{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:10:00Z","timestamp":1753870200954,"version":"3.41.2"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,3,13]],"date-time":"2022-03-13T00:00:00Z","timestamp":1647129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Coronavirus disease 2019 (<jats:styled-content style=\"fixed-case\">COVID<\/jats:styled-content>\u201019) causes pneumothorax or mediastinal emphysema in approximately 1% of patients. According to the British Thoracic Society guidelines, the next treatment option for patients with persistent pneumothorax despite chest drainage is pleurodesis or surgery. In fact, there are reports of autologous blood pleurodesis or surgery for the treatment of pneumothorax caused by<jats:styled-content style=\"fixed-case\">COVID<\/jats:styled-content>\u201019. However, elderly patients or patients in poor general condition may not be able to tolerate surgical invasion. In this report, we present two patients who did not respond to chest drainage or pleurodesis and who were not suitable for surgery because of their poor general condition. These patients were successfully treated with an endobronchial Watanabe spigot and<jats:italic>N<\/jats:italic>\u2010butyl\u20102\u2010cyanoacrylate. This method may be an option for the treatment of refractory pneumothorax in<jats:styled-content style=\"fixed-case\">COVID<\/jats:styled-content>\u201019.<\/jats:p>","DOI":"10.1002\/rcr2.923","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T03:53:10Z","timestamp":1647229990000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Combined treatment with endobronchial Watanabe spigot and<scp><i>N<\/i><\/scp>\u2010butyl\u20102\u2010cyanoacrylate for refractory pneumothorax in<scp>COVID<\/scp>\u201019"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0936-9360","authenticated-orcid":false,"given":"Chie","family":"Morita","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0303-1198","authenticated-orcid":false,"given":"Atsushi","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohei","family":"Okafuji","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shosei","family":"Ro","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasumi","family":"Shirasaki","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo 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