scholarly journals Do Blebs or Bullae on High-Resolution Computed Tomography Predict Ipsilateral Recurrence in Young Patients at the First Episode of Primary Spontaneous Pneumothorax?

2019 ◽  
Vol 52 (2) ◽  
pp. 91-99 ◽  
Author(s):  
Sungjoon Park ◽  
Hyo Jun Jang ◽  
Ju Hoon Song ◽  
So Young Bae ◽  
Hyuck Kim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Resolution ◽  
Spontaneous Pneumothorax ◽  
Young Patients ◽  
Primary Spontaneous Pneumothorax ◽  
First Episode ◽  
High Resolution Computed Tomography ◽  
Ipsilateral Recurrence

Usefulness of Computed Tomography in Determining Risk of Recurrence After a First Episode of Primary Spontaneous Pneumothorax: Therapeutic Implications

2007 ◽  
Vol 43 (6) ◽  
pp. 304-308 ◽  
Author(s):  
David Martínez-Ramos ◽  
Vicente Ángel-Yepes ◽  
Javier Escrig-Sos ◽  
Juan Manuel Miralles-Tena ◽  
José Luis Salvador-Sanchís
Keyword(s):  
Computed Tomography ◽  
Spontaneous Pneumothorax ◽  
Primary Spontaneous Pneumothorax ◽  
First Episode ◽  
Risk Of Recurrence ◽  
Therapeutic Implications

scholarly journals Fate of contralateral asymptomatic bullae in patients with primary spontaneous pneumothorax

2020 ◽  
Vol 58 (2) ◽  
pp. 365-370
Author(s):  
Hyo Jun Jang ◽  
Jun Ho Lee ◽  
Seung Hyuk Nam ◽  
Sun Kyun Ro
Keyword(s):  
Spontaneous Pneumothorax ◽  
Multivariable Analysis ◽  
Primary Spontaneous Pneumothorax ◽  
First Episode ◽  
High Resolution Computed Tomography ◽  
Contralateral Lung ◽  
Younger Age ◽  
Independent Risk Factors ◽  
The Impact

Abstract 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 the first episode of unilateral PSP were enrolled in this study, excluding patients aged 30 years or more. The presence, number and maximal size of the blebs/bullae were investigated in contralateral asymptomatic lungs based on high-resolution computed tomography. RESULTS Multiple and single blebs/bullae were noted in contralateral lungs in 425 (40.3%) and 88 (8.3%) patients, respectively. The median follow-up period was 44.0 (interquartile range 71.5) months. The 1-, 3- and 5-year cumulative occurrence rates of PSP in contralateral lungs were 7.9%, 13.7% and 16.7%, respectively. On multivariable analysis, younger age [hazard ratio (HR) 1.19, 95% confidence interval (CI) 1.12–1.27; P < 0.001) and multiple bullae (HR 4.42, 95% CI 3.06–6.38; P < 0.001) were independent risk factors for spontaneous pneumothorax in the contralateral lung. The 5-year cumulative occurrence rates of PSP were significantly higher in patients with multiple blebs/bullae than in those with no or a single bleb/bulla (28.2% vs 8.5%, respectively; P < 0.001). CONCLUSIONS Asymptomatic blebs/bullae often lead to PSP. If the patient is eligible for surgery for pneumothorax, preemptive surgery for contralateral bullae could be considered, especially in patients with multiple blebs/bullae.

scholarly journals F-068 * FIRST EPISODE OF PRIMARY SPONTANEOUS PNEUMOTHORAX: IS A COMPUTED-TOMOGRAPHY-BASED PULMONARY LESION SCORING SYSTEM VALUABLE TO SELECT PATIENTS FOR EARLY SURGERY?

2014 ◽  
Vol 18 (suppl 1) ◽  
pp. S18-S18
Author(s):  
F. Primavesi ◽  
T. Jager ◽  
T. Meissnitzer ◽  
S. Buchner ◽  
S. Reich-Weinberger ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Scoring System ◽  
Spontaneous Pneumothorax ◽  
Primary Spontaneous Pneumothorax ◽  
Pulmonary Lesion ◽  
Early Surgery ◽  
First Episode

scholarly journals Utility of thoracic computed tomography to predict need for early surgery and recurrence after first episode of primary spontaneous pneumothorax

2021 ◽  
pp. clinmed.2021-0074
Author(s):  
Asif Azam ◽  
Ahsan Zahid ◽  
Qaiser Abdullah ◽  
Noman Qayyum ◽  
Mostafa Abdelmoteleb ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Spontaneous Pneumothorax ◽  
Primary Spontaneous Pneumothorax ◽  
Early Surgery ◽  
First Episode ◽  
Thoracic Computed Tomography

Natural Course of Spontaneous Pneumothorax without Bullae or Blebs under High-Resolution Computed Tomography

2013 ◽  
Vol 62 (06) ◽  
pp. 505-508 ◽  
Author(s):  
Jung Kim ◽  
Woon Chang ◽  
Joon Kong ◽  
Kang Baek ◽  
Won Lee ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Resolution ◽  
Spontaneous Pneumothorax ◽  
Natural Course ◽  
High Resolution Computed Tomography

Utility of computed tomography (CT) to predict need for early surgery and recurrence after first episode of primary spontaneous pneumothorax (PSP)

2019 ◽  
Author(s):  
Asif Mahmood Azam ◽  
Noman Qayyum ◽  
Ahsan Zahid ◽  
Qaiser Abdullah ◽  
Mohammed Haris ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Spontaneous Pneumothorax ◽  
Primary Spontaneous Pneumothorax ◽  
Early Surgery ◽  
First Episode

scholarly journals Incidence of primary spontaneous pneumothorax: a validated, register-based nationwide study

2019 ◽  
Vol 5 (2) ◽  
pp. 00022-2019 ◽  
Author(s):  
Winnie Hedevang Olesen ◽  
Ingrid Louise Titlestad ◽  
Poul Erik Andersen ◽  
Rune Lindahl-Jacobsen ◽  
Peter Bjørn Licht
Keyword(s):  
Spontaneous Pneumothorax ◽  
Large Scale ◽  
Young Patients ◽  
National Registry ◽  
Primary Spontaneous Pneumothorax ◽  
National Database ◽  
National Study ◽  
First Episode ◽  
Danish Population ◽  
Female Ratio

ObjectivesThe incidence of primary spontaneous pneumothorax is partly unknown. Commonly quoted estimates were published decades ago and recent large-scale epidemiological publications lack validation. We validated the pneumothorax diagnosis in a national registry and estimated the incidence of primary spontaneous pneumothorax in young patients.MethodsComplete data on patients with an assigned pneumothorax diagnosis was retrieved from the National Danish Patient Registry. Initially, we validated the diagnosis in a selected population: all patient charts with an assigned pneumothorax diagnosis from one cardiothoracic department over a 25-year period (1984–2008) were reviewed. Subsequently, the national incidence of primary spontaneous pneumothorax in young, healthy individuals was estimated by restricting our population to patients ≤40 years of age admitted during a 5-year period (2009–2014). We performed a systematic read-though of patient charts in 50% of the complete national cohort to ensure that we only included patients with their first episode of primary spontaneous pneumothorax.ResultsValidation revealed a poor inter-rater agreement (κ=0.08). Therefore, we abstained from further analysis on directly retrieved data from the national database. Subsequently, a systematic re-evaluation of 7022 patients revealed an incidence rate of 12.3 cases per 100 000 (95% CI 11.5–13.1) in males and 2.2 cases per 100 000 (95% CI 1.9–2.6) in females (male/female ratio 5.9). Compared with the general Danish population, pneumothorax patients had a lower body mass index (p<0.001) and smoked more than the Danish population in general (p<0.001).ConclusionsThe incidence of primary spontaneous pneumothorax in a validated national study was lower than previously reported.

Delayed massive epistaxis due to traumatic intracavernous carotid artery pseudoaneurysm

1998 ◽  
Vol 112 (4) ◽  
pp. 396-398 ◽  
Author(s):  
J. D. Hern ◽  
S. C. Coley ◽  
L. J. Hollis ◽  
S. M. Jayaraj
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
High Resolution ◽  
Magnetic Resonance Angiography ◽  
Carotid Artery ◽  
First Episode ◽  
High Resolution Computed Tomography ◽  
Artery Pseudoaneurysm ◽  
Intracavernous Carotid Artery

AbstractRecurrent epistaxes after head injury may rarely be dueto a traumatic intracavernous carotid artery pseudoaneurysm. The headinjury is usually associated with fracture of the skull base and the epistaxes are severe with the first episode generally occurring one to three months after the initial trauma. We present a case which illustrates the role of high resolution computed tomography (CT) scanningand also magnetic resonance angiography (MRA) in achieving the diagnosis.

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