A simple method of bronchial occlusion with silicone spigots (Endobronchial Watanabe Spigot; EWS®) using a curette

Sayako Morikawa, Takuya Okamura, Tomoyuki Minezawa, Yasuhiro Goto, Masamichi Hayashi, Teppei Yamaguchi, Sumito Isogai, Yuki Mieno, Naoki Yamamoto, Sakurako Uozu, Toru Nakanishi, Mitsushi Okazawa, Kazuyoshi Imaizumi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Bronchial occlusion with an Endobronchial Watanabe Spigot (EWS) has been shown to be useful in managing prolonged bronchopleural fistulas and intractable hemoptysis. EWS bronchial occlusion using a curette is less technically demanding. This retrospective study evaluated the clinical utility and simplicity of this method. Methods: A total of 18 consecutive patients (15 men, 3 women, aged 47-85 years) who underwent bronchial occlusion using an EWS from April 2012 to August 2014 were evaluated. The method involves sticking the tip of a curette into an EWS to the first joint, allowing it to be turned in any direction or at any angle. The time required to occlude the target bronchus was measured on routinely recorded digital videos. Other parameters evaluated included success rates, complications, and clinical outcomes. Results: Of the 18 patients, 11 underwent bronchial occlusion for intractable pneumothorax, 5 for postoperative bronchopleural fistula, two for intractable empyema, and one for hemoptysis. Each patient required 1-7 EWSs (median 4). Target bronchi included the right upper (n = 8), left upper (n = 5), right lower (n = 2), left lower (n = 2), and right middle (n = 1) bronchi. The success rate of EWS insertion into the target bronchus was 100%. Time per EWS occlusion ranged from 65-528 sec (median 158.5 sec). Of the 62 insertions, 36 (58.1%) were completed within 3 min, and 58 (93.5%) within 5 min. Successful outcomes were observed in 15 (83.3%) of the 18 patients. Conclusions: EWS bronchial occlusion using a curette is a simple method for managing intractable bronchopleural fistulas in daily clinical settings.

Original languageEnglish
Pages (from-to)518-524
Number of pages7
JournalTherapeutic Advances in Respiratory Disease
Volume10
Issue number6
DOIs
Publication statusPublished - 01-12-2016

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Silicones
Bronchi
Fistula
Hemoptysis
Empyema
Pneumothorax
Retrospective Studies
Joints

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Pharmacology (medical)

Cite this

Morikawa, Sayako ; Okamura, Takuya ; Minezawa, Tomoyuki ; Goto, Yasuhiro ; Hayashi, Masamichi ; Yamaguchi, Teppei ; Isogai, Sumito ; Mieno, Yuki ; Yamamoto, Naoki ; Uozu, Sakurako ; Nakanishi, Toru ; Okazawa, Mitsushi ; Imaizumi, Kazuyoshi. / A simple method of bronchial occlusion with silicone spigots (Endobronchial Watanabe Spigot; EWS®) using a curette. In: Therapeutic Advances in Respiratory Disease. 2016 ; Vol. 10, No. 6. pp. 518-524.
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title = "A simple method of bronchial occlusion with silicone spigots (Endobronchial Watanabe Spigot; EWS{\circledR}) using a curette",
abstract = "Background: Bronchial occlusion with an Endobronchial Watanabe Spigot (EWS) has been shown to be useful in managing prolonged bronchopleural fistulas and intractable hemoptysis. EWS bronchial occlusion using a curette is less technically demanding. This retrospective study evaluated the clinical utility and simplicity of this method. Methods: A total of 18 consecutive patients (15 men, 3 women, aged 47-85 years) who underwent bronchial occlusion using an EWS from April 2012 to August 2014 were evaluated. The method involves sticking the tip of a curette into an EWS to the first joint, allowing it to be turned in any direction or at any angle. The time required to occlude the target bronchus was measured on routinely recorded digital videos. Other parameters evaluated included success rates, complications, and clinical outcomes. Results: Of the 18 patients, 11 underwent bronchial occlusion for intractable pneumothorax, 5 for postoperative bronchopleural fistula, two for intractable empyema, and one for hemoptysis. Each patient required 1-7 EWSs (median 4). Target bronchi included the right upper (n = 8), left upper (n = 5), right lower (n = 2), left lower (n = 2), and right middle (n = 1) bronchi. The success rate of EWS insertion into the target bronchus was 100{\%}. Time per EWS occlusion ranged from 65-528 sec (median 158.5 sec). Of the 62 insertions, 36 (58.1{\%}) were completed within 3 min, and 58 (93.5{\%}) within 5 min. Successful outcomes were observed in 15 (83.3{\%}) of the 18 patients. Conclusions: EWS bronchial occlusion using a curette is a simple method for managing intractable bronchopleural fistulas in daily clinical settings.",
author = "Sayako Morikawa and Takuya Okamura and Tomoyuki Minezawa and Yasuhiro Goto and Masamichi Hayashi and Teppei Yamaguchi and Sumito Isogai and Yuki Mieno and Naoki Yamamoto and Sakurako Uozu and Toru Nakanishi and Mitsushi Okazawa and Kazuyoshi Imaizumi",
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Morikawa, S, Okamura, T, Minezawa, T, Goto, Y, Hayashi, M, Yamaguchi, T, Isogai, S, Mieno, Y, Yamamoto, N, Uozu, S, Nakanishi, T, Okazawa, M & Imaizumi, K 2016, 'A simple method of bronchial occlusion with silicone spigots (Endobronchial Watanabe Spigot; EWS®) using a curette', Therapeutic Advances in Respiratory Disease, vol. 10, no. 6, pp. 518-524. https://doi.org/10.1177/1753465816664862

A simple method of bronchial occlusion with silicone spigots (Endobronchial Watanabe Spigot; EWS®) using a curette. / Morikawa, Sayako; Okamura, Takuya; Minezawa, Tomoyuki; Goto, Yasuhiro; Hayashi, Masamichi; Yamaguchi, Teppei; Isogai, Sumito; Mieno, Yuki; Yamamoto, Naoki; Uozu, Sakurako; Nakanishi, Toru; Okazawa, Mitsushi; Imaizumi, Kazuyoshi.

In: Therapeutic Advances in Respiratory Disease, Vol. 10, No. 6, 01.12.2016, p. 518-524.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A simple method of bronchial occlusion with silicone spigots (Endobronchial Watanabe Spigot; EWS®) using a curette

AU - Morikawa, Sayako

AU - Okamura, Takuya

AU - Minezawa, Tomoyuki

AU - Goto, Yasuhiro

AU - Hayashi, Masamichi

AU - Yamaguchi, Teppei

AU - Isogai, Sumito

AU - Mieno, Yuki

AU - Yamamoto, Naoki

AU - Uozu, Sakurako

AU - Nakanishi, Toru

AU - Okazawa, Mitsushi

AU - Imaizumi, Kazuyoshi

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Background: Bronchial occlusion with an Endobronchial Watanabe Spigot (EWS) has been shown to be useful in managing prolonged bronchopleural fistulas and intractable hemoptysis. EWS bronchial occlusion using a curette is less technically demanding. This retrospective study evaluated the clinical utility and simplicity of this method. Methods: A total of 18 consecutive patients (15 men, 3 women, aged 47-85 years) who underwent bronchial occlusion using an EWS from April 2012 to August 2014 were evaluated. The method involves sticking the tip of a curette into an EWS to the first joint, allowing it to be turned in any direction or at any angle. The time required to occlude the target bronchus was measured on routinely recorded digital videos. Other parameters evaluated included success rates, complications, and clinical outcomes. Results: Of the 18 patients, 11 underwent bronchial occlusion for intractable pneumothorax, 5 for postoperative bronchopleural fistula, two for intractable empyema, and one for hemoptysis. Each patient required 1-7 EWSs (median 4). Target bronchi included the right upper (n = 8), left upper (n = 5), right lower (n = 2), left lower (n = 2), and right middle (n = 1) bronchi. The success rate of EWS insertion into the target bronchus was 100%. Time per EWS occlusion ranged from 65-528 sec (median 158.5 sec). Of the 62 insertions, 36 (58.1%) were completed within 3 min, and 58 (93.5%) within 5 min. Successful outcomes were observed in 15 (83.3%) of the 18 patients. Conclusions: EWS bronchial occlusion using a curette is a simple method for managing intractable bronchopleural fistulas in daily clinical settings.

AB - Background: Bronchial occlusion with an Endobronchial Watanabe Spigot (EWS) has been shown to be useful in managing prolonged bronchopleural fistulas and intractable hemoptysis. EWS bronchial occlusion using a curette is less technically demanding. This retrospective study evaluated the clinical utility and simplicity of this method. Methods: A total of 18 consecutive patients (15 men, 3 women, aged 47-85 years) who underwent bronchial occlusion using an EWS from April 2012 to August 2014 were evaluated. The method involves sticking the tip of a curette into an EWS to the first joint, allowing it to be turned in any direction or at any angle. The time required to occlude the target bronchus was measured on routinely recorded digital videos. Other parameters evaluated included success rates, complications, and clinical outcomes. Results: Of the 18 patients, 11 underwent bronchial occlusion for intractable pneumothorax, 5 for postoperative bronchopleural fistula, two for intractable empyema, and one for hemoptysis. Each patient required 1-7 EWSs (median 4). Target bronchi included the right upper (n = 8), left upper (n = 5), right lower (n = 2), left lower (n = 2), and right middle (n = 1) bronchi. The success rate of EWS insertion into the target bronchus was 100%. Time per EWS occlusion ranged from 65-528 sec (median 158.5 sec). Of the 62 insertions, 36 (58.1%) were completed within 3 min, and 58 (93.5%) within 5 min. Successful outcomes were observed in 15 (83.3%) of the 18 patients. Conclusions: EWS bronchial occlusion using a curette is a simple method for managing intractable bronchopleural fistulas in daily clinical settings.

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U2 - 10.1177/1753465816664862

DO - 10.1177/1753465816664862

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SN - 1753-4658

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