{"id":101892,"date":"2026-09-14T12:45:23","date_gmt":"2026-09-14T17:45:23","guid":{"rendered":"https:\/\/pulmonx.com\/?page_id=101892"},"modified":"2026-09-14T12:46:04","modified_gmt":"2026-09-14T17:46:04","slug":"fugas-de-aire-persistentes","status":"publish","type":"page","link":"https:\/\/pulmonx.com\/es\/fugas-de-aire-persistentes\/","title":{"rendered":"Fugas de Aire Persistentes"},"content":{"rendered":"\n
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Tratamiento broncosc\u00f3pico de las fugas de aire persistentes
\nTratamiento m\u00ednimamente invasivo<\/h1>\n <\/div>\n<\/div>\n
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La fuga de aire persistente (FAP) en pulm\u00f3n se caracteriza por una prolongaci\u00f3n de m\u00e1s de 5-7 d\u00edas, lo que conlleva al tratamiento con drenaje tor\u00e1cico, asoci\u00e1ndose a una estancia hospitalaria prolongada, pudiendo aumentar la morbilidad.\u00b9-\u2076<\/sup>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Las v\u00e1lvulas Zephyr\u00ae<\/sup>, que se colocan de forma m\u00ednimamente invasiva mediante un broncoscopio, tratan eficazmente las fugas de aire persistentes y pueden reducir la duraci\u00f3n de la estancia hospitalaria en comparaci\u00f3n con el tratamiento est\u00e1ndar basado \u00fanicamente en el drenaje tor\u00e1cico.7<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n
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\u00bfQu\u00e9 es una fuga de aire persistente?<\/h1>\n <\/div>\n<\/div>\n
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Una fuga de aire en el pulm\u00f3n se define como la salida de aire del pulm\u00f3n hacia la cavidad pleural, lo que da lugar a un neumot\u00f3rax. Est\u00e1 causada por una f\u00edstula alveolopleural, una comunicaci\u00f3n entre los alv\u00e9olos y el espacio pleural. Esto tambi\u00e9n puede producirse entre un bronquio y la pleura, lo que se conoce como f\u00edstula broncopleural.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Si el aire contin\u00faa pasando a trav\u00e9s de la f\u00edstula hacia el espacio pleural, puede llegar a ser lo suficientemente grande como para inhibir la expansi\u00f3n pulmonar y requerir tratamiento con un drenaje tor\u00e1cico.\u00b9<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n
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Se entiende por fuga de aire persistente aquella que dura m\u00e1s de 5 a 7 d\u00edas.<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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\u00bfC\u00f3mo tratan las v\u00e1lvulas Zephyr las fugas de aire persistentes?
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Las v\u00e1lvulas Zephyr se colocan mediante un broncoscopio, ya sea bajo sedaci\u00f3n consciente o anestesia general.8<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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\nLas v\u00e1lvulas Zephyr colocadas en los bronquios lobulares o subsegmentarios bloquean el flujo de aire de la fuga, lo que permite que el neumot\u00f3rax se resuelva.<\/p>\n

Fiorelli A et al. han demostrado una resoluci\u00f3n del 88\u00a0% de las fugas de aire en 5,0 +\/- 1,7 d\u00edas.\n\u2028<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n

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Evidencia cl\u00ednica<\/h1>\n <\/div>\n<\/div>\n
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El \u00e9xito de las v\u00e1lvulas Zephyr en el tratamiento de las fugas de aire persistentes se ha descrito en m\u00faltiples series de casos y casos cl\u00ednicos.<\/p><\/div><\/div><\/div><\/div> <\/div>\n<\/div>\n\n

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En un estudio retrospectivo multic\u00e9ntrico en el que se evaluaron las v\u00e1lvulas Zephyr para el tratamiento de fugas de aire persistentes debidas a una f\u00edstula alveolopleural, el 88\u00a0% de los pacientes logr\u00f3 la resoluci\u00f3n completa de la fuga, mientras que otro 9\u00a0% mostr\u00f3 una reducci\u00f3n en su gravedad. 7<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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A los pacientes se les retiraron las v\u00e1lvulas en el 82\u00a0% de los casos tras una media de 134 \u00b1 83 d\u00edas, sin que se registraran complicaciones ni reaparecieran fugas de aire tras la retirada. 7<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n <\/div>\n
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Descubra todos los casos pr\u00e1cticos y aprenda c\u00f3mo gestionar las fugas de aire persistentes con las v\u00e1lvulas Zephyr en nuestro folleto.<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n
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\n \n Consultar evidencia cient\u00edfica <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n
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La intervenci\u00f3n, paso a paso<\/h1>\n <\/div>\n<\/div>\n
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Resultados clave\u2028<\/h1>\n

Tratamiento eficaz de las fugas de aire persistentes7<\/sup><\/h4>\n <\/div>\n<\/div>\n
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Referencias<\/strong>
\n1 DuganK et al. (2017) Management of Persistent Air Leaks CHEST 2017; 152(2):417-423
\n2 Sirbu, H, Busch, T, Aleksic, I, Schreiner, W, Oster, O, & Dalichau, H. Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors, and management. Ann Thorac Cardiovasc Surg, 2001; 7(6), 330\u2013336.
\n3 Liang, S, et al. Quantifying the incidence and impact of postoperative prolonged alveolar air leak after pulmonary resection. J Thorac Cardiovasc Surg, 2013; 145(4), 948\u2013954.
\n4 Bardell, T, & Petsikas, D. What keeps postpulmonary resection patients in hospital?. Can Respir J, 2003; 10(2), 86-89.
\n5 Varela, Gonzalo, et al. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy. Eur J Cardiothorac Surg, 2005; 27(2), 329\u2013333.
\n6 Irshad, Kashif, et al. Causes of increased length of hospitalization on a general thoracic surgery service: a prospective obser-vational study. Can J Surg, 2002; 45(4), 264.
\n7 Fiorelli A, D\u2019Andrilli A, Cascone R, Occhiati L, Anile M, Diso D, Cassiano F, Poggi C,Ibrahim M, Cusumano G, Terminella A, Failla G, La Sala A, Bezzi M, Innocenti M, Torricelli E, Venuta F, Rendina EA, Vicidomini G, Santini M, Andreetti C. Unidi-rectional endobronchial valves for management of persistent air-leaks: results of a multicenter study. J Thorac Dis 2018;10(11):6158-6167. doi: 10.21037\/ jtd.2018.10.61
\n8 Pulmonx Corp. Zephyr\u00ae<\/sup> Endobronchial Valve System Clinical Evaluation Report. Document 631-0016, Revision J. Redwood City, CA: Pulmonx Corporation; 2025; Section 3.7 (Intended Users).
\n9 Mahajan AK, Doeing DC, Hogarth DK. Isolation of persistent air leaks and placement of intrabronchial valves. J Thorac Cardiovasc Surg. 2013;145:626-630
\n10 Ficial, B.; Whebell, S.; Taylor, D.; Fern\u00e1ndez-Garda, R.; Okiror, L.; Meadows, C.I.S.Bronchoscopic Endobronchial Valve Therapy for Persistent Air Leaks in COVID-19 Patients Requiring Veno-Venous Extracorporeal Membrane Oxygenation. J. Clin. Med. 2023, 12, 1348.<\/p>\n

EMEA-ES-2925-v1<\/p>\n <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n","protected":false},"excerpt":{"rendered":"

Tratamiento broncosc\u00f3pico de las fugas de aire persistentes Tratamiento m\u00ednimamente invasivo La fuga de aire persistente (FAP) en pulm\u00f3n se caracteriza por una prolongaci\u00f3n de m\u00e1s de 5-7 d\u00edas, lo que conlleva al tratamiento con drenaje tor\u00e1cico, asoci\u00e1ndose a una estancia hospitalaria prolongada, pudiendo aumentar la morbilidad.\u00b9-\u2076 Las v\u00e1lvulas Zephyr\u00ae, que se colocan de forma […]<\/p>\n","protected":false},"author":1208,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-101892","page","type-page","status-publish","hentry","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"acf":[],"yoast_head":"\nFugas de Aire Persistentes - Pulmonx<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pulmonx.com\/es\/fugas-de-aire-persistentes\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fugas de Aire Persistentes - 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