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International Journal of Chronic Obstructive Pulmonary Disease Volume 11, 2016 - Issue
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Original Research

Predictors of pneumothorax following endoscopic valve therapy in patients with severe emphysema

Daniela Gompelmann1 Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg;2 Translational Lung Research Center Heidelberg, Member of the German Center for Lung ResearchCorrespondence[email protected]
,
Hyun-ju Lim3 Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University of Heidelberg;4 Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany
,
Ralf Eberhardt1 Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg;2 Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research
,
Vasiliki Gerovasili5 First Critical Care Department, National and Kapodistrian University of Athens, Athens, Greece
,
Felix JF Herth1 Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg;2 Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research
,
Claus Peter Heussel2 Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research;3 Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University of Heidelberg;4 Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany
&
Monika Eichinger3 Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University of Heidelberg;4 Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany
 show all
Pages 1767-1773 | Published online: 01 Aug 2016

Figures & data

Table 1 Patient characteristics

Figure 1 Multidetector computed tomography image.

Note: Lobar atelectasis of the right lower lobe following valve implantation.

Figure 1 Multidetector computed tomography image.Note: Lobar atelectasis of the right lower lobe following valve implantation.

Figure 2 Multidetector computed tomography image.

Notes: Pneumothorax with subsequent severe bilateral subcutaneous emphysema 3 days following valve placement in the left lower lobe. The lung is reinflated after chest tube insertion.
Figure 2 Multidetector computed tomography image.

Table 2 Clinical outcome of patients who developed pneumothorax

Table 3 Predictors for pneumothorax following valve therapy

Figure 3 ROC curve.

Note: Prediction of pneumothorax following endoscopic valve therapy using eight CT and clinical parameters with an AUC of 0.8367.
Abbreviations: CT, computed tomography; AUC, area under the curve; ROC, receiver operating characteristic.
Figure 3 ROC curve.

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