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Refractory tracheoesophageal fistula management with Amplatzer Occluder placement - Menção Honrosa (Fotografia)
Refractory tracheoesophageal fistula management with Amplatzer Occluder placement - Menção Honrosa (Fotografia)
João Carlos Silva, Carlos Fernandes, João Carvalho
Centro Hospitalar Vila Nova de Gaia e Espinho
A 68-years-old women admitted in the ER for dysphagia and cough. The patient had medical history of TEF resulting from tracheostomy and prolonged mechanical ventilation. Previous endoscopic treatment had failed, namely 3-attempts of closure with over-the-scope clip (OTSC®). The patient refused surgery. After multidisciplinary discussion (Gastroenterology, Pneumology, Surgery and Interventional-Cardiology), it was decided to attempt Amplatzer-Occluder® placement. An 8mm Amplatzer-Occluder® was placed from the tracheal side, with sequential opening of the oesophageal and tracheal strands (under endoscopic, bronchofibroscopic and fluoroscopic visualization).
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