Direct EBUS-guided transtracheal lymphosclerosis for plastic bronchitis after Fontan.

Hubrechts, Jelena;Dooms, Christophe;Maleux, Geert;Gewillig, Marc
(2021) Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions — Vol. 97, n° 3, p. E371-E375 (2021)

Files

2020CCIEBUSguidedlympheHubrechts.pdf
  • Open Access
  • Adobe PDF
  • 715.08 KB
Download

Details

Authors
  • Hubrechts, JelenaUCLouvain
    Author
  • Dooms, Christophe
    Author
  • Maleux, Geert
    Author
  • Gewillig, Marcorcid-logo
    Author
Abstract
We report on a new puncture technique with direct transtracheal mediastinal lymphatic access to treat plastic bronchitis after Fontan repair. High resolution contrast-enhanced spiral CT identified enlarged lymph nodes in the paratracheal region. Inguinal intranodal Gadolinium Dynamic Contrast-enhanced Magnetic Resonance lymphangiography (DCMRL) confirmed the pathologic centrifugal lymph flow passing through these lymph nodes before leaking into the bronchial tree. The abnormal hypertrophic paratracheal, subcarinal, and hilar lymph nodes were punctured with a 22G needle through an endobronchial ultrasound bronchoscope. Occlusion of the lymph vessels was obtained by injecting a mixture of lipiodol/NBCA N-butyl cyanoacrylate (Histoacryl) 5/1 under fluoroscopic control. There was a total remission of PB with now 10 months of follow-up.
Affiliations

Citations

  • APA
  • Chicago
  • FWB

Hubrechts, J., Dooms, C., Maleux, G., & Gewillig, M. (2021). Direct EBUS-guided transtracheal lymphosclerosis for plastic bronchitis after Fontan. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 97(3), E371-E375. https://doi.org/10.1002/ccd.29284 (Original work published 2021)