PMC8221083_01
(a) The narrow fistula tract is the identifiable target for glue obliteration. (b) Percutaneous CT fibrin instillation. (c) Virtual bronchoscopy is useful for the estimation of the problem. (d) Airtight obliterated fistula after the water test. (e) Thoracoscopic images of a chronic bronchopleural fistula.
CRIPU2021-5513136.001.jpg
PMC8221083_02_CRIPU2021-5513136.001.jpg
fig1
There it was obvious that the stump was insufficient at the superior edge (Figure 1(c)). The first intervention to attempt ppBPF closure was a CT-guided percutaneous instillation of 10 mL of fibrin-based biological glue under local anesthesia with minimal pain (Figures 1(b) and 1(d)). Then, we applied 10 mL BioGlue  (CRYOLIFE Inc., Kennesaw, GA, USA) and a cellulose mesh (Surgicel  Ethicon , USA) on the site, and we recovered the dislodged previous BioGlue  cast placed initially (Figure 1(e)).
PMC8221083_02
(a) The narrow fistula tract is the identifiable target for glue obliteration. (b) Percutaneous CT fibrin instillation. (c) Virtual bronchoscopy is useful for the estimation of the problem. (d) Airtight obliterated fistula after the water test. (e) Thoracoscopic images of a chronic bronchopleural fistula.
CRIPU2021-5513136.001.jpg
PMC8221083_02_CRIPU2021-5513136.001.jpg
fig1
There it was obvious that the stump was insufficient at the superior edge (Figure 1(c)). The first intervention to attempt ppBPF closure was a CT-guided percutaneous instillation of 10 mL of fibrin-based biological glue under local anesthesia with minimal pain (Figures 1(b) and 1(d)). Then, we applied 10 mL BioGlue  (CRYOLIFE Inc., Kennesaw, GA, USA) and a cellulose mesh (Surgicel  Ethicon , USA) on the site, and we recovered the dislodged previous BioGlue  cast placed initially (Figure 1(e)).