PMID: 9527215Apr 4, 1998Paper

Morphologic grading of the emphysematous lung and its relation to improvement after lung volume reduction surgery

The Annals of Thoracic Surgery
W WisserE Wolner

Abstract

The morphologic criteria for lung volume reduction surgery, such as severity and heterogeneity of disease, differ widely between patients, and this makes any comparison of functional results between centers difficult. Here we present a morphologic scoring system and describe its possible relation to functional results after lung volume reduction operations. Between September 1994 and December 1996, 47 consecutive patients underwent bilateral lung volume reduction operations. The morphology of emphysema was quantified with standard chest roentgenograms and computed tomographic imaging, which were used to define the following four variables: degree of hyperinflation (grade 0 to 4), degree of impairment in diaphragmatic mechanics, degree of heterogeneity (grade 0 to 4), and severity of parenchymal destruction (range, 0 to 48). All four variables showed good reproducibility. Degree of heterogeneity had a significant influence on functional improvement in terms of forced expiratory volume in 1 second (p = 0.0413, r2 = 0.11). Severity of parenchymal destruction was significantly associated with 30-day mortality: patients who died after operation (n = 4) had a severity of parenchymal destruction of 28.4 +/- 2.1 compared with 21.3 +/- ...Continue Reading

References

Oct 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·R BingisserW Weder
Nov 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·J D CooperS S Lefrak
Nov 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·R J McKennaA F Gelb
Dec 1, 1996·Chest·A F GelbJ D Epstein
Mar 1, 1997·The Annals of Thoracic Surgery·W WisserW Klepetko

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Citations

Jan 15, 2004·American Journal of Respiratory Medicine : Drugs, Devices, and Other Interventions·Francis C Cordova, Gerard J Criner
Jul 8, 2008·European Radiology·Marie-Pierre RevelJacques Remy
Jul 13, 2000·The Annals of Thoracic Surgery·I N GlaspoleG I Snell
Nov 18, 2000·The Annals of Thoracic Surgery·J C BaldwinR Espada
Feb 24, 2001·Clinics in Chest Medicine·J R Cleverley, N L Müller
Sep 27, 2001·Anesthesiology Clinics of North America·E M Tschernko
Jul 1, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A CarrettaS Bianco
Jun 27, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Katherine P Grichnik, Steven E Hill
May 16, 2000·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·W WisserW Klepetko
Feb 27, 2001·Current Opinion in Pulmonary Medicine·F C Cordova, G J Criner
Oct 13, 2004·American Journal of Respiratory and Critical Care Medicine·Victor KimCharalambos C Solomides
May 6, 2008·Proceedings of the American Thoracic Society·Neil W BristerMichael Keresztury
May 6, 2008·Proceedings of the American Thoracic Society·Malcolm M DeCampMark J Krasna
Nov 24, 2005·AJR. American Journal of Roentgenology·Zelena A AzizDavid M Hansell
Dec 10, 1999·The Annals of Thoracic Surgery·J HamacherW Weder
Mar 26, 2003·Seminars in Thoracic and Cardiovascular Surgery·Konrad E BlochWalter Weder
Mar 26, 2003·Seminars in Thoracic and Cardiovascular Surgery·David S Gierada
Aug 9, 2001·Seminars in Thoracic and Cardiovascular Surgery·H Vesselle
Jul 9, 1999·The British Journal of Radiology·J R Cleverley, D M Hansell
Jun 1, 2000·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·K R FlahertyF J Martinez
Nov 1, 2009·Expert Opinion on Medical Diagnostics·Philippe A GrenierPierre-Yves Brillet
Aug 11, 2009·Thoracic Surgery Clinics·Walter WederKonrad E Bloch
Feb 21, 2006·Clinical Radiology·N J Screaton, J H Reynolds
Dec 10, 1999·Clinics in Chest Medicine·E A Kazerooni
Dec 11, 2002·The Surgical Clinics of North America·Keith S Naunheim
Oct 4, 2006·Current Opinion in Anaesthesiology·A ZollingerT Pasch
Jun 17, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·W WisserW Klepetko
Jun 17, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E PompeoT C Mineo
Oct 1, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·W WisserE Wolner
Feb 24, 2001·Clinics in Chest Medicine·K R Flaherty, F J Martinez

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