Persistent pulmonary air leaks are usually treated conservatively with prolonged thoracostomy tube drainage. In case this approach fails, surgical revision used to be the only option. This case report describes the successful treatment of a 66-year old patient who developped a pulmonary air leak after cardiothoracic surgery that persisted despite attempted surgical repair and talc pleurodesis. The treatment was successfully completed with endobronchial valves thereby demonstrating that treatment with endobronchial valves doesn't only represent an alternative to surgery, but that it can also be successful in case surgical intervention fails.
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http://dx.doi.org/10.5603/ARM.a2020.0075 | DOI Listing |
ERJ Open Res
March 2025
University of Groningen, University Medical Center Groningen, Department of Pulmonary Diseases, Groningen, The Netherlands.
Rationale: Bronchoscopic lung volume reduction treatment using endobronchial valves (EBV) is an effective treatment for severe COPD patients by improving lung function and quality of life. However, little is known about its effects on systemic inflammation. Therefore, the aim of our study was to investigate whether EBV treatment impacts the inflammatory cytokine profile.
View Article and Find Full Text PDFMonaldi Arch Chest Dis
March 2025
Unit of Interventional Pulmonology, Department of Internal Medicine, University Hospital of Careggi, Florence.
The management of tuberculosis (TB) presents significant challenges, particularly in the context of multidrug-resistant TB (MDR-TB) and TB-HIV co-infection. Traditional surgical interventions, such as lung resection and pneumothorax induction, have largely been phased out with the advent of modern antibiotic regimens. However, emerging evidence suggests that endobronchial interventions, specifically the use of unidirectional valves, have potential in supporting the treatment of MDR-TB.
View Article and Find Full Text PDFRadiographics
March 2025
From the Department of Radiology, Temple University Hospital, 3401 N Broad St, Philadelphia, PA 19104 (Y.S.G., R.G., M.K., C.D.); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pa (S.S., F.D.); and Division of Chest Imaging, Atlantic Medical Imaging, Galloway, NJ (P.H.).
Lung volume reduction is a treatment option for patients with severe emphysema and predominant chronic obstructive pulmonary disease that is refractory to medical treatment. These patients often experience symptoms associated with hyperinflation including dyspnea and exercise limitation. In recent years, bronchoscopic lung volume reduction using endobronchial valve (EBV) therapy has emerged as a U.
View Article and Find Full Text PDFInt J Chron Obstruct Pulmon Dis
February 2025
Department of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Ensuring proper placement of one-way endobronchial valves is a vital step in achieving successful bronchoscopic lung volume reduction. The ability to navigate into sharply angled airways may be limited by the maximal flexion capability of bronchoscopes. We sometimes encounter difficult anatomical situations, causing a challenging, or sometimes even impossible placement of the EBV in the appropriate position due to steep bronchial bifurcation angles, particularly in the apical segments.
View Article and Find Full Text PDFChest
February 2025
Department of Respiratory Disease, Xinqiao Hospital, Third Military Medical University, Chongqing, China. Electronic address:
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