Bronchoscopic Intrabullous Autologous Blood Instillation: A Novel Approach for the Treatment of Giant Bullae Zaid Zoumot, MBBS, Samuel V. Kemp, MBBS,

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Presentation transcript:

Bronchoscopic Intrabullous Autologous Blood Instillation: A Novel Approach for the Treatment of Giant Bullae Zaid Zoumot, MBBS, Samuel V. Kemp, MBBS, Cielito Caneja, RSN, Suveer Singh, PhD, Pallav L. Shah, MD The Annals of Thoracic Surgery Volume 96, Issue 4, Pages 1488-1491 (October 2013) DOI: 10.1016/j.athoracsur.2013.03.108 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Extended working channel. (B) The intrabullous position of the tip of the working channel is confirmed fluoroscopically. The Annals of Thoracic Surgery 2013 96, 1488-1491DOI: (10.1016/j.athoracsur.2013.03.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A–D) Individual results at baseline and 3 months after bronchoscopic intrabullous blood instillation treatment. Red dash illustrates group means. Patient 3 was unable to complete the 6MWT; hence, results for only 4 patients are shown. (FEV1 = Forced expiratory volume in 1 second; RV = residual volume; SGRQ = St. George Respiratory Questionnaire; 6MWT 6-min walk test.) The Annals of Thoracic Surgery 2013 96, 1488-1491DOI: (10.1016/j.athoracsur.2013.03.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Coronal computerized tomographic scan images at baseline and 3 months after bronchoscopic intrabullous autologous blood instillation treatment in patient 2, demonstrating shrinkage in the size of the bulla. The Annals of Thoracic Surgery 2013 96, 1488-1491DOI: (10.1016/j.athoracsur.2013.03.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Computerized tomographic scan images at the levels of the aortic arch, the carina, and T7 vertebra at baseline and 3 months after treatment in patient 4, demonstrating shrinkage of the giant bulla with reexpansion of the upper lobe and shifting of the mediastinum toward the treated lung. The Annals of Thoracic Surgery 2013 96, 1488-1491DOI: (10.1016/j.athoracsur.2013.03.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions