Influence of CT signs of collateral ventilation in combination with other factors on the results of valvular blocking procedure in patients with destructive forms of pulmonary tuberculosis
P. V. Gavrilov,
A. B. Veselskii,
I. A. Baulin,
I. A. Tabanakova,
A. N. Narkevich,
A. I. Lavrova,
E. G. Sokolovich https://doi.org/10.22328/2079-5343-2022-13-1-30-38
Abstract
Introduction. According to studies on the treatment of emphysema, the absence of CT signs of collateral ventilation correlates with the results of valvular blocking procedure, but there is not any data on the relationship between the signs of collateral ventilation and the results of bronchial valve treatment in destructive forms of pulmonary tuberculosis.
Study goals: to study the effect of CT features of collateral ventilation in combination with other factors on the results of valvular bronchial blocking in patients with destructivepulmonary pathology in tuberculosis.
Materials and methods. Тhe study is based on the results of evaluation of chest CT data of patients with various pathology of pulmonary tuberculosis before and after valvular blocking procedure.
Results. Сorrelations between such characteristics as collateral ventilation, additional factors and valvular treatment effects have been determined, and prognostic models estimating the success of valve therapy have been constructed.
Conclusion. Positive pleural integrity symptom is a predictor of lobe volume reduction after bronchial valve treatment. Lobe volume reduction during valve therapy is a prognostic factor for cavity’s closure.
About the Authors
P. V. Gavrilov
St. Petersburg State Research Institute of Phthisiopulmonology;
St. Petersburg State University
Russian Federation
Russian Federation
St. Petersburg
A. B. Veselskii
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
St. Petersburg
I. A. Baulin
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
St. Petersburg
I. A. Tabanakova
St. Petersburg State Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
St. Petersburg
A. N. Narkevich
Krasnoyarsk State Medical University named after рrof. V. F. Voino-Yasenetsky
Russian Federation
Russian Federation
Krasnoyarsk
A. I. Lavrova
St. Petersburg State Research Institute of Phthisiopulmonology;
St. Petersburg State University
Russian Federation
Russian Federation
St. Petersburg
E. G. Sokolovich
St. Petersburg State Research Institute of Phthisiopulmonology;
St. Petersburg State University
Russian Federation
Russian Federation
St. Petersburg
References
1. Lovacheva O.V., Elkin A.V., Zimonin P.E., Krasnov D.V., Krasnov V.A., Levin A.V., Sklyuev S.V., Skornyakov S.N., Stepanov D.V., Tseymakh E.A., Shumskaya I.Yu. Federal clinical guidelines for the use of valvular bronchoplasty in the treatment of pulmonary tuberculosis and its complications. Moscow: New Terra, 2015. 24 p. (In Russ.).
2. Levin A.V., Zeimakh E.A., Zimonin P.E. The use of valvular bronchoblocking in complicated pulmonary tuberculosis. Endoscopy, 2012, No. 1, рр. 15–17 (In Russ.).
3. Petrova Ya.K., Krasnov D.V., Sklyuev S.V. Application of the method of valvular bronchoblocking in the complex treatment of destructive pulmonary tuberculosis in patients with HIV infection. Medical Alliance, 2015, No. 1, рр. 113–114 (In Russ.).
4. Gompelmann D., Eberhardt R., Slebos D.J., Brown M.S., Abtin F., Kim H.J., Holmes-Higgin D., Radhakrishnan S., Herth F.J., Goldin J. Diagnostic performance comparison of the Chartis System and high-resolution computerized tomography fissure analysis for planning endoscopic lung volume reduction. Respirology (Carlton, Vic.). 2014. Vol. 19, No. 4. Р. 524–530. https://doi.org/10.1111/resp.12253.
5. Eberhardt R., Gompelmann D., Herth F.J., Schuhmann M. Endoscopic bronchial valve treatment: patient selection and special considerations // International journal of chronic obstructive pulmonary disease. 2015. Vol. 10. Р. 2147–2157. https://doi.org/10.2147/COPD.S63473.
6. Sciurba F.C., Ernst A., Herth F.J., Strange C., Criner G.J., Marquette C.H., Kovitz K.L., Chiacchierini R.P., Goldin J., McLennan G., VENT Study Research Group. A randomized study of endobronchial valves for advanced emphysema // The New England journal of medicine. 2010. Vol. 363, No. 13, рр. 1233–1244. https://doi.org/10.1056/NEJMoa0900928
7. Herth F.J., Noppen M., Valipour A., Leroy S., Vergnon J.M., Ficker J.H., Egan J.J., Gasparini S., Agusti C., Holmes-Higgin D., Ernst A., International VENT Study Group (2012). Efficacy predictors of lung volume reduction with Zephyr valves in a European cohort // The European Respiratory Journal. 2012. Vol. 39, No. 6. Р. 1334–1342. https://doi.org/10.1183/09031936.00161611.
8. Delakhov A.S., Kravchenko A.F., Pavlova E.S., Tarasova A.N. Effectiveness of valvular bronchoblocking in the complex treatment of patients with respiratory tuberculosis. Bulletin of the North-Eastern Federal University named after M. K. Amosov. Series «Medical Sciences», 2018, Vol. 3, No. 12, рр. 22–28 (In Russ.).
9. Erimbetov K.D., Bektursinov B.U., Zetov A.Sh. Efficacy of valvular bronchoplasty in the complex treatment of patients with extensively drug-resistant pulmonary tuberculosis. Tuberculosis and lung diseases, 2018, Vol. 96, No. 4, рр. 47–51 (In Russ.).
10. Yen Y.T., Wu M.H., Cheng L., Liu Y.S., Lin S.H., Wang J.D., Tseng Y.L. Image characteristics as predictors for thoracoscopic anatomic lung resection in patients with pulmonary tuberculosis. The Annals of thoracic surgery. 2011. Vol. 92, No. 1. Р. 290–295. https://doi.org/10.1016/j.athoracsur.2011.02.039.
Review
For citations:
Gavrilov P.V., Veselskii A.B., Baulin I.A., Tabanakova I.A., Narkevich A.N., Lavrova A.I., Sokolovich E.G. Influence of CT signs of collateral ventilation in combination with other factors on the results of valvular blocking procedure in patients with destructive forms of pulmonary tuberculosis. Diagnostic radiology and radiotherapy. 2022;13(1):30-38. (In Russ.) https://doi.org/10.22328/2079-5343-2022-13-1-30-38
Views:
485
Email this article 