{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:31:48Z","timestamp":1772166708356,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bronchopleural fistula (BPF) \/ broncho pleural cutaneous fistula is an abnormal communication between the peripheral bronchial tree and pleural space which can further also open to the skin surface. It is associated with significant morbidity and mortality in addition to poor quality of life. Management requires a multidisciplinary approach with careful evaluation to choose the best approach to treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 36-year-old male presented with a left chest wall tumor with multiple surgeries and CT revealing a left apico-posterior segment broncho pleural cutaneous fistula. Various options for the management of the BPCF including surgery and bronchoscopic occlusion were considered however an IR approach was planned. Plan was for vascular plug occlusion with\/without glue embolization of the apico-posterior segmental bronchus. A 6F sheath was placed under direct vision and a 12\u00a0mm CERA plug was deployed. After plain plug occlusion, there were no signs of air leak. Various options for management including surgery and bronchoscopy procedures are limited in patients with poor pulmonary reserve. The IR approach offers the advantage of doing the procedure under real-time fluoroscopy, and no airway compromise. However, literature describes the use of glue to seal the interstices of the device which if not sealed was a cause of recurrence later. In our case, we report the percutaneous use of a CERA vascular plug as the sole device, especially since it has a polytetrafluoroethylene (PTFE) membrane which ensures occlusion, in addition to its titanium nitride coating which improves epithelialization. This ensures sustained occlusion as the sole agent, unlike other devices including the Amplatzer vascular plug.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This highlights the relatively easy percutaneous route and the first report of CERA vascular plug usage for managing a case of broncho pleural cutaneous fistula.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1186\/s42155-024-00508-9","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T04:30:41Z","timestamp":1742185841000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous vascular plug in management of an acquired broncho pleural cutaneous fistula"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2462-5449","authenticated-orcid":false,"given":"Ajay","family":"Alex","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen","family":"A","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niwin","family":"George","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinu","family":"C V","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radhika Devi","family":"B","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neetha","family":"Jose","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"issue":"1","key":"508_CR1","doi-asserted-by":"publisher","first-page":"88","DOI":"10.4103\/0970-2113.148465","volume":"32","author":"SK Aiyappan","year":"2015","unstructured":"Aiyappan SK, Ranga U, Veeraiyan S. Double fistula: Bronchopleural and pleurocutaneous. Lung India. 2015;32(1):88\u20139.","journal-title":"Lung India"},{"issue":"5","key":"508_CR2","doi-asserted-by":"publisher","first-page":"1367","DOI":"10.1016\/S0022-5223(96)70153-8","volume":"112","author":"CD Wright","year":"1996","unstructured":"Wright CD, Wain JC, Mathisen DJ, Grillo HC. Postpneumonectomy bronchopleural fistula after sutured bronchial closure: incidence, risk factors, and management. J Thorac Cardiovasc Surg. 1996;112(5):1367\u201371.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"508_CR3","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1016\/j.mjafi.2013.04.009","volume":"69","author":"CDS Katoch","year":"2013","unstructured":"Katoch CDS, Chandran VM, Bhattacharyya D, Barthwal MS. Closure of bronchopleural fistula by interventional bronchoscopy using sealants and endobronchial devices. Med J Armed Forces India. 2013;69(4):326\u20139.","journal-title":"Med J Armed Forces India"},{"issue":"1","key":"508_CR4","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1177\/00494755211038782","volume":"52","author":"A Varghese","year":"2022","unstructured":"Varghese A, Baby J, Ray B. Ultrasound-guided autologous blood patch\u2013A novel modality for broncho-pleural-cutaneous fistula closure. Trop Doct. 2022;52(1):211\u20133.","journal-title":"Trop Doct"},{"issue":"4","key":"508_CR5","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1016\/j.jvir.2021.12.018","volume":"33","author":"DY Lim","year":"2022","unstructured":"Lim DY, Wang M, Chokkappan K, Lee KA, Leong S, Ng KS, et al. Percutaneous treatments for persistent bronchopleural and alveolar-pleural fistulae. J Vasc Interv Radiol. 2022;33(4):410\u20135.","journal-title":"J Vasc Interv Radiol"},{"issue":"2","key":"508_CR6","doi-asserted-by":"publisher","first-page":"216","DOI":"10.4103\/0970-2113.177440","volume":"33","author":"V Marwah","year":"2016","unstructured":"Marwah V, Ravikumar R, Rajput AK, Singh A. Transcutaneous closure of chronic broncho-pleuro-cutaneous fistula by duct occluder device. Lung India. 2016;33(2):216.","journal-title":"Lung India"},{"issue":"1","key":"508_CR7","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1186\/s12887-022-03298-y","volume":"22","author":"W Baden","year":"2022","unstructured":"Baden W, Hofbeck M, Warmann SW, Schaefer JF, Sieverding L. Interventional closure of a bronchopleural fistula in a 2 year old child with detachable coils. BMC Pediatr. 2022;22(1):250.","journal-title":"BMC Pediatr"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-024-00508-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s42155-024-00508-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-024-00508-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T04:30:43Z","timestamp":1742185843000},"score":1,"resource":{"primary":{"URL":"https:\/\/CVIRendovasc.springeropen.com\/articles\/10.1186\/s42155-024-00508-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,17]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["508"],"URL":"https:\/\/doi.org\/10.1186\/s42155-024-00508-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-5297297\/v1","asserted-by":"object"}]},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,17]]},"assertion":[{"value":"20 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures were following the ethical standards of the institution and with the 1964 Helsinki declaration. Informed consent was obtained from the patient in this case.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"22"}}