{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:44:21Z","timestamp":1787240661851,"version":"build-2736575974"},"reference-count":28,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T00:00:00Z","timestamp":1570752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p\/>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>A bronchopleural fistula after pneumonectomy is a relatively rare but very serious complication. The development of endoscopic methods of treatment opens a new page in treating this condition. The goal of this paper was to confirm that the atrial septal defect Amplatzer device can be used for bronchopleural fistula closure in properly selected patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective study of 13 patients with bronchopleural fistula after pneumonectomy was performed. There were 11 men and 2 women aged 26\u201370\u2009years. Right-sided fistulas occurred in 10 patients and left-sided fistulas occurred in 3. The underlying disease was lung cancer in 7 patients and pulmonary tuberculosis in 6. Video-assisted thoracoscopic surgery (N\u2009=\u20097) and open-window thoracostomy (N\u2009=\u20096) were used to treat the empyema. To treat occlusion of the bronchial fistulas, we used Amplatzer atrial septal defect occluders originally intended for closure of ventricular and interatrial septal defects. The occluder was inserted from the bronchus by flexible bronchoscopy with the patient under local anaesthesia, with the help of video-assisted thoracoscopy or through a window thoracostomy from the pleural cavity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>We noted 3 complications after the procedure. In 2 patients, displacement of the occluders required re-installation in 1 patient and latissimus dorsi muscle coverage in the other. In the third patient, the occluder became dislodged during severe exacerbation of tuberculosis that occurred after the patient violated the treatment regimen. She died of tuberculosis 6\u2009months after the occluder was inserted. The course in the remaining 10 patients was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Our experience suggests that the use of an atrial septal defect occluder for the treatment of a bronchial fistula after pneumonectomy is a reliable option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivz241","type":"journal-article","created":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T07:35:14Z","timestamp":1570174514000},"source":"Crossref","is-referenced-by-count":9,"title":["Endoscopic closure of a bronchopleural fistula after pneumonectomy with the Amplatzer occluder: a step forward?"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3092-6504","authenticated-orcid":false,"given":"Igor Ya","family":"Motus","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Ural Research Institute for Phthisiopulmonology, the Branch of National Medical Research Centre of Tuberculosis and Inflectional Diseases, Ekaterinburg, Russia"},{"name":"Ural State Medical University, Ekaterinburg, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander V","family":"Bazhenov","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Ural Research Institute for Phthisiopulmonology, the Branch of National Medical Research Centre of Tuberculosis and Inflectional Diseases, Ekaterinburg, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rauf T","family":"Basyrov","sequence":"additional","affiliation":[{"name":"Department of Endoscopy, Ural Research Institute for Phthisiopulmonology, the Branch of National Medical Research Centre of Tuberculosis and Inflectional Diseases, Ekaterinburg, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna S","family":"Tsvirenko","sequence":"additional","affiliation":[{"name":"Department of Endoscopy, Ural Research Institute for Phthisiopulmonology, the Branch of National Medical Research Centre of Tuberculosis and Inflectional Diseases, Ekaterinburg, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,10,11]]},"reference":[{"key":"2019101108184837900_ivz241-B1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.athoracsur.2015.03.014","article-title":"The rationale for treatment of postresectional bronchopleural fistula: analysis of 52 patients","volume":"100","author":"Cardillo","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2019101108184837900_ivz241-B2","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/S1010-7940(99)00290-0","article-title":"Closure of the bronchial stump by manual suture and incidence of bronchopleural fistula in a series of 209 pneumonectomies for lung 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