Work

A Case of Pulmonary Bulla Volume Reduction by Transbronchial Puncture Under Electromagnetic Navigation Platform Combined With O-Arm CT Guidance

Year: 2025

Type: article

Abstract: Pulmonary bullae are a common complication of chronic obstructive pulmonary disease (COPD), but treatment options are limited for patients with poor lung function and giant emphysematous bullae (GEB). We reported a case of a 61-year-old female with severe COPD complicated by a newly developed GEB. Using electromagnetic navigation technology, we precisely located and targeted the bronchi adjacent to the bullae within the lung. Guided by O-arm CT imaging, we punctured the bullae with a biopsy needle, evacuated the air, and administered autologous blood and thrombin. A follow-up pulmonary CT scan three days post-procedure revealed a significant reduction in the size of the giant bulla. Additionally, the patient's wheezing symptoms improved, and her performance on the 6-minute walk test showed some enhancement.

Source: International Journal of COPD

DOI: 10.2147/copd.s493818

Authors: Jing Zhu, Xiaoxiao Xu, Rujuan Wang, Zhenhua Li, Ying Wang, Yi Hu

Institutions: Central Hospital of Wuhan, Huazhong University of Science and Technology

Language: English

Topic: Chronic Obstructive Pulmonary Disease (COPD) Research

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,836