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Pneumothorax

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Ultrasound to Detect Central Venous Catheter Placement Associated Complications: A Multicenter Diagnostic Accuracy Study.

Jasper M Smit, Mark E Haaksma, Endry H T Lim, Thei S Steenvoorden, Michiel J Blans, Frank H Bosch, Manfred Petjak, Ben Vermin, Hugo R W Touw, Armand R J Girbes, Leo M A Heunks, Pieter R Tuinman,

BACKGROUND:Mechanical complications arising after central venous catheter placement are mostly malposition or pneumothorax. To date, to confirm correct position and detect pneumothorax, chest x-ray film has been the reference standard, while ultrasound might be an accurate alternative. The aim of this study was to evaluate diagnostic accuracy of ultrasound to ... Read more >>

Anesthesiology (Anesthesiology)
[2020, 132(4):781-794]

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Serratus Anterior Plane Block and Intercostal Nerve Block after Thoracoscopic Surgery.

Saeyoung Kim, Chae-Min Bae, Young Woo Do, Suyoung Moon, Seung Ik Baek, Deok Heon Lee,

BACKGROUND: This study aimed to compare the postoperative analgesic effect between ultrasound-guided serratus anterior plane block (Group S, SAPB) and intercostal nerve block (Group I, ICNB) after single port video-assisted thoracoscopic surgery (S-VATS) in primary spontaneous pneumothorax. METHODS: In this prospective randomized controlled study, 54 patients were randomly assigned to two groups. ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Micropuncture Access Set Use During Implantation of Totally Implantable Venous Access Device May Reduce Upper Extremity DVT Incidence Among Patients Undergoing Chemotherapy for Colorectal Cancer.

Chul Seung Lee, Sung-Hoon Yoon, Seung-Min Lee, In Kyu Lee, Jang Young Kim, Hyun Min Cho, Min Ki Kim,

BACKGROUND:The aim of this study was to compare the perioperative outcomes when using a micropuncture access set (MS) to those when using a conventional puncture set (CS) for implantation of totally implantable venous access device (TAVID). METHODS:A total of 314 patients undergoing chemotherapy for colorectal cancer were included between June ... Read more >>

World J Surg (World journal of surgery)
[2020, 44(4):1302-1308]

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Impact of Histopathologic Changes Induced by Polyethylene Glycol Hydrogel Pleural Sealants Used During Transthoracic Biopsy on Lung Cancer Resection Specimen Staging.

Kelly J Butnor, Adina A Bodolan, Britni R E Bryant, Alan Schned,

Patients undergoing transthoracic needle core lung biopsy (TTNB) are at risk for biopsy-related pneumothorax. Instilling pleural sealant at the pleural puncture site reduces this risk. The impact of histologic changes associated with pleural sealant on assessing the histologic type and pathologic stage in lung cancer resection specimens has not been ... Read more >>

Am. J. Surg. Pathol. (The American journal of surgical pathology)
[2020, 44(4):490-494]

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Occult Pneumothorax in Patients Presenting with Blunt Chest Trauma: An Observational Analysis.

Ismail Mahmood, Basil Younis, Khalid Ahmed, Fuad Mustafa, Ayman El-Menyar, Mohammad Alabdallat, Ashok Parchani, Ruben Peralta, Syed Nabir, Nadeem Ahmed, Hassan Al-Thani,

Background: We aimed to assess the management and outcome of occult pneumothorax and to determine the factors associated with failure of observational management in patients with blunt chest trauma (BCT). Methods: Patients with BCT were retrospectively identified from the trauma database over 4 years. Data were analyzed and compared on ... Read more >>

Qatar Med J (Qatar medical journal)
[2020, 2020(1):10]

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Pneumothorax and Pregnancy: A Systematic Review of the Current Literature and Proposal of Treatment Recommendations.

Apostolos C Agrafiotis, Jalal Assouad, Inès Lardinois, Georges A Markou,

INTRODUCTION: Spontaneous pneumothorax occurs rarely during pregnancy with less than 100 cases reported in the English literature. There is no strong evidence concerning the treatment of spontaneous pneumothorax during pregnancy and labor. The aim of this study is to systematically review all the reported cases and to suggest recommendations for its ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Fate of contralateral asymptomatic bullae in patients with primary spontaneous pneumothorax.

Hyo Jun Jang, Jun Ho Lee, Seung Hyuk Nam, Sun Kyun Ro,

OBJECTIVES:This retrospective cohort study aimed to analyse the impact of asymptomatic blebs/bullae on the occurrence of primary spontaneous pneumothorax (PSP) by monitoring the natural course of contralateral blebs/bullae in patients with ipsilateral pneumothorax. METHODS:From January 2003 to December 2017, 1055 patients [age 19.6 ± 3.98 years (mean ± standard deviation), 953 men] experiencing ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2020, :]

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Spontaneous Pneumothorax After Rupture of the Cavity as the Initial Presentation of Tuberculosis in the Emergency Department.

Killen H Briones-Claudett, Mónica H Briones-Claudett, Alex Posligua Moreno, Domenica Estupiñan Vargas, Marlon E Martinez Alvarez, Michelle Grunauer Andrade,

BACKGROUND Spontaneous pneumothorax can be secondary to a wide variety of lung diseases. Spontaneous pneumothorax secondary to pulmonary tuberculosis occurs in rare cases of residual fibrosis with retractions and bullae. CASE REPORT We present the case of a 65-year-old male patient from a rural area in the province of Los ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e920393]

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Endometriosis Involving the Diaphragm: A Patient-Tailored Minimally Invasive Surgical Treatment.

Andrea Viti, Pietro Bertoglio, Giovanni Roviglione, Roberto Clarizia, Giacomo Ruffo, Marcello Ceccaroni, Alberto C Terzi,

BACKGROUND:Diaphragmatic endometriosis is a rare presentation of endometriosis and no standardized technique for surgical treatment is available so far. We aim to verify and describe feasibility, safety and post-operative outcomes of patients affected by diaphragmatic endometriosis treated with a minimally invasive video-assisted thoracic approach. METHODS:We prospectively collected data of all ... Read more >>

World J Surg (World journal of surgery)
[2020, 44(4):1099-1104]

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Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies in medical imaging.

Myura Nagendran, Yang Chen, Christopher A Lovejoy, Anthony C Gordon, Matthieu Komorowski, Hugh Harvey, Eric J Topol, John P A Ioannidis, Gary S Collins, Mahiben Maruthappu,

OBJECTIVE:To systematically examine the design, reporting standards, risk of bias, and claims of studies comparing the performance of diagnostic deep learning algorithms for medical imaging with that of expert clinicians. DESIGN:Systematic review. DATA SOURCES:Medline, Embase, Cochrane Central Register of Controlled Trials, and the World Health Organization trial registry from 2010 ... Read more >>

BMJ (BMJ (Clinical research ed.))
[2020, 368:m689]

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Comparison of Baseline, Bone-Subtracted, and Enhanced Chest Radiographs for Detection of Pneumothorax.

Fatemeh Homayounieh, Subba R Digumarthy, Jennifer A Febbo, Sherief Garrana, Chayanin Nitiwarangkul, Ramandeep Singh, Ruhani Doda Khera, Matthew Gilman, Mannudeep K Kalra,

PURPOSE:To assess and compare detectability of pneumothorax on unprocessed baseline, single-energy, bone-subtracted, and enhanced frontal chest radiographs (chest X-ray, CXR). METHOD AND MATERIALS:Our retrospective institutional review board-approved study included 202 patients (mean age 53 ± 24 years; 132 men, 70 women) who underwent frontal CXR and had trace, moderate, large, ... Read more >>

Can Assoc Radiol J (Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes)
[2020, :846537120908852]

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A Prospective Outcome Assessment After Bronchoscopic Interventions for Malignant Central Airway Obstruction.

Anant Mohan, Prajowl Shrestha, Karan Madan, Vijay Hadda, Ravindra M Pandey, Ashish Upadhyay, Gopi C Khilnani, Randeep Guleria,

BACKGROUND:A systematic assessment of comprehensive clinical outcomes after various therapeutic procedures for malignant central airway obstruction (CAO) is lacking. METHODS:Patients with symptomatic malignant CAO undergoing various therapeutic bronchoscopy procedures were assessed for symptomatic and functional improvement using the Speiser Score, spirometry, 6-minute walk distance (6MWD), and St. George Respiratory Questionnaire ... Read more >>

J Bronchology Interv Pulmonol (Journal of bronchology & interventional pulmonology)
[2020, 27(2):95-105]

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Application of treatment planning system assisted large-aperture computed tomography simulator in percutaneous biopsy: initial experience by a radiation therapist

Xiang-quan Kong, Xiaoyi Lin, Jun-qiang Hong, Shui-ying Luo, You-qun Lai, Yong-liang Dai,

<title>Abstract</title> <p> Background and purpose To evaluate the application of treatment planning system (TPS) assisted large-aperture computed tomography (CT) simulator in percutaneous biopsy, and report our initial experience of the accuracy and safety of this procedure. Methods From November 2018 to December 2019, treatment planning system assisted large-aperture ... Read more >>

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Mediastinal Emphysema, Giant Bulla, and Pneumothorax Developed during the Course of COVID-19 Pneumonia.

Ruihong Sun, Hongyuan Liu, Xiang Wang,

The coronavirus disease 2019 (COVID-19) pneumonia is a recent outbreak in mainland China and has rapidly spread to multiple countries worldwide. Pulmonary parenchymal opacities are often observed during chest radiography. Currently, few cases have reported the complications of severe COVID-19 pneumonia. We report a case where serial follow-up chest computed ... Read more >>

Korean J Radiol (Korean journal of radiology)
[2020, :]

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Transbronchial Lung Cryobiopsy May be of Value for Nonresolving Acute Respiratory Distress Syndrome: Case series and Systematic literature Review

Qingyuan Zhan, Guowu Zhou, Yingying Feng, Shiyao Wang, Yi Zhang, Ye Tian, Xiaojing Wu, Ling Zhao, Dan Wang, Yi Li, Zheng Tian,

<title>Abstract</title> <p> Background: Identifying pathologic features is helpful for the management of nonresolving acute respiratory distress syndrome (ARDS). Transbronchial lung cryobiopsy (TBLC) is a novel biopsy technique that may have comparable utility to surgical biopsy. The aim of this study was to assess the value of TBLC in ... Read more >>

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Safety and reliability of computed tomography-guided lipiodol marking for undetectable pulmonary lesions.

Kazuhiro Ito, Junichi Shimada, Masanori Shimomura, Kunihiko Terauchi, Motohiro Nishimura, Masashi Yanada, Yasushi Iwasaki, Yasuo Ueshima, Daishiro Kato, Hirofumi Suzuki, Masayoshi Inoue,

OBJECTIVES:This study aimed to evaluate the safety and reliability of percutaneous computed tomography (CT)-guided lipiodol marking for undetectable pulmonary lesions before video-assisted thoracic surgery (VATS). METHODS:We retrospectively analysed the cases of CT-guided lipiodol marking followed by VATS in 9 institutes from May 2006 to March 2018. Lipiodol (0.2-0.5 ml) was percutaneously ... Read more >>

Interact Cardiovasc Thorac Surg (Interactive cardiovascular and thoracic surgery)
[2020, 30(4):546-551]

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New options for pneumothorax management.

Ke-Cheng Chen, Pei-Hsing Chen, Jin-Shing Chen,

Introduction: Pneumothorax is defined as the presence of air in the pleural space. Spontaneous pneumothorax, occurring without antecedent traumatic or iatrogenic cause, is classified as primary or secondary. There are substantial inconsistencies in international guidelines for the treatment of pneumothorax. Moreover, many geographical variations exist in daily clinical practice.Areas covered: ... Read more >>

Expert Rev Respir Med (Expert review of respiratory medicine)
[2020, :1-5]

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Management of the Pediatric Spontaneous Pneumothorax: The Role of Video-Assisted Thoracoscopic Surgery.

Zenon Pogorelić, Ružica Gudelj, Dora Bjelanović, Miro Jukić, Sara Elezović Baloević, Sandro Glumac, Dubravko Furlan,

Purpose: Treatment of pneumothorax involves conservative treatment and surgery. The aim of this study was to assess the best approach of initial treatment and long-term outcomes of video-assisted thoracic surgery (VATS) for primary spontaneous pneumothorax in pediatric patients. Patients and Methods: From January 2009 until June 2019, 36 patients younger ... Read more >>

J Laparoendosc Adv Surg Tech A (Journal of laparoendoscopic & advanced surgical techniques. Part A)
[2020, :]

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Clinical relevance and characteristics of nontuberculous mycobacterial pleuritis.

Peng Wen, Min Wei, Yu-Rong Xu, Liang Dong,

Nontuberculous mycobacteria (NTM) disease is of increasing public health concern, data regarding pleural effusion in NTM disease patients are limited. The purpose of this study was to investigate the clinical relevance and characteristics of NTM pleuritis. Patients with pleural effusion and NTM disease diagnosed between April 2012 and November 2017 ... Read more >>

Jpn. J. Infect. Dis. (Japanese journal of infectious diseases)
[2020, :]

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Efficacy and analgesic use during the therapy of iatrogenic pneumothorax using Pleuralvent™ and Chest Tube (ASPIRATE): A randomised controlled trial protocol.

Milan Sova, Martin Poruba, Samuel Genzor, Petr Jakubec, Jaromir Zatloukal, Vitezslav Kolek, Karel Urbanek, Martina Vasakova, Ludek Stehlik, Pavla Zackova, Amjad Ghazal Asswad,

BACKGROUND:Iatrogenic pneumothorax is a common complication of various diagnostic and therapeutic procedures such as transbronchial lung biopsies. The classical mode of treatment is chest tube insertion. Pneumothorax devices are now available on the market but there is a dearth of data on their efficacy to treat iatrogenic pneumothorax. It is ... Read more >>

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub (Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia)
[2020, :]

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FLCN-regulated miRNAs suppressed reparative response in cells and pulmonary lesions of Birt-Hogg-Dubé syndrome.

Haiyan Min, Dehua Ma, Wei Zou, Yongzheng Wu, Yibing Ding, Chengchu Zhu, Anqi Lin, Shiyu Song, Qiao Liang, Baofu Chen, Bin Zhang, Yueming Wan, Minhua Ye, Yanqing Pan, Yanting Wen, Long Yi, Qian Gao,

BACKGROUND:Birt-Hogg-Dubé Syndrome (BHDS) characterised by skin fibrofolliculomas, kidney tumour and pulmonary cysts/pneumothorax is caused by folliculin (FLCN) germline mutations. The pathology of both neoplasia and focused tissue loss of BHDS strongly features tissue-specific behaviour of the gene. Isolated cysts/pneumothorax is the most frequent atypical presentation of BHDS and often misdiagnosed ... Read more >>

Thorax (Thorax)
[2020, :]

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Co-occurrence of bilateral pneumothorax and pneumoperitoneum.

Junji Ichinose, Yosuke Matsuura, Masayuki Nakao, Mingyon Mun,

BMJ Case Rep (BMJ case reports)
[2020, 13(3):]

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Deep learning algorithm for surveillance of pneumothorax after lung biopsy: a multicenter diagnostic cohort study.

Eui Jin Hwang, Jung Hee Hong, Kyung Hee Lee, Jung Im Kim, Ju Gang Nam, Da Som Kim, Hyewon Choi, Seung Jin Yoo, Jin Mo Goo, Chang Min Park,

OBJECTIVES:Pneumothorax is the most common and potentially life-threatening complication arising from percutaneous lung biopsy. We evaluated the performance of a deep learning algorithm for detection of post-biopsy pneumothorax in chest radiographs (CRs), in consecutive cohorts reflecting actual clinical situation. METHODS:We retrospectively included post-biopsy CRs of 1757 consecutive patients (1055 men, ... Read more >>

Eur Radiol (European radiology)
[2020, :]

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Spontaneous resolution of a costal osteochondroma presenting as pneumothorax.

Hyemin Park, Gye Yeon Lim, Hye Won Kim,

Pediatr Int (Pediatrics international : official journal of the Japan Pediatric Society)
[2020, :]

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RFA of primary and metastatic lung tumors: long-term results.

Stefano Giusto Picchi, Giulia Lassandro, Andrea Bianco, Andrea Coppola, Anna Maria Ierardi, Umberto G Rossi, Francesco Lassandro,

The aim of our study is a retrospective evaluation of effectiveness and safety of Computed Tomography (CT)-guided radiofrequency ablation (RFA) therapy of primary and metastatic lung lesions in patients that cannot be considered surgical candidates. From February 2007 to September 2017, we performed 264 CT-guided ablation sessions on 264 lesions ... Read more >>

Med. Oncol. (Medical oncology (Northwood, London, England))
[2020, 37(5):35]

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