ArticleDiagnostics (Basel, Switzerland)2024
Severity of Atelectasis during Bronchoscopy: Descriptions of a New Grading System (
Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Robotic-assisted bronchoscopy for lung cancer: bibliometric and visualized analysis.Journal of robotic surgery · 2026Review
- Shape-Sensing Robotic Bronchoscopy with Integrated Mobile Cone-Beam CT Guidance for Intraoperative Localization of Lung Tumors Using Indocyanine Green.Diagnostics (Basel, Switzerland) · 2026Article
- Prone Positioning Is a Feasible Approach in the Diagnostic Work-Up of Posterior Pulmonary Nodules and a Means to Limit CT-to-Body Divergence: A Retrospective Cohort Study.Diseases (Basel, Switzerland) · 2026Article
- Deep-learning based quantitative evaluation of postoperative atelectasis following right upper lobectomy.NPJ digital medicine · 2026Article
- Best practices in shape-sensing robotic bronchoscopy with mobile cone beam computed tomography guidance: how I do it.Journal of thoracic disease · 2026Review
- VirtualJournal of thoracic disease · 2025Article
- Study on the application of prone and supine lung recruitment maneuvers in the treatment of atelectasis after minimally invasive direct coronary artery bypass surgery.Frontiers in surgery · 2025Article
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
Atelectasis during bronchoscopy under general anesthesia is very common and can have a detrimental effect on navigational and diagnostic outcomes. While the intraprocedural incidence and anatomic location have been previously described, the severity of atelectasis has not. We reviewed chest CT images of patients who developed atelectasis in the VESPA trial (Ventilatory Strategy to Prevent Atelectasis). By drawing boundaries at the posterior chest wall (A), the anterior aspect of the vertebral body (C), and mid-way between these two lines (B), we delineated at-risk lung zones 1, 2, and 3 (from posterior to anterior). An Atelectasis Severity Score System ("ASSESS") was created, classifying atelectasis as "mild" (zone 1), "moderate" (zones 1-2), and "severe" (zones 1-2-3). A total of 43 patients who developed atelectasis were included in this study. A total of 32 patients were in the control arm, and 11 were in the VESPA arm; 20 patients (47%) had mild atelectasis, 20 (47%) had moderate atelectasis, and 3 (6%) had severe atelectasis. A higher BMI was associated with increased odds (1.5 per 1 unit change; 95% CI, 1.10-2.04) (
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