Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope
Cryoprobes inserted through a bronchoscope in the airways have frequently been used for the removal of foreign bodies and clots. We present a case of a 72-year-old man who presented with COVID-19 pneumonia and respiratory failure, requiring intubation and proning. During his stay, he developed pneum...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2023/6620825 |
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| author | Fernando Figueroa Rodriguez Parminder Minhas Houssein A. Youness |
| author_facet | Fernando Figueroa Rodriguez Parminder Minhas Houssein A. Youness |
| author_sort | Fernando Figueroa Rodriguez |
| collection | DOAJ |
| description | Cryoprobes inserted through a bronchoscope in the airways have frequently been used for the removal of foreign bodies and clots. We present a case of a 72-year-old man who presented with COVID-19 pneumonia and respiratory failure, requiring intubation and proning. During his stay, he developed pneumothoraces in the left hemithorax, which necessitated the placement of two large-bore chest tubes. However, the pneumothorax recurred. There was no air leak in either chest tube, and attempts to restore their patency through flushing or suctioning were unsuccessful. A disposable flexible bronchoscope was inserted into the chest tubes, allowing visualization of the source of occlusion and identification of a blood clot obstructing both tubes. These clots were successfully removed using a cryoprobe inserted through the working channel of the bronchoscope, leading to the restoration of chest tube patency and resolution of the pneumothorax. |
| format | Article |
| id | doaj-art-705f8d5b9d9e4ca882735c0ddbf764ca |
| institution | Kabale University |
| issn | 2090-6854 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-705f8d5b9d9e4ca882735c0ddbf764ca2025-02-03T07:26:21ZengWileyCase Reports in Pulmonology2090-68542023-01-01202310.1155/2023/6620825Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible BronchoscopeFernando Figueroa Rodriguez0Parminder Minhas1Houssein A. Youness2Interventional Pulmonary ProgramInterventional Pulmonary ProgramInterventional Pulmonary ProgramCryoprobes inserted through a bronchoscope in the airways have frequently been used for the removal of foreign bodies and clots. We present a case of a 72-year-old man who presented with COVID-19 pneumonia and respiratory failure, requiring intubation and proning. During his stay, he developed pneumothoraces in the left hemithorax, which necessitated the placement of two large-bore chest tubes. However, the pneumothorax recurred. There was no air leak in either chest tube, and attempts to restore their patency through flushing or suctioning were unsuccessful. A disposable flexible bronchoscope was inserted into the chest tubes, allowing visualization of the source of occlusion and identification of a blood clot obstructing both tubes. These clots were successfully removed using a cryoprobe inserted through the working channel of the bronchoscope, leading to the restoration of chest tube patency and resolution of the pneumothorax.http://dx.doi.org/10.1155/2023/6620825 |
| spellingShingle | Fernando Figueroa Rodriguez Parminder Minhas Houssein A. Youness Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope Case Reports in Pulmonology |
| title | Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope |
| title_full | Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope |
| title_fullStr | Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope |
| title_full_unstemmed | Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope |
| title_short | Tunnel Vision: A Novel Approach for Blood Clot Retrieval Using Cryotherapy through a Flexible Bronchoscope |
| title_sort | tunnel vision a novel approach for blood clot retrieval using cryotherapy through a flexible bronchoscope |
| url | http://dx.doi.org/10.1155/2023/6620825 |
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