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Chartis System Corrected a Misjudged Location of a Giant Bulla Facilitating a Successful Bronchoscopic Bullectomy with Valves: A Case Report

Authors Guo F, Hu Y, Qiu J, Wang G

Received 2 January 2020

Accepted for publication 17 March 2020

Published 26 March 2020 Volume 2020:15 Pages 645—650

DOI https://doi.org/10.2147/COPD.S244559

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Prof. Dr. Chunxue Bai


Fangfang Guo,1 Yan Hu,1 Jianxing Qiu,2 Guangfa Wang1

1Department of Respiratory Medicine, Peking University First Hospital, Beijing 100034, People’s Republic of China; 2Department of Radiology, Peking University First Hospital, Beijing 100034, People’s Republic of China

Correspondence: Guangfa Wang
Department of Respiratory Medicine, Peking University First Hospital, 8 Xishiku Street, Xicheng District, Beijing 100034, People’s Republic of China
Tel +86 10 8357 5677
Email wangguangfa@hotmail.com

Abstract: The recommended standard treatment for giant bullae is surgical bullectomy. However, with a relatively high risk for perioperative morbidity and mortality, it is unsuitable for some patients. Recently, bronchoscopic bullectomy with one-way valves has shown efficacy and safety in some cases. Locating the giant bulla and confirming the negative collateral ventilation are essential for the bronchoscopic bullectomy with valves. Here, we report a case with a giant bulla using the Chartis System to correct the previous mislocation by the high-resolution computed tomography (HRCT), thus helping to achieve a great efficacy in the bronchoscopic bullectomy with valves. Our case suggests that bronchoscopic bullectomy with valves could be an effective and safe choice. Chartis system can be helpful in determining the location of a bulla when difficulty is encountered using HRCT.

Keywords: bullae, emphysema, Zephyr EBV, location


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