Revue des maladies respiratoires
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Case Reports
[Prediction of the efficiency of endoscopic lung volume reduction by valves in severe emphysema].
In severe emphysema, endoscopic lung volume reduction with valves is an alternative to surgery with less morbidity and mortality. In 2015, selection of patients who will respond to this technique is based on emphysema heterogeneity, a complete fissure visible on the CT-scan and absence of collateral ventilation between lobes. Our case report highlights that individualized prediction is possible. ⋯ The success of endoscopic lung volume reduction with a valve can be predicted, an example of personalized medicine.
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Comparative Study
[Treatment of the first episode of spontaneous pneumothorax].
The management of a first episode of spontaneous pneumothorax is controversial and the best technique to be used as an initial intervention, aspiration or intercostal drainage, is still debated. ⋯ In case of secondary pneumothorax, aspiration appeared to offer advantages as an initial strategy over intercostal drainage in terms of hospital stay (11 versus 22 days), and with significant effectiveness (37.5%).