Prolonged air leak (PAL) poses a therapeutic dilemma and can entail morbidity, prolonged hospitalization, increased health care costs, and mortality. Common therapeutic options—including prolonged thoracotomy tube drainage, pleurodesis, autologous blood patch, and attempted surgical repair—are often ineffective and can sometimes even exacerbate the problem. Bronchoscopic management of air leaks with endobronchial valves (EBVs) has become an attractive minimally invasive alternative treatment.1- 3 The aim of our study was to analyze the effectiveness and safety of EBVs in a high-risk veteran population.
Cornwell LD, Panchal R, Bakaeen FG, Omer S, Preventza O, Lazarus DR, Casal RF. Bronchoscopic Management of Prolonged Air Leaks With Endobronchial Valves in a Veteran Population. JAMA Surg. 2017;152(2):207-209. doi:10.1001/jamasurg.2016.3195