Perforation of the pulmonary artery by a bronchial wall stent

Spendlove, D; Trübner, K; Bajanowski, T (2007). Perforation of the pulmonary artery by a bronchial wall stent. International journal of legal medicine, 121(3), pp. 204-6. Heidelberg: Springer 10.1007/s00414-006-0082-1

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Implantation of stents into the bronchial walls is a newly developed method to treat lung emphysema, which is now being tested clinically. During this procedure, a bronchoscope carrying a Doppler ultrasonography head is placed into a segmental bronchus and the blood vessels running in parallel to the bronchus are localized. Once a safe location without blood vessels is found, the bronchial wall is perforated and a stent is placed within the wall to improve the expiratory volume of these "bypasses" to the adjacent lung parenchyma. We observed a fatal complication with this method in a 60-year-old man. The bronchial wall and the pulmonary artery were perforated by one of the stents inducing massive bleeding, which could not be stopped. The patient died due to aspiration of blood in combination with massive loss of blood. The general risk to perforate the pulmonary artery during this procedure cannot be estimated from this single observation but should be considered regarding the legal and clinical aspects.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Management

UniBE Contributor:

Spendlove, Danny

ISSN:

0937-9827

ISBN:

16604362

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

04 May 2014 23:16

Publisher DOI:

10.1007/s00414-006-0082-1

PubMed ID:

16604362

Web of Science ID:

000246264500007

URI:

https://boris.unibe.ch/id/eprint/23918 (FactScience: 45145)

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