{"id":101876,"date":"2026-09-14T12:07:30","date_gmt":"2026-09-14T17:07:30","guid":{"rendered":"https:\/\/pulmonx.com\/?page_id=101876"},"modified":"2026-09-14T12:21:32","modified_gmt":"2026-09-14T17:21:32","slug":"traitement-des-fuites-dair-persistantes","status":"publish","type":"page","link":"https:\/\/pulmonx.com\/fr\/traitement-des-fuites-dair-persistantes\/","title":{"rendered":"Traitement des fuites d\u2019air persistantes"},"content":{"rendered":"\n
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Prise en charge bronchoscopique des fuites d\u2019air persistantes\u00a0
Traitement mini-invasif<\/h1>\n <\/div>\n<\/div>\n
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Une fuite d\u2019air persistante (PAL) dans les poumons est d\u00e9finie comme se prolongeant au-del\u00e0 d\u2019une p\u00e9riode de 5 \u00e0 7\u00a0jours et a pour cons\u00e9quence une plus longue p\u00e9riode de drainage thoracique et d\u2019hospitalisation, avec un risque d\u2019augmentation de la morbidit\u00e9.1-6<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Les valves Zephyr\u00ae<\/sup>, mises en place de mani\u00e8re mini-invasive par bronchoscopie, permettent de traiter efficacement les fuites d\u2019air persistantes et de r\u00e9duire potentiellement la dur\u00e9e d\u2019hospitalisation par rapport \u00e0 une prise en charge standard par un drain thoracique seul.7<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n
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\n \n T\u00e9l\u00e9charger la pr\u00e9sentation <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n
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Qu\u2019est-ce qu\u2019une fuite d\u2019air persistante ?<\/h1>\n <\/div>\n<\/div>\n
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Une fuite d\u2019air dans les poumons est d\u00e9finie comme de l\u2019air s\u2019\u00e9chappant des poumons vers la cavit\u00e9 pleurale, provoquant ainsi un pneumothorax. Une fuite d\u2019air est caus\u00e9e par une fistule alv\u00e9olo-pleurale, un canal entre les alv\u00e9oles et l\u2019espace pleural.\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Ces fuites peuvent \u00e9galement survenir entre des bronches et la pl\u00e8vre, ce que l\u2019on appelle une fistule broncho-pleurale. \u2028\u2028L\u2019accumulation d\u2019air dans l\u2019espace pleural via la fistule peut potentiellement aller jusqu\u2019\u00e0 bloquer l\u2019expansion des poumons, n\u00e9cessitant la pose d\u2019un drain thoracique.1<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n
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Une fuite d\u2019air persistante dure, par d\u00e9finition, plus de 5 \u00e0 7\u00a0jours.<\/div><\/div><\/div><\/div> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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Comment les valves Zephyr permettent-elles de traiter les fuites d\u2019air persistantes ?<\/h1>\n <\/div>\n<\/div>\n
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Les valves Zephyr sont mises en place via un bronchoscope, sous s\u00e9dation consciente ou sous anesth\u00e9sie g\u00e9n\u00e9rale.8<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Les valves Zephyr plac\u00e9es dans les bronches lobaires ou sous-segmentaires bloquent le flux d\u2019air vers la fuite, permettant ainsi la r\u00e9sorption du pneumothorax.<\/p>\n

Fiorelli A et al. ont d\u00e9montr\u00e9 la r\u00e9sorption de 88\u00a0% des fuites d\u2019air en 5,0 +\/- 1,7\u00a0jours.\n<\/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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Preuves cliniques<\/h1>\n <\/div>\n<\/div>\n
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De nombreux cas et rapports ont mis en avant la capacit\u00e9 des valves Zephyr \u00e0 prendre en charge les fuites d\u2019air persistantes.\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Une \u00e9tude multicentrique respective \u00e9valuant les performances des valves Zephyr face \u00e0 des fuites d\u2019air persistantes caus\u00e9es par une fistule alv\u00e9olo-pleurale a montr\u00e9 que 88 % des patients pr\u00e9sentaient une r\u00e9solution totale des fuites d\u2019air, et 9 % suppl\u00e9mentaires une r\u00e9duction de la gravit\u00e9 des fuites.7<\/sup><\/p><\/div><\/div><\/div><\/div> <\/div>\n<\/div>\n\n

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Chez 82\u00a0% des patients, les valves ont \u00e9t\u00e9 retir\u00e9es apr\u00e8s 134\u00a0\u00b1\u00a083 jours en moyenne, sans complication ni r\u00e9currence des fuites d\u2019air signal\u00e9es apr\u00e8s le retrait.7<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n <\/div>\n
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Vous trouverez dans notre brochure l\u2019ensemble des \u00e9tudes de cas ainsi que des informations concernant la gestion des fuites d\u2019air persistantes avec les valves Zephyr.<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n
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\n \n Voir les preuves <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n
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\n \n Consulter l\u2019\u00e9tude compl\u00e8te <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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La proc\u00e9dure, \u00e9tape par \u00e9tape<\/h1>\n <\/div>\n<\/div>\n
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Principaux r\u00e9sultats<\/h1>\n

Prise en charge efficace des fuites d\u2019air persistantes7<\/sup><\/h4>\n <\/div>\n<\/div>\n
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R\u00e9f\u00e9rences<\/strong>
1 DuganK et al. (2017) Management of Persistent Air Leaks CHEST 2017; 152(2):417-423
2 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.
3 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.
4 Bardell, T, & Petsikas, D. What keeps postpulmonary resection patients in hospital?. Can Respir J, 2003; 10(2), 86-89.
5 Varela, Gonzalo, et al. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy. Eur J Cardiothorac Surg, 2005; 27(2), 329\u2013333.
6 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.
7 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\u2028
8 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).\u2028
9 Mahajan AK, Doeing DC, Hogarth DK. Isolation of persistent air leaks and placement of intrabronchial valves. J Thorac Cardiovasc Surg. 2013;145:626-630
10 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>

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

Prise en charge bronchoscopique des fuites d\u2019air persistantes\u00a0Traitement mini-invasif Une fuite d\u2019air persistante (PAL) dans les poumons est d\u00e9finie comme se prolongeant au-del\u00e0 d\u2019une p\u00e9riode de 5 \u00e0 7\u00a0jours et a pour cons\u00e9quence une plus longue p\u00e9riode de drainage thoracique et d\u2019hospitalisation, avec un risque d\u2019augmentation de la morbidit\u00e9.1-6 Les valves Zephyr\u00ae, mises en place […]<\/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-101876","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":"\nTraitement des fuites d\u2019air persistantes - 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\/fr\/traitement-des-fuites-dair-persistantes\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Traitement des fuites d\u2019air persistantes - 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