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Pneumatocoeles after bronchoscopic lung volume reduction with valves.
Francois Lestelle1, Romane Fumat1, Alain Didier1
1Pulmonology Dept, Larrey University Hospital, Toulouse, France.
ERJ Open Research
|April 9, 2021
Summary
Pneumatocoele, a rare complication of Zephyr EBV, may arise from chest tube use. This condition can fully heal with functional improvement, even without removing the valve.
Area of Science:
- Pulmonology
- Thoracic Surgery
Background:
- Pneumatocoele is an extremely rare complication associated with Zephyr Endobronchial Valve (EBV) implantation.
- Potential causes include chest tube insertion and suctioning of a trapped, emphysematous lung.
Purpose of the Study:
- To report a case of pneumatocoele following Zephyr EBV implantation.
- To discuss the management and outcomes of this rare complication.
Main Methods:
- Case report detailing the occurrence of pneumatocoele post-EBV placement.
- Review of clinical management strategies and patient follow-up.
Main Results:
- The patient developed a pneumatocoele, likely secondary to chest tube intervention.
- Complete resolution of the pneumatocoele and significant functional improvement were achieved.
- Valve explantation was not required for successful management.
Conclusions:
- Pneumatocoele is a rare but manageable complication of Zephyr EBV.
- Conservative management, including chest tube management and suction, can lead to favorable outcomes.
- Functional recovery is possible without the need for valve removal, highlighting the importance of careful monitoring and tailored treatment.
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