scholarly journals Use of endo-bronchial end-tidal CO2 test for location of the pleural air leakage in patients with intractable pneumothorax

2018 ◽  
Vol 12 ◽  
pp. 175346581875656
Author(s):  
Yi-Ming Zeng ◽  
Yun-Feng Chen ◽  
Hui-Huang Lin ◽  
Xiao-Bin Zhang
Keyword(s):  
Confidence Interval ◽  
Main Bronchus ◽  
Balloon Occlusion ◽  
Air Leakage ◽  
Air Leak ◽  
Occlusion Test ◽  
Air Leaks ◽  
Balloon Occlusion Test ◽  
End Tidal ◽  
End Tidal Co2

Background: Location of the affected bronchus of pleural air leaks is the most important step of trans-bronchoscopic bronchial occlusion for the treatment of intractable pneumothorax. The balloon occlusion test is the most commonly used technique, but has failed in some cases. The aim of the present study was: (1) to determine if endo-bronchial end-tidal CO2 (EtCO2) measurement can identify the affected bronchus that is the source of a persistent pleural air leak; and (2) to establish a methodology for endo-bronchial EtCO2 testing in locating affected bronchus in intractable pneumothorax. Methods: A total of 28 patients with intractable pneumothorax underwent bronchoscopy with (1) the balloon occlusion test for the identification of the affected bronchus; and (2) endo-bronchial EtCO2 measurement (EtCO2 test) at the orifices of the bronchus of the affected lung. The effectiveness of these two methods of affected bronchus identification were compared. The threshold EtCO2 (T-EtCO2) was determined. Results: The positive rates of locating the affected bronchus by the endo-bronchial EtCO2 test, balloon occlusion test, and combination of the two techniques were 60.7% (17/28), 64.3% (18/28) and 96.4% (27/28), respectively. The average differences in EtCO2 between the affected bronchus and the main carina, main bronchus, and non-affected bronchus were (in mmHg) 4.41 ± 1.99 (95% confidence interval: 3.5, 5.3), 4.73 ± 2.10 (3.80, 5.66 ) and 5.57 ± 2.53 (4.45, 6.69), respectively. Conclusions: (1) The endo-bronchial EtCO2 test is complementary to the balloon occlusion test of the leading bronchus. (2) A threshold (T-EtCO2) value of >5 mmHg is optimal for this technique.

Fetal Origin of the Posterior Cerebral Artery Demonstrated on Tc-99m Hexamethylpropyleneamine Oxime Brain SPECT Balloon Occlusion Test

2011 ◽  
Vol 36 (5) ◽  
pp. 392-393
Author(s):  
Floyd Daniel Dunnavant ◽  
Pradeep G. Bhambhvani ◽  
Katherine E. Perrien Lursen ◽  
Joseph A. Horton
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Balloon Occlusion ◽  
Brain Spect ◽  
Occlusion Test ◽  
Balloon Occlusion Test ◽  
Fetal Origin

scholarly journals Balloon Occlusion Test using a Double Balloon Catheter in Patients with Internal Carotid Artery Stenosis

1997 ◽  
Vol 6 (8) ◽  
pp. 530-535 ◽  
Author(s):  
Yoshinori Akiyama ◽  
Tatemi Todaka ◽  
Motoshi Sawada ◽  
Masafumi Morimoto ◽  
Shogo Nishi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Internal Carotid ◽  
Balloon Catheter ◽  
Balloon Occlusion ◽  
Internal Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Occlusion Test ◽  
Balloon Occlusion Test

scholarly journals INVESTIGATION OF HEMODYNAMIC CHANGES DURING BALLOON OCCLUSION TEST FOR PERCUTANEOUS ATRIAL SEPTAL DEFECT CLOSURE

2016 ◽  
Vol 67 (13) ◽  
pp. 935 ◽  
Author(s):  
Hiroyuki Yamamoto ◽  
Toshiro Shinke ◽  
Hiromasa Otake ◽  
Tomofumi Takaya ◽  
Masaru Kuroda ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Balloon Occlusion ◽  
Defect Closure ◽  
Hemodynamic Changes ◽  
Atrial Septal Defect Closure ◽  
Occlusion Test ◽  
Balloon Occlusion Test

Reversible Hyperintense Lesion after Balloon Occlusion Test

2009 ◽  
Vol 19 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Koichi Haraguchi ◽  
Kiyohiro Houkin ◽  
Izumi Koyanagi ◽  
Tadashi Nonaka ◽  
Takeo Baba
Keyword(s):  
Balloon Occlusion ◽  
Hyperintense Lesion ◽  
Occlusion Test ◽  
Balloon Occlusion Test

X-ray Angiography Perfusion Analysis for the Balloon Occlusion Test of the Internal Carotid Artery

2015 ◽  
Vol 24 (7) ◽  
pp. 1506-1512 ◽  
Author(s):  
Katsunori Asai ◽  
Hirotoshi Imamura ◽  
Yohei Mineharu ◽  
Shoichi Tani ◽  
Hidemitsu Adachi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Balloon Occlusion ◽  
X Ray ◽  
Occlusion Test ◽  
Balloon Occlusion Test

Endovascular treatment of unruptured ophthalmic artery aneurysms: clinical usefulness of the balloon occlusion test in predicting vision outcomes after coil embolization

2015 ◽  
Vol 8 (7) ◽  
pp. 696-701 ◽  
Author(s):  
Byungjun Kim ◽  
Pyoung Jeon ◽  
Keonha Kim ◽  
Narae Yang ◽  
Sungtae Kim ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Coil Embolization ◽  
Collateral Circulation ◽  
Ophthalmic Artery ◽  
Balloon Occlusion ◽  
Endovascular Coiling ◽  
External Carotid ◽  
Occlusion Test ◽  
Balloon Occlusion Test ◽  
Retrograde Filling

BackgroundEndovascular coil embolization for ophthalmic artery (OphA) aneurysms has the latent risk of occlusion of the OphA during the procedure, which can lead to loss of vision. We report clinical and angiographic results of endovascular treatment of OphA aneurysms together with the efficacy of the balloon occlusion test (BOT).MethodsFrom August 2005 to December 2013, 31 consecutive patients with 33 OphA aneurysms were treated in our institution. The patients were classified into two groups according to the location of the OphA within the aneurysmal sac. The BOT was performed in 28 patients using a hypercompliant balloon before endovascular coiling. Collateral circulation between the external carotid artery and the OphA was examined and visual function tests were performed before and after treatment. Patient demographics, angiographic and clinical outcomes were reviewed.ResultsAmong the 28 patients who underwent the BOT, intact collateral circulation was demonstrated in 26 (92.9%) patients and complete occlusion of the OphA was obtained in three patients after coiling. Retrograde filling of the OphA with choroidoretinal blush was observed on post-procedural angiography and no specific visual symptoms were reported during the follow-up period. Complete embolization was achieved in 30 lesions (96.8%) and only five patients (16.1%) had minor recanalization.ConclusionsEndovascular treatment of OphA aneurysms can be performed safely and effectively in conjunction with BOT. The BOT may give useful information to predict visual outcome in patients whose OphA is likely to be threatened by the coiling procedure and to determine the optimal treatment strategy.

scholarly journals Hyperform Remodeling Balloon for the Balloon Occlusion Test of Persistent Primitive Trigeminal Artery Aneurysm

2006 ◽  
Vol 46 (11) ◽  
pp. 541-543 ◽  
Author(s):  
Masanari ONIZUKA ◽  
Kiyoshi KAZEKAWA ◽  
Masanori TSUTSUMI ◽  
Tomonobu KODAMA ◽  
Hiroshi AIKAWA ◽  
...  
Keyword(s):  
Artery Aneurysm ◽  
Balloon Occlusion ◽  
Trigeminal Artery ◽  
Occlusion Test ◽  
Persistent Primitive Trigeminal Artery ◽  
Balloon Occlusion Test ◽  
Primitive Trigeminal Artery
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