Bronchopleural Fistula
Conditions
Keywords
Bronchopleural Fistula, Platelet-rich plasma
Brief summary
Platelet-rich plasma(PRP), is a concentrate of platelet-rich plasma protein derived from whole blood. The main components of it are platelets, leukocytes and fibrin. Autologous PRP treatment can avoid the immune rejection caused by exogenous growth factor and the spread of disease. Evidence of the efficacy and safety of PRP has been proven in many studies. Bronchopleural fistula (BPF) represents a challenging clinical entity characterized by abnormal communication between the bronchial tree and the pleural space. Respiratory intervention has become one of the most common treatments to fight the disease. Although the short-term occlusion effect of conventional treatment methods of respiratory intervention is relatively easy to achieve, there is great uncertainty in the long-term treatment effect, and long-term large fistulas have little chance of healing. PRP has shown significant efficacy for hyperplastic scar of skin. Correspondingly, PRP will be applied as treatment of BPF to cure fistula.
Interventions
PRP treatment for bronchopleural fistula
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with aged between 18 to 75 * Subjects diagnosed with bronchopleural fistula (the sizes of the fistulas less than 4mm) * Subjects willing to accept PRP treatment
Exclusion criteria
* Subjects with fistulas larger than 4mm * Subjects who cannot tolerate bronchoscopy due to severe cardiac disease or other major comorbidities * Pregnant or breastfeeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cure rate for bronchopleural fistula | within 4-6 weeks after administration | Proportion of patients who is no need for endotracheal intervention and with stable clinical symptoms after PRP treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the modified Medical Research Council dyspnea scale (mMRC scale) | within 4-6 weeks after administration | The alleviation or aggravation of dyspnea assessed by the mMRC scale |
| COPD Assessment Test (CAT) | within 4-6 weeks after administration | Change of respiratory symptoms and quality of life evaluated by the CAT |
Countries
China