Thorac Cardiovasc Surg 2003; 51(2): 106-108
DOI: 10.1055/s-2003-38981
How to do it
© Georg Thieme Verlag Stuttgart · New York

Endobronchial Occlusion Method of Bronchopleural Fistula with Metallic Coils and Glue

S.  Watanabe1 , T.  Watanabe1 , H.  Urayama1
  • 1Department of Thoracic and Vascular Surgery, Kurobe City Hospital, Kurobe, Japan
Further Information

Publication History

Received December 19, 2002

Publication Date:
05 May 2003 (online)


We describe our technique for endobronchial occlusion of bronchopleural fistula (BPF) with metallic coils and glue through a fiber-optic bronchoscope under local anesthesia. After anchoring the vascular embolization coils at the fistula bronchus, cyanoacrylate glue was sprayed. The sprayed glue obliterates gaps between the coils and stabilizes them. This procedure successfully occluded fistula bronchus except in one post-pneumonectomy case of large fistula. This method may be one of therapeutic options for BPF, especially in patients at high risk for curative surgery under general anesthesia.


Shun-ichi Watanabe, MD

Division of Thoracic Surgery, National Cancer Center Hospital

Tsukiji 5-1-1

Tokyo 104-0045


Email: [email protected]