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Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema
Endoscopic lung volume reduction using unidirectional endobronchial valves is a new technique in the treatment of patients with severe emphysema. However, the movements of the thoracic structures after endobronchial valves insertion are still unpredictable We report the unusual outcome of six patien...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356607/ https://www.ncbi.nlm.nih.gov/pubmed/35941900 http://dx.doi.org/10.2147/COPD.S363490 |
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author | Taton, Olivier Heinen, Vincent Bondue, Benjamin Slebos, Dirk-Jan Shah, Pallav L Carron, Kris Moens, Olivia Leduc, Dimitri |
author_facet | Taton, Olivier Heinen, Vincent Bondue, Benjamin Slebos, Dirk-Jan Shah, Pallav L Carron, Kris Moens, Olivia Leduc, Dimitri |
author_sort | Taton, Olivier |
collection | PubMed |
description | Endoscopic lung volume reduction using unidirectional endobronchial valves is a new technique in the treatment of patients with severe emphysema. However, the movements of the thoracic structures after endobronchial valves insertion are still unpredictable We report the unusual outcome of six patients after valves insertion in the left upper lobe. They all developed a complete atelectasis of the target lobe, a pneumothorax and sequential genuine bullae in the treated left lung of unknown etiology. The chest CT scan prior to the valves insertion was unremarkable. Three patients developed an air–liquid level in the bullae the day before a bacterial infection of their left lower lobe. The three other patients had an uneventful spontaneous resolution of their bullae at long-term follow-up. Therefore, a conservative attitude should be followed in this particular setting. |
format | Online Article Text |
id | pubmed-9356607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-93566072022-08-07 Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema Taton, Olivier Heinen, Vincent Bondue, Benjamin Slebos, Dirk-Jan Shah, Pallav L Carron, Kris Moens, Olivia Leduc, Dimitri Int J Chron Obstruct Pulmon Dis Case Series Endoscopic lung volume reduction using unidirectional endobronchial valves is a new technique in the treatment of patients with severe emphysema. However, the movements of the thoracic structures after endobronchial valves insertion are still unpredictable We report the unusual outcome of six patients after valves insertion in the left upper lobe. They all developed a complete atelectasis of the target lobe, a pneumothorax and sequential genuine bullae in the treated left lung of unknown etiology. The chest CT scan prior to the valves insertion was unremarkable. Three patients developed an air–liquid level in the bullae the day before a bacterial infection of their left lower lobe. The three other patients had an uneventful spontaneous resolution of their bullae at long-term follow-up. Therefore, a conservative attitude should be followed in this particular setting. Dove 2022-08-02 /pmc/articles/PMC9356607/ /pubmed/35941900 http://dx.doi.org/10.2147/COPD.S363490 Text en © 2022 Taton et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Series Taton, Olivier Heinen, Vincent Bondue, Benjamin Slebos, Dirk-Jan Shah, Pallav L Carron, Kris Moens, Olivia Leduc, Dimitri Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema |
title | Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema |
title_full | Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema |
title_fullStr | Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema |
title_full_unstemmed | Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema |
title_short | Long-Term Follow-Up of Intralobar Bullae After Endobronchial Valve Treatment for Emphysema |
title_sort | long-term follow-up of intralobar bullae after endobronchial valve treatment for emphysema |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356607/ https://www.ncbi.nlm.nih.gov/pubmed/35941900 http://dx.doi.org/10.2147/COPD.S363490 |
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