The Experts below are selected from a list of 282 Experts worldwide ranked by ideXlab platform
Joel D. Cooper - One of the best experts on this subject based on the ideXlab platform.
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Outcome of Medicare patients with emphysema selected for, but denied, a lung volume Reduction Operation
The Annals of thoracic surgery, 1998Co-Authors: Bryan F. Meyers, Roger D. Yusen, Stephen S. Lefrak, G. Alexander Patterson, Mary S. Pohl, Veronica J. Richardson, Joel D. CooperAbstract:Abstract Background. Lung volume Reduction Operation shows promise in relieving symptoms and improving function in highly selected patients with emphysema. Withdrawal of Medicare funding for patients selected for Operation by standard criteria created a matched control group with which to compare lung volume Reduction recipients. Methods. A retrospective study was done comparing 22 volume Reduction candidates denied Operation with 65 contemporaneous and comparable volume Reduction recipients. Baseline physiologic characteristics were compared and longitudinal measures of pulmonary function were followed up for 24 months. Results. Patients denied Operation were similar to volume Reduction recipients in all baseline measurements. Patients denied Operation experienced a progressive worsening of their function, whereas volume Reduction patients experienced sustained improvements. Absolute survival to date is 82% for the surgical group and 64% for the medical group. Conclusions. The improvement seen in volume Reduction patients cannot be attributed to the effects of patient selection or preoperative and postoperative rehabilitation.
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Coronary Artery Bypass Grafting After a Bilateral Lung Volume Reduction Operation
The Annals of thoracic surgery, 1997Co-Authors: Panayota Liopyris, Anastasios N. Triantafillou, Thoralf M. Sundt, Mark I. Block, Joel D. CooperAbstract:A 67-year-old man underwent coronary artery bypass grafting 31/2 months after a bilateral lung volume Reduction Operation for end-stage pulmonary emphysema. The principles of anesthetic management we have developed for use during volume Reduction Operations were applied with success in this individual and are described in detail. With the increasing application of this intervention as an alternative to lung transplantation, we anticipate further experience in the operative management of associated conditions after lung volume Reduction Operations.
Francis J. Podbielski - One of the best experts on this subject based on the ideXlab platform.
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Single-stage bilateral, video-assisted thoracoscopic lung volume Reduction Operation.
The Annals of thoracic surgery, 1997Co-Authors: Wickii T. Vigneswaran, Francis J. PodbielskiAbstract:Lung volume Reduction (LVR) produces significant clinical and objective improvement in selected patients with diffuse emphysema. Unilateral and bilateral approaches have been successfully employed. A median sternotomy approach is the standard for bilateral LVR, whereas video-assisted thoracoscopy has been used to perform unilateral LVR. Encouraging video-assisted thoracoscopic results with sequential, staged, bilateral LVR have been shown. This report describes an alternate technique of single-stage, bilateral LVR for end-stage emphysema.
William S Walker - One of the best experts on this subject based on the ideXlab platform.
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spontaneous rupture of the right hemidiaphragm after video assisted lung volume Reduction Operation
The Annals of Thoracic Surgery, 2002Co-Authors: Serban Stoica, Stewart R Craig, Sing Yang Soon, William S WalkerAbstract:Lung volume Reduction Operation is an important therapeutic option in patients with advanced emphysema. We report a case of spontaneous rupture of the right diaphragm after a video-assisted thoracoscopic surgical procedure for emphysema. The pathophysiology of this complication is also discussed, along with practical points for perioperative management of emphysematous patients.
Wickii T. Vigneswaran - One of the best experts on this subject based on the ideXlab platform.
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Single-stage bilateral, video-assisted thoracoscopic lung volume Reduction Operation.
The Annals of thoracic surgery, 1997Co-Authors: Wickii T. Vigneswaran, Francis J. PodbielskiAbstract:Lung volume Reduction (LVR) produces significant clinical and objective improvement in selected patients with diffuse emphysema. Unilateral and bilateral approaches have been successfully employed. A median sternotomy approach is the standard for bilateral LVR, whereas video-assisted thoracoscopy has been used to perform unilateral LVR. Encouraging video-assisted thoracoscopic results with sequential, staged, bilateral LVR have been shown. This report describes an alternate technique of single-stage, bilateral LVR for end-stage emphysema.
Anastase Spiliopoulos - One of the best experts on this subject based on the ideXlab platform.
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Muscle-sparing anterior thoracotomy for one-stage bilateral lung volume Reduction Operation.
The Annals of thoracic surgery, 1998Co-Authors: Marc De Perrot, Marc Licker, Anastase SpiliopoulosAbstract:Bilateral lung volume Reduction produces significant clinical and physiologic improvement in selected patients with end-stage emphysema. Current surgical approaches consist of median sternotomy and video-assisted thoracoscopy. This report describes an alternate technique of single-stage, bilateral lung volume Reduction using muscle-sparing anterior thoracotomy in 18 patients with severe lung emphysema.