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JYMS : Journal of Yeungnam Medical Science

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Case report
Radiology, Radiotherapy & Diagnostic Imaging
Posterior circulation infarction after bronchial artery embolization through bronchial to left subclavian artery shunt: a case report
Jongsoo Park, Kyungsoo Hong, Suhong Kim
J Yeungnam Med Sci. 2025;42:62.   Published online October 2, 2025
DOI: https://doi.org/10.12701/jyms.2025.42.62
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  • 111 Download
AbstractAbstract PDF
Bronchial artery embolization (BAE) is an effective and minimally invasive procedure for managing massive or medically refractory hemoptysis. Despite its overall safety, BAE can be associated with complications, including nontarget embolization, with cerebral infarction being a rare but severe adverse event. We report a case of posterior circulation infarction, caused by unintended embolization of trisacryl gelatin microspheres via anastomosis between the left bronchial and left subclavian arteries, following BAE in a 45-year-old man with massive hemoptysis. After the BAE, the patient complained of nausea and vomiting. Magnetic resonance imaging (MRI) revealed multifocal bilateral posterior circulation infarctions. The patient was initially treated with aspirin. However, follow-up MRI the next day showed hemorrhagic transformation of the right thalamic infarct along with right lateral intraventricular hemorrhage. Consequently, aspirin was discontinued, and blood pressure was carefully managed. Seven days later, the patient’s symptoms improved without any neurological sequelae. This case highlights the importance of superselective catheterization, meticulous angiographic assessment, and repeat angiography during embolization to minimize neurological complications. Anticoagulation therapy may be beneficial for the management of such complications.
Review article
Pulmonary and Respiratory Medicine
Creating home-based pulmonary rehabilitation programs for patients with asthma: insights from practice
Cahidenur Koçak, Massimiliano Polastri, Esra Pehlivan
J Yeungnam Med Sci. 2025;42:57.   Published online September 17, 2025
DOI: https://doi.org/10.12701/jyms.2025.42.57
  • 2,541 View
  • 179 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Pulmonary rehabilitation (PR) plays a crucial role in the management of asthma symptoms and addresses the physical, psychological, and social consequences of asthma. However, difficulties in accessing hospital-based PR programs could result in underutilization of these services. Alternative models such as home-based PR and telerehabilitation are promising in their potential to mitigate barriers and improve adherence. It is well known that PR has a significant positive impact on both respiratory and physical functions, as well as individual well-being. Indeed, such effects have been confirmed in several studies in which psychological symptoms (i.e., anxiety and depression), physical capacity, and health-related quality of life improved in patients with asthma. Nonetheless, to sustain treatment-related benefits in the long term, PR programs must be tailored to individual needs and planned using a multidisciplinary and holistic approach. Given the high prevalence of asthma in children, home-based PR programs may offer substantial benefits to the pediatric population and warrant further investigation. The present review describes the characteristics of home-based PR and provides evidence on current practices for the management of asthma and the development of a patient-centered therapeutic approach.

Citations

Citations to this article as recorded by  
  • The Role of Adherence to Pharmacological and Non-Pharmacological Treatments in Hospitalized Patients with Obstructive Airway Diseases
    Büşra Durak, Galip Koçyiğit, Hasan Can Alagöz, Canan Gündüz Gürkan
    Dicle Tıp Dergisi.2026; 53(1): 67.     CrossRef
  • Feasibility of app-based pulmonary telerehabilitation program for textile dyeing workers with respiratory symptoms: a quasi-experimental study
    Myeong Geun Jeong, Gun Seo Jung, Kyoung Tae Kim
    Journal of Yeungnam Medical Science.2026; 43: 20.     CrossRef
Focused Review article
Pulmonary and Respiratory Medicine
An update on the role of bronchoscopy in the diagnosis of pulmonary disease
June Hong Ahn
Yeungnam Univ J Med. 2020;37(4):253-261.   Published online August 28, 2020
DOI: https://doi.org/10.12701/yujm.2020.00584
  • 16,714 View
  • 293 Download
  • 19 Crossref
AbstractAbstract PDF
Bronchoscopy has evolved over the past few decades and has been used by respiratory physicians to diagnose various airway and lung diseases. With the popularization of medical check-ups and growing interest in health, early diagnosis of lung diseases is essential. With the development of endobronchial ultrasound, ultrathin bronchoscopy, and electromagnetic navigational bronchoscopy, bronchoscopy has been able to widen its scope in diagnosing pulmonary diseases. In this review, we have described the brief history, role, and complications of bronchoscopy used in diagnosing pulmonary lesions, from simple flexible bronchoscopy to bronchoscopy combined with several up-to-date technologies.

Citations

Citations to this article as recorded by  
  • Bronchoscopic manifestations and epidemiological characteristics of lymph node fistula-type tracheobronchial tuberculosis in Hunan Province, China (2019–2023)
    Li Luo, Lei Zhou, Linzi Luo, Quhua Yin, Zhibin Lu, Dan Feng, Qingqing Zeng, Yangbao Xiao, Jun Liang
    BMC Infectious Diseases.2026;[Epub]     CrossRef
  • Immune profile and routine laboratory indicator-based machine learning for prediction of lung cancer
    Yi Huang, Kaishan Jiang, Xiaochen Wang, Siyu Zou, Ziyong Sun, Shiji Wu, Bin Wang, Hongyan Hou, Feng Wang
    Computers in Biology and Medicine.2025; 190: 110111.     CrossRef
  • Endobronchial hamartomas as a rare cause of chronic cough
    Selsabil Daboussi, Asma Saidane, Abdellatif Syrine, Samira Mhamdi, Faten Gargouri, Houssem Messaoudi, Saber Hachicha, Chiraz Aichaouia, Zied Moatemri
    Respiratory Medicine Case Reports.2025; 55: 102210.     CrossRef
  • Application value of fibro-bronchoscopic cryosurgery combined with medication in the treatment of tracheobronchial tuberculosis
    Yue-Ying Zhou, Hui-Juan Li, Kai-Jia Wu, Ji-Chan Shi, Xian-Gao Jiang, Gui-Qing He, Ning Pan, Chao-Chao Qiu, Hong-Ye Ning, Zheng-Xing Wu
    BMC Surgery.2025;[Epub]     CrossRef
  • Effectiveness of Oral Prophylactic Antibiotics for Diagnostic Bronchoscopy: A Nationwide Database Study
    Tomohiro Akaba, Taisuke Jo, Jun Suzuki, Yuya Kimura, Hiroki Matsui, Kiyohide Fushimi, Etsuko Tagaya, Hideo Yasunaga
    Annals of the American Thoracic Society.2025; 22(5): 707.     CrossRef
  • Differential Diagnosis of Peripheral Lung Lesions: Capabilities and Limitations of Current Methods
    R. N. Islamov, R. A. Sharipov, M. A. Bagirov, R. K. Tukfatullin, G. V. Chitorelidze, E. V. Pavlova, R. K. Yagafarova
    Creative surgery and oncology.2025; 15(2): 160.     CrossRef
  • Flexible Bronchoscopy and Non-Small-Cell Lung Cancer Staging: A Narrative Review of Modern Techniques for Optimized Clinical Decision-Making
    Simona-Maria Roșu, Denisa Maria Mitroi, Oana Maria Catană, Viorel Biciușcă, Sorina Ionelia Stan, Beatrice Mahler, Oana-Andreea Parliteanu, Adina Andreea Mirea, Mara Amalia Bălteanu
    Journal of Clinical Medicine.2025; 14(16): 5773.     CrossRef
  • Geographic variation in bronchoscopy use across Japan: A nationwide analysis using administrative claims data
    Tomohiro Akaba, Ken Arimura, Keiko Kan-o, Miki Kubo, Mitsuko Kondo, Musashi Ueda, Osamitsu Yagi, Atsushi Kurokawa, Naoko Kawashima, Yutaro Horie, Yuno Shiota, Etsuko Tagaya
    Respiratory Investigation.2025; 63(6): 1174.     CrossRef
  • Deep-learning-assisted disposable bronchoscopy with enhanced image quality
    Ang Li, Ming Lei, Zachary Burns, George Cheng, Zhaowei Liu
    Biomedical Optics Express.2025; 16(11): 4243.     CrossRef
  • Application of fiberoptic bronchoscopy in the diagnosis and treatment of pneumonia in children
    He Zhang, De-Xing Wang, Hai-Ming Yu
    Srpski arhiv za celokupno lekarstvo.2025; 153(9-10): 504.     CrossRef
  • Disposable Versus Reusable Bronchoscopes: A Narrative Review of Cost-effectiveness, Risk of Cross-contamination and Environmental Impact
    Illaa Smesseim, Johannes M.A. Daniels, Jouke Annema, Peter I. Bonta, Dirk-Jan Slebos
    Archivos de Bronconeumología.2024; 60(4): 250.     CrossRef
  • Applications of Machine Learning in Cancer Imaging: A Review of Diagnostic Methods for Six Major Cancer Types
    Andreea Ionela Dumachi, Cătălin Buiu
    Electronics.2024; 13(23): 4697.     CrossRef
  • Flexible bronchoscopy indications and outcomes between indigenous and non‐indigenous patients in the Northern Territory of Australia
    Mohammad M. Seyedshahabedin, Timothy P. Howarth, Lin Mo, Edwina Biancardi, Subash S. Heraganahally
    Internal Medicine Journal.2023; 53(9): 1634.     CrossRef
  • Endobronchial ultrasound‐guided re‐biopsy of non–small cell lung cancer with acquired resistance after EGFR tyrosine kinase inhibitor treatment
    Kyung Soo Hong, Jinmo Cho, Jong Geol Jang, Min Hye Jang, June Hong Ahn
    Thoracic Cancer.2023; 14(4): 363.     CrossRef
  • Observational findings of transbronchial lung biopsy in patients with interstitial lung disease: a retrospective study in Aleppo University Hospital
    Fateh Kashkash, Abdullah Khorri
    Annals of Medicine & Surgery.2023; 85(2): 146.     CrossRef
  • Invasive Diagnostic Procedures from Bronchoscopy to Surgical Biopsy—Optimization of Non-Small Cell Lung Cancer Samples for Molecular Testing
    Nensi Lalić, Aleksandra Lovrenski, Miroslav Ilić, Olivera Ivanov, Marko Bojović, Ivica Lalić, Spasoje Popević, Mihailo Stjepanović, Nataša Janjić
    Medicina.2023; 59(10): 1723.     CrossRef
  • Utility of Radial Probe Endobronchial Ultrasound Guided Transbronchial Lung Biopsy in Bronchus Sign Negative Peripheral Pulmonary Lesions
    Kyung Soo Hong, Kwan Ho Lee, Jin Hong Chung, Kyeong-Cheol Shin, Hyun Jung Jin, Jong Geol Jang, June Hong Ahn
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Radial Probe Endobronchial Ultrasound Using Guide Sheath-Guided Transbronchial Lung Biopsy in Peripheral Pulmonary Lesions without Fluoroscopy
    Kyung Soo Hong, Heeyun Ahn, Kwan Ho Lee, Jin Hong Chung, Kyeong-Cheol Shin, Hyun Jung Jin, Jong Geol Jang, Seok Soo Lee, Min Hye Jang, June Hong Ahn
    Tuberculosis and Respiratory Diseases.2021; 84(4): 282.     CrossRef
  • Advances in the science and treatment of respiratory diseases
    Jin Hong Chung
    Yeungnam University Journal of Medicine.2020; 37(4): 251.     CrossRef
Original Article
Pediatrics, Perinatology, and Child Health
Clinical characteristics of acute lower respiratory tract infections according to respiratory viruses in hospitalized children without underlying disease during the last 3 years
Min Hae Seo, Hyung Young Kim, Tae Min Um, Hye Young Kim, Hee Ju Park
Yeungnam Univ J Med. 2017;34(2):182-190.   Published online December 31, 2017
DOI: https://doi.org/10.12701/yujm.2017.34.2.182
  • 3,843 View
  • 34 Download
AbstractAbstract PDF
BACKGROUND
Respiratory viruses play a significant role in the etiology of acute respiratory infections and exacerbation of chronic respiratory illnesses. This study was conducted to identify the epidemiological and clinical characteristics of children with acute viral lower respiratory infections. METHODS: This study investigated 1,168 children diagnosed with acute viral lower respiratory tract infections (RTIs) between January 2012 and December 2014. Specimens of respiratory viruses were collected using a nasopharyngeal swab and analyzed by reverse transcriptase polymerase chain reaction. We retrospectively reviewed the medical records and analyzed the clinical features of children hospitalized for acute lower respiratory infections. RESULTS: Respiratory syncytial virus (RSV), the main cause of infection in children aged <5 years, was the most commonly detected pathogen in children with bronchiolitis and pneumonia, and resulted in high proportions of children requiring oxygen treatment and intensive care unit admission. Rhinovirus was preceded by RSV as the second most common cause of bronchiolitis and pneumonia, and was detected most frequently in the children aged ≥6 years. In addition, asthma was predominantly caused by rhinovirus in children aged ≥6 years, whereas croup was mostly caused by parainfluenza virus in those aged <5 years. Rhinovirus infection (p < 0.001) and history of asthma (p=0.049) were identified as significant risk factors for readmission within a month. CONCLUSION: We identified the epidemiological and clinical characteristics of respiratory viruses in children with acute lower respiratory infections during the last 3 years. Our findings may provide useful clinical insight to comprehend the acute viral lower RTIs in children.
Case Reports
Oncology and Cancer Research
Pumpless extracorporeal interventional lung assist for bronchiolitis obliterans after allogenic peripheral blood stem cell transplantation for acute lymphocytic leukemia.
Yeon Hee Park, Chae Uk Chung, Jae Woo Choi, Sang Ok Jung, Sung Soo Jung, Jeong Eun Lee, Ju Ock Kim, Jae Young Moon
Yeungnam Univ J Med. 2015;32(2):98-101.   Published online December 31, 2015
DOI: https://doi.org/10.12701/yujm.2015.32.2.98
  • 3,089 View
  • 5 Download
AbstractAbstract PDF
Bronchiolitis obliterans (BO), which is associated with graft-versus-host disease after allogenic hematopoietic stem cell transplantation, is a major obstacle to survival after bone marrow transplantation due to its gradual progress, eventually leading to respiratory failure. Pumpless extracorporeal interventional lung assist (iLA) is effective in treatment of reversible hypercapnic respiratory failure. In this paper, we present a 23-year-old female patient who underwent allogeneic peripheral blood stem cell transplantation (PBSCT) for acute lymphocytic leukemia. After 6 months, she complained of shortness of breath and was diagnosed with BO. Five months later, she developed an upper respiratory tract infection that worsened her BO and caused life-threatening hypercapnia. Since mechanical ventilation failed to eliminate CO2 effectively, iLA was applied as rescue therapy. Her hypercapnia and respiratory acidosis showed significant improvement within a few hours, and she was successfully weaned off iLA after 12 days. This is the first case report of iLA application for temporarily aggravated hypercapnia of PBSCT-associated BO followed by successful weaning. This rescue therapy should be considered in ventilator-refractory reversible hypercapnia in BO patients.
Pulmonary and Respiratory Medicine
A Case of Primary Endobronchial Neurilemmoma Without Intraspinal Extension.
Mi Young Kim, Hyun Ji Kim, Ah Lim Kim, Hyeong Seok Kim, Hyun Woong Shin, Seung Wook Jeong
Yeungnam Univ J Med. 2012;29(1):54-57.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.54
  • 3,314 View
  • 2 Download
  • 1 Crossref
AbstractAbstract PDF
Neurilemmoma is a benign and slowly growing neurogenic tumor. Intrathoracic neurilemmoma often develops in the chest wall and posterior mediastinum, but endobronchial neurilemmoma is extremely rare. The diagnosis of endobronchial neurilemmoma with preoperative imaging findings is challenging and is usually made via postoperative pathological examination. These authors encountered a case of primary endobronchial neurilemmoma in a 52-year-old woman who had no symptoms. A 3.0 x 2.6 cm mass in the right lower lobe projecting into the mediobasal segmental bronchus was shown in the results of the contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) of the chest. Benign neurilemmoma was confirmed via bronchoscopic biopsy, and surgical resection (sleeve bronchial excision and end-to-end anastomosis) was performed.

Citations

Citations to this article as recorded by  
  • Endobronchial Neurilemmoma Mimicking a Bronchial Polyp
    Ryoung Eun Ko, Seung Yong Park, Yeong Hun Choe, So Ri Kim, Heung Bum Lee, Yong Chul Lee, Seoung Ju Park
    Soonchunhyang Medical Science.2015; 21(2): 176.     CrossRef
Pulmonary and Respiratory Medicine
A Case of Eosinophilic Bronchitis Associated with Tracheal Diverticulum.
Seung Hoon Yoo, Jae Ho Chung, Byung Soo Kang, Won Sik Kang, Won Jun Koh, Min Kyung Lee, Chan Sub Park
Yeungnam Univ J Med. 2011;28(2):192-195.   Published online December 31, 2011
DOI: https://doi.org/10.12701/yujm.2011.28.2.192
  • 2,448 View
  • 1 Download
AbstractAbstract PDF
Tracheal diverticulum is relatively rare. It results from congenital or acquired weakness of the tracheal wall. Most cases are asymptomatic, but when symptoms are present, they are usually nonspecific. A 54-year-old man complained of sputum lasting for several months. Chest computed tomography showed an air-containing cystic structure in the trachea. Fiberoptic bronchoscopy demonstrated ostium arising from the right posterolateral wall at the trachea. Reported herein is a case of eosinophilic bronchitis associated with tracheal diverticulum.
Original Articles
Pediatrics, Perinatology, and Child Health
The clinical observations in childhood asthma.
Kih Yeon Song, Yong Hyoun Park, Jin Gon Jun, Young Hwan Lee, Chun Dong Kim
Yeungnam Univ J Med. 1992;9(2):239-247.   Published online December 31, 1992
DOI: https://doi.org/10.12701/yujm.1992.9.2.239
  • 2,137 View
  • 2 Download
AbstractAbstract PDF
A clinical analysis was done on 134 cases with bronchial asthma who were admitted to the Department of Pediatrics Yeungnam University from May 1987 to October 1991. The results were as follows: 1) The peak age of bronchial asthma was under 2 years. The sex ratio of male to female was 2.9:1. 2) The outbreak of bronchial asthma was most common in fall, especially in September. 3) The past history of other allergic diseases were present in 22.4% of patients (30/134 cases), and the previous bronchiolitis in infancy were experienced in 12.7% of patients (17/134 cases). 4) According to the skin test for allergens done by RAST, the most common allergens were Mites and House dust. 5) Eosinophilia (T.E.C>250/min) was found in 29.1%t of patients, and elevated lgE level (>200 IU/ml) was found in 63.2% of patients. 6) No significant differences in the serum lgE level were found between male and female patients. No significant differences in the serum lgE level were found between asthma patients with and without other allergic diseases. 7) The serum lgE level of school aged patients was significant higher than that of preschool aged (p<0.01).
Pulmonary and Respiratory Medicine
The Comparison of Histopathology of Cats Received Conventional Mechanical Ventilation and High Frequency Oscillation Ventilation.
Kwan Ho Lee, Young Jo Kim, Jae Chun Chung, Hyun Woo Lee, Hae Joo Nam, Tae Sook Lee
Yeungnam Univ J Med. 1989;6(2):39-46.   Published online December 31, 1989
DOI: https://doi.org/10.12701/yujm.1989.6.2.39
  • 3,129 View
  • 2 Download
AbstractAbstract PDF
The tracheobronchial histopathologic findings in 7 healthy cats used with high frequency oscillation ventilation (HFOV) were compared with those in 6 cats used with conventional mechanical ventilation (CMV). 4-point, 9-variable scoring system was used to evaluate the injury in the trachea, right & left main bronchi and parenchyma. The following results were obtained; 1) The tracheobronchial tree received HFOV had no significant damage compared with CMV (P>0.05). 2) Intraepithelial mucus loss and emphysema were slightly more prominent in CMV groups. As above results; the tracheobronchial histopathologic difference was not prominent between CMV and HFOV groups received with relatively short period, however, the cellular of function and barotrauma may be more prominent in CMV groups. From now on, as causes of tracheobronchial injury in HFV, interaction between humidification and mechanical trauma considers further study.

JYMS : Journal of Yeungnam Medical Science
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