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Chest clinic
Images in Thorax
Endobronchial coil penetration into the pleural space
  1. Giampietro Marchetti1,
  2. David J McCracken2,
  3. Najib M Rahman2,3
  1. 1 Divisione di Pneumologia, Spedali Civili di Brescia, Brescia, Italy
  2. 2 Oxford Centre for Respiratory Medicine, Oxford University Hospitals, Oxford, UK
  3. 3 Oxford Respiratory Trials Unit, Oxford University Hospitals, Oxford, UK
  1. Correspondence to Dr David J McCracken, Oxford Centre for Respiratory Medicine, Oxford University Hospitals, Oxford OX3 7LE, UK; dmccracken04{at}qub.ac.uk

https://doi.org/10.1136/thoraxjnl-2018-211754

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    Case

    A patient with severe emphysema, post pulmonary rehabilitation and on full inhaled treatment underwent elective placement of eight endobronchial coils (RePneu Lung Volume Reduction Coils) in the right lung to attempt endoscopic lung volume reduction, targeted at the upper and lower lobes. The patient was not suitable for surgical open lung volume reduction and was unable to undergo valve treatment due to homogenous disease and an incomplete fissure on thoracic CT. Twelve hours post …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.