Alberto Revelo - Academia.edu (original) (raw)

Papers by Alberto Revelo

Where Does Tranexamic Acid Fit in the Armamentarium for Bronchoscopic Bleeding?

Chest, Apr 1, 2023

Chest, Oct 1, 2016

INTRODUCTION: We present a rare case of pulmonary artery sarcoma (PAS) with classic acute pulmona... more INTRODUCTION: We present a rare case of pulmonary artery sarcoma (PAS) with classic acute pulmonary embolism (PE) presentation.

American Journal of Case Reports, Nov 22, 2016

Rare co-existance of disease or patholog Background: Amyloidosis is a protein conformational diso... more Rare co-existance of disease or patholog Background: Amyloidosis is a protein conformational disorder characterized by extracellular deposition of amyloid fibrils in extracellular tissue. Lung involvement is most commonly caused by secondary AL amyloidosis. The familial autosomal-dominant senile transthyretin (ATTR) disease manifests mainly as polyneuropathy and restrictive cardiomyopathy denoting the name familial amyloidotic polyneuropathy (FAP). Rarely, this form manifests with clinical and radiologically relevant respiratory tract symptoms and lung involvement. Case Report: A 51-year-old male former smoker presented with progressive lower-extremity weakness of several months' duration. He was ultimately diagnosed with chronic demyelinating polyneuropathy and treated with intravenous immunoglobulin therapy. Subsequently, he was admitted with heart failure symptoms and pulmonary infiltrates and his echocardiogram showed a 'myocardial speckled pattern', prompting an endomyocardial biopsy, which showed transthyretin amyloid deposition. He was started on diflunisal. Additionally, serial radiographic imaging of his chest over 3 different admissions for cough, dyspnea, hypoxemia, and lethargy demonstrated recurrent pulmonary infiltrates. A fiberoptic bronchoscopy with trans-bronchial biopsies revealed amyloid deposition in the lung tissue. Conclusions: The clinical presentation of recurrent or persistent pulmonary symptoms and fleeting infiltrates on imaging in a patient with familial amyloidotic polyneuropathy is not common; when present, it should raise the suspicion of respiratory tract involvement.

Journal of Thoracic Disease, 2018

Persistent air leak (PAL) is a common and challenging condition associated with increased morbidi... more Persistent air leak (PAL) is a common and challenging condition associated with increased morbidity and mortality, intensive care unit admission, and prolonged hospital stay. Multiple medical and surgical approaches have been developed to manage PAL. Depending on the etiology of PAL, surgical management may be effective and usually performed using video-assisted thoracoscopic surgery (VATS). Medical management is less invasive and consists of pleural or bronchoscopic methods. The non-surgical techniques for the management of PAL have not been investigated in large prospective studies, and so their use is mostly guided by observational data. Specifically, the role of intrabronchial valve (IBV) placement for PAL has been the subject of an ever-increasing number of case reports and series documenting successful deployment of IBVs for both surgical and medical PAL. In this case-based discussion, we describe three patients with non-surgical PAL who were managed using multiple modalities, including both surgical and medical approaches. These cases illustrate the challenges in identifying the location of the air leak and in the application of various therapeutic options.

Where Does Tranexamic Acid Fit in the Armamentarium for Bronchoscopic Bleeding?

Chest

American Journal of Respiratory and Critical Care Medicine, Dec 15, 2016

Hypoxemia After Endobronchial Valve Deployment for Persistent Air Leak

Journal of Cardiothoracic and Vascular Anesthesia

A Pilot Study of Robotic Assisted Bronchoscopy and Cone Beam Computed Tomography (CBCT)Training Curricula for Advanced Fellowship Trainees

C34. ADVANCEMENTS IN MEDICAL EDUCATION AND PROFESSIONAL DEVELOPMENT

A Novel Method of Treating Bronchopleuro-Cutaneous Fistula with an Endobronchial Valve

B41. INTERVENTIONAL PULMONOLOGY CASE REPORTS I, 2019

A Rare Case of Endobronchial Schwannoma

C36. INTERVENTIONAL PULMONOLOGY CASE REPORTS II, 2019

The Journal of Heart and Lung Transplantation, 2021

A Multicenter Study Assessing Interventional Pulmonary Fellow Competency in Electromagnetic Navigation Bronchoscopy

ATS Scholar

Bleeding Risk With Combination Intrapleural Fibrinolytic and Enzyme Therapy in Pleural Infection

Chest

Management of Status Asthmaticus in a 24-Week Gestation Pregnancy: A Real Challenge

CHEST Journal, 2012

The American journal of case reports, Nov 22, 2016

BACKGROUND Amyloidosis is a protein conformational disorder characterized by extracellular deposi... more BACKGROUND Amyloidosis is a protein conformational disorder characterized by extracellular deposition of amyloid fibrils in extracellular tissue. Lung involvement is most commonly caused by secondary AL amyloidosis. The familial autosomal-dominant senile transthyretin (ATTR) disease manifests mainly as polyneuropathy and restrictive cardiomyopathy denoting the name familial amyloidotic polyneuropathy (FAP). Rarely, this form manifests with clinical and radiologically relevant respiratory tract symptoms and lung involvement. CASE REPORT A 51-year-old male former smoker presented with progressive lower-extremity weakness of several months' duration. He was ultimately diagnosed with chronic demyelinating polyneuropathy and treated with intravenous immunoglobulin therapy. Subsequently, he was admitted with heart failure symptoms and pulmonary infiltrates and his echocardiogram showed a 'myocardial speckled pattern', prompting an endomyocardial biopsy, which showed transthyre...

Referral Pattern of Interventional Pulmonology Procedures at a Quaternary Medical Center

Direct Connection: A Man with Lung Nodules and Filling Defects in the Pulmonary Arterial Tree

A 29-year-old-man presented to the emergency department of another hospital with acute onset of d... more A 29-year-old-man presented to the emergency department of another hospital with acute onset of dyspnea and leftsided pleuritic chest pain. He denied fever, cough, and hemoptysis. He reported intentional weight loss during the preceding year. There was no recent surgery or long-distance travel. He had a past medical history of mild, persistent asthma and was an active smoker. His only medication was a budesonide–formoterol inhaler. Family history was significant for multiple cancers on the paternal side, including gastric, colon, pancreatic, and lung. The patient denied injection drug use. Upon presentation, he was tachypneic and tachycardic, but was normotensive and oxygenating well on ambient air. He was not in acute distress. His jugular venous pulse was not elevated, cardiopulmonary auscultation was normal, and there was no lower-extremity edema. Routine laboratory testing was notable only for blood eosinophilia (10%; normal range, 0–5%), with a total white blood cell count of 7...

A Solitary Endobronchial Broncholith as an Uncommon Presentation of Histoplasmosis

Chest

Shanghai Chest

The endoscopic management of persistent or prolonged air leak (PAL) has gained popularity, not on... more The endoscopic management of persistent or prolonged air leak (PAL) has gained popularity, not only in post-surgical PAL but also in non-surgical scenarios. The literature that supports an endoscopic approach is restricted to case series, case reports, retrospective and some small prospective studies. Every patient who suffers from PAL secondary to bronchopleural fistula (BPF) or alveolopleural fistula (APF) should always be evaluated to determine surgical repair candidacy. There have been a number of articles that summarize the bronchoscopic modalities for the management of PAL, but none emphasize the initial evaluation with an algorithmic approach or discuss how to follow-up these patients in the immediate posttreatment phase and long-term. Medical causes of PAL are, in our opinion, more difficult to localize and consequently treat compared to surgical causes of air leak. The bronchoscopic management for either surgical or non-surgical BPF's is similar. In this review, we discuss the initial evaluation, management and follow up with an algorithmic approach of PAL as well as review the available endoscopic modalities.

Where Does Tranexamic Acid Fit in the Armamentarium for Bronchoscopic Bleeding?

Chest, Apr 1, 2023

Chest, Oct 1, 2016

INTRODUCTION: We present a rare case of pulmonary artery sarcoma (PAS) with classic acute pulmona... more INTRODUCTION: We present a rare case of pulmonary artery sarcoma (PAS) with classic acute pulmonary embolism (PE) presentation.

American Journal of Case Reports, Nov 22, 2016

Rare co-existance of disease or patholog Background: Amyloidosis is a protein conformational diso... more Rare co-existance of disease or patholog Background: Amyloidosis is a protein conformational disorder characterized by extracellular deposition of amyloid fibrils in extracellular tissue. Lung involvement is most commonly caused by secondary AL amyloidosis. The familial autosomal-dominant senile transthyretin (ATTR) disease manifests mainly as polyneuropathy and restrictive cardiomyopathy denoting the name familial amyloidotic polyneuropathy (FAP). Rarely, this form manifests with clinical and radiologically relevant respiratory tract symptoms and lung involvement. Case Report: A 51-year-old male former smoker presented with progressive lower-extremity weakness of several months' duration. He was ultimately diagnosed with chronic demyelinating polyneuropathy and treated with intravenous immunoglobulin therapy. Subsequently, he was admitted with heart failure symptoms and pulmonary infiltrates and his echocardiogram showed a 'myocardial speckled pattern', prompting an endomyocardial biopsy, which showed transthyretin amyloid deposition. He was started on diflunisal. Additionally, serial radiographic imaging of his chest over 3 different admissions for cough, dyspnea, hypoxemia, and lethargy demonstrated recurrent pulmonary infiltrates. A fiberoptic bronchoscopy with trans-bronchial biopsies revealed amyloid deposition in the lung tissue. Conclusions: The clinical presentation of recurrent or persistent pulmonary symptoms and fleeting infiltrates on imaging in a patient with familial amyloidotic polyneuropathy is not common; when present, it should raise the suspicion of respiratory tract involvement.

Journal of Thoracic Disease, 2018

Persistent air leak (PAL) is a common and challenging condition associated with increased morbidi... more Persistent air leak (PAL) is a common and challenging condition associated with increased morbidity and mortality, intensive care unit admission, and prolonged hospital stay. Multiple medical and surgical approaches have been developed to manage PAL. Depending on the etiology of PAL, surgical management may be effective and usually performed using video-assisted thoracoscopic surgery (VATS). Medical management is less invasive and consists of pleural or bronchoscopic methods. The non-surgical techniques for the management of PAL have not been investigated in large prospective studies, and so their use is mostly guided by observational data. Specifically, the role of intrabronchial valve (IBV) placement for PAL has been the subject of an ever-increasing number of case reports and series documenting successful deployment of IBVs for both surgical and medical PAL. In this case-based discussion, we describe three patients with non-surgical PAL who were managed using multiple modalities, including both surgical and medical approaches. These cases illustrate the challenges in identifying the location of the air leak and in the application of various therapeutic options.

Where Does Tranexamic Acid Fit in the Armamentarium for Bronchoscopic Bleeding?

Chest

American Journal of Respiratory and Critical Care Medicine, Dec 15, 2016

Hypoxemia After Endobronchial Valve Deployment for Persistent Air Leak

Journal of Cardiothoracic and Vascular Anesthesia

A Pilot Study of Robotic Assisted Bronchoscopy and Cone Beam Computed Tomography (CBCT)Training Curricula for Advanced Fellowship Trainees

C34. ADVANCEMENTS IN MEDICAL EDUCATION AND PROFESSIONAL DEVELOPMENT

A Novel Method of Treating Bronchopleuro-Cutaneous Fistula with an Endobronchial Valve

B41. INTERVENTIONAL PULMONOLOGY CASE REPORTS I, 2019

A Rare Case of Endobronchial Schwannoma

C36. INTERVENTIONAL PULMONOLOGY CASE REPORTS II, 2019

The Journal of Heart and Lung Transplantation, 2021

A Multicenter Study Assessing Interventional Pulmonary Fellow Competency in Electromagnetic Navigation Bronchoscopy

ATS Scholar

Bleeding Risk With Combination Intrapleural Fibrinolytic and Enzyme Therapy in Pleural Infection

Chest

Management of Status Asthmaticus in a 24-Week Gestation Pregnancy: A Real Challenge

CHEST Journal, 2012

The American journal of case reports, Nov 22, 2016

BACKGROUND Amyloidosis is a protein conformational disorder characterized by extracellular deposi... more BACKGROUND Amyloidosis is a protein conformational disorder characterized by extracellular deposition of amyloid fibrils in extracellular tissue. Lung involvement is most commonly caused by secondary AL amyloidosis. The familial autosomal-dominant senile transthyretin (ATTR) disease manifests mainly as polyneuropathy and restrictive cardiomyopathy denoting the name familial amyloidotic polyneuropathy (FAP). Rarely, this form manifests with clinical and radiologically relevant respiratory tract symptoms and lung involvement. CASE REPORT A 51-year-old male former smoker presented with progressive lower-extremity weakness of several months' duration. He was ultimately diagnosed with chronic demyelinating polyneuropathy and treated with intravenous immunoglobulin therapy. Subsequently, he was admitted with heart failure symptoms and pulmonary infiltrates and his echocardiogram showed a 'myocardial speckled pattern', prompting an endomyocardial biopsy, which showed transthyre...

Referral Pattern of Interventional Pulmonology Procedures at a Quaternary Medical Center

Direct Connection: A Man with Lung Nodules and Filling Defects in the Pulmonary Arterial Tree

A 29-year-old-man presented to the emergency department of another hospital with acute onset of d... more A 29-year-old-man presented to the emergency department of another hospital with acute onset of dyspnea and leftsided pleuritic chest pain. He denied fever, cough, and hemoptysis. He reported intentional weight loss during the preceding year. There was no recent surgery or long-distance travel. He had a past medical history of mild, persistent asthma and was an active smoker. His only medication was a budesonide–formoterol inhaler. Family history was significant for multiple cancers on the paternal side, including gastric, colon, pancreatic, and lung. The patient denied injection drug use. Upon presentation, he was tachypneic and tachycardic, but was normotensive and oxygenating well on ambient air. He was not in acute distress. His jugular venous pulse was not elevated, cardiopulmonary auscultation was normal, and there was no lower-extremity edema. Routine laboratory testing was notable only for blood eosinophilia (10%; normal range, 0–5%), with a total white blood cell count of 7...

A Solitary Endobronchial Broncholith as an Uncommon Presentation of Histoplasmosis

Chest

Shanghai Chest

The endoscopic management of persistent or prolonged air leak (PAL) has gained popularity, not on... more The endoscopic management of persistent or prolonged air leak (PAL) has gained popularity, not only in post-surgical PAL but also in non-surgical scenarios. The literature that supports an endoscopic approach is restricted to case series, case reports, retrospective and some small prospective studies. Every patient who suffers from PAL secondary to bronchopleural fistula (BPF) or alveolopleural fistula (APF) should always be evaluated to determine surgical repair candidacy. There have been a number of articles that summarize the bronchoscopic modalities for the management of PAL, but none emphasize the initial evaluation with an algorithmic approach or discuss how to follow-up these patients in the immediate posttreatment phase and long-term. Medical causes of PAL are, in our opinion, more difficult to localize and consequently treat compared to surgical causes of air leak. The bronchoscopic management for either surgical or non-surgical BPF's is similar. In this review, we discuss the initial evaluation, management and follow up with an algorithmic approach of PAL as well as review the available endoscopic modalities.