoshifumi ; Date, Hiroshi ; Kanazawa, Susumu. / Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors. In: Journal of Vascular and Interventional Radiology. 2007 ; Vol. 18, No. 1. pp. 141-145.
@article{221927b4c6144f868c48fd3b71ee677e,
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",
year = "2007",
month = "1",
doi = "10.1016/j.jvir.2006.10.011",
language = "English",
volume = "18",
pages = "141--145",
journal = "Journal of Vascular and Interventional Radiology",
issn = "1051-0443",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Intractable Pneumothorax Due to Bronchopleural Fistula after Radiofrequency Ablation of Lung Tumors

AU - Sakurai, Jun

AU - Hiraki, Takao

AU - Mukai, Takashi

AU - Mimura, Hidefumi

AU - Yasui, Kotaro

AU - Gobara, Hideo

AU - Hase, Soichiro

AU - Fujiwara, Hiroyasu

AU - Iguchi, Toshihiro

AU - Tajiri, Nobuhisa

AU - Aoe, Motoi

AU - Sano, Yoshifumi

AU - Date, Hiroshi

AU - Kanazawa, Susumu

PY - 2007/1

Y1 - 2007/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=33947715848&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947715848&partnerID=8YFLogxK

U2 - 10.1016/j.jvir.2006.10.011

DO - 10.1016/j.jvir.2006.10.011

M3 - Article

C2 - 17296716

AN - SCOPUS:33947715848

VL - 18

SP - 141

EP - 145

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

SN - 1051-0443

IS - 1

ER -