Bronchoscopic Lung Volume Reduction

被引:7
作者
Flandes, Javier [1 ]
Soto, Francisco J. [2 ]
Cordovilla, Rosa [3 ]
Cases, Enrique [4 ]
Alfayate, Javier [1 ]
机构
[1] CIBERES, IIS Fdn Jimenez Diaz, Bronchol & Intervent Pulmonol Unit, Ave Reyes Catolicos 2, E-28040 Madrid, Spain
[2] Univ Tennessee, Med Ctr, Dept Med, Pulm & Crit Care, 1940 Alcoa Hwy E, Knoxville, TN 37920 USA
[3] Salamanca Univ Hosp, Bronchol & Intervent Pulmonol Unit, Paseo San Vicente 58, E-37007 Salamanca, Spain
[4] La Fe Univ Hosp, Bronchol & Intervent Pulmonol Unit, Ave Fernando Abril Martorell 106, Valencia 46026, Spain
关键词
COPD; Emphysema; Bronchoscopic lung volume reduction; Endobronchial valves; Coils; OBSTRUCTIVE PULMONARY-DISEASE; MINIMAL IMPORTANT DIFFERENCE; THERMAL VAPOR ABLATION; SEVERE EMPHYSEMA; ENDOBRONCHIAL VALVES; COIL TREATMENT; COLLATERAL VENTILATION; RANDOMIZED-TRIAL; MEDICAL THERAPY; EXPERT PANEL;
D O I
10.1016/j.ccm.2017.11.013
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Since the publication of the National Emphysema Treatment Trial study, lung volume reduction (LVR) has been considered a therapeutic alternative for patients with advanced obstructive lung disease. The high complication rate of surgical LVR has led to the development of bronchoscopic LVR (BLVR). Of the currently available BLVR alternatives, coils and unidirectional endobronchial valves lead the list. The choice of each device depends on emphysema characteristics and the presence of collateral ventilation. Evaluation of these patients at centers with expertise in interventional pulmonology and management of BLVR is strongly recommended.
引用
收藏
页码:169 / +
页数:13
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