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Air leaks and pulmonary emphysema in infants: selective bronchial intubation or balloon occlusion?
  1. André Jakob1,
  2. Roland Hentschel2
  1. 1Department of Pediatric Cardiology, University Heart Center Freiburg Bad Krozingen, Freiburg, Germany
  2. 2Department of Pediatrics and Adolescent Medicine, Division of Neonatology and Pediatric Intensive Care, University Hospital of Freiburg, Freiburg, Germany
  1. Correspondence to Dr André Jakob, Department of Pediatric Cardiology, University Heart Center Freiburg Bad Krozingen, Mathildenstraße 1, Freiburg 79106, Germany; andre.jakob{at}

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We read with interest the study by Hathorn et al1 presenting a series of six cases with selective bronchial occlusion using a balloon angiography catheter in children with pulmonary air leaks. This study confirms the feasibility of one-sided ventilation in massive pulmonary air leaks. This sophisticated technique was first described by Lewis et al2 in 1988 in a series of neonates exclusively. In contrast to the paper by Hathorn et al they used a Swan-Ganz catheter to occlude the bronchus. Hathorn et al’s case series included small preterm infants to a 6-year-old girl. Due to the frequent …

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