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Bronchoscopic Location of Bronchopleural Fistula with Xenon-133

University of California Davis School of Medicine, Davis, California

Correspondence: For reprints contact: G. A. Lillington, MD, Division of Pulmonary Medicine, UC Davis Medical Center, 4301 X Street, Sacramento, CA 95817.

ABSTRACT

Successful application of the technique of transbronchoscopic endobronchial occlusion of a persistent bronchopleural fistula requires an accurate determination of the segmental location of the air leak. This was achieved by injections of small boluses of Xe-133 into a number of segmental bronchi through a fiber-optic bronchoscope. Following the instillation of Xe-133 into the segmental bronchus leading to the fistula, there was a marked increase in radioactivity in the intercostal drainage tube.

FOOTNOTES

^* Currently at Wenatchee Valley Clinic, Wenatchee, WA.