Early results of endoscopic lung volume reduction for emphysema

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Presentation transcript:

Early results of endoscopic lung volume reduction for emphysema Anthony P.C Yim, MD, Thomas M.T Hwong, MB, ChB, Tak Wai Lee, MD, Wilson W.L Li, MSc, Shirley Lam, RN, Tai Kong Yeung, MD, David S.C Hui, MD, Fanny W.S Ko, MD, Alan D.L Sihoe, MB, BChir, Kin Hoi Thung, MB, ChB, Ahmed A Arifi, MD The Journal of Thoracic and Cardiovascular Surgery Volume 127, Issue 6, Pages 1564-1573 (June 2004) DOI: 10.1016/j.jtcvs.2003.10.005

Figure 1 A, Endobronchial valve (Emphasys, Redwood City, Calif). B, Bronchoscopic view showing the endobronchial valve after placement in the target bronchial segment (black arrow). The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1564-1573DOI: (10.1016/j.jtcvs.2003.10.005)

Figure 2 A, Baseline chest radiograph of patient 3 showing hyperinflated lung fields and a flattened diaphragm compatible with emphysema. B, Chest radiograph of the same patient showing collapse of the right upper lobe and an apical pneumothorax (white arrows) at postoperative day 1 after EBV placement in both upper lobes. C, Chest radiograph of the same patient showing progressive collapse of the right upper lobe (without pneumothorax) 1 month after placement of the EBVs. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1564-1573DOI: (10.1016/j.jtcvs.2003.10.005)

Figure 3 Baseline CT scan (left) and CT scan of the same patient at 1 month (right) after the procedure, showing collapse of the target segments (mainly the apical segment of the right upper lobe; arrows.) The 3-month result was similar to the image at 1 month (not shown). The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1564-1573DOI: (10.1016/j.jtcvs.2003.10.005)

Figure 4 Baseline V̇/Q̇ scan (top) of patient 3 showing a heterogeneous emphysema pattern. A V̇/Q̇ scan of the same patient at 3 months after EBV placement (bottom) shows an improvement of the ventilation (narrow arrows) and a corresponding improvement of the ventilation (broad arrows) when compared with baseline. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1564-1573DOI: (10.1016/j.jtcvs.2003.10.005)

The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1564-1573DOI: (10.1016/j.jtcvs.2003.10.005)