Endoscopic Lung Volume Reduction: An Expert Panel Recommendation - Update 2017

被引：47

作者：

Herth, Felix J. F. ^{[1
,2
]}

Slebos, Dirk-Jan ^{[3
]}

Criner, Gerard J. ^{[4
]}

Shah, Pallav L. ^{[5
,6
,7
]}

机构：

[1] Heidelberg Univ, Dept Pneumol & Crit Care Med, Thoraxklin, Rontgenstr 1, DE-69126 Heidelberg, Germany

[2] Heidelberg Univ, Translat Lung Res Ctr Heidelberg, Lung Res Fdn, Heidelberg, Germany

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Pulm Dis, Groningen, Netherlands

[4] Temple Univ, Lewis Katz Sch Med, Dept Thorac Med & Surg, Philadelphia, PA 19122 USA

[5] Harefield NHS Fdn Trust, Royal Brompton, London, England

[6] Imperial Coll, Chelsea & Westminster Hosp, London, England

[7] Chelsea & Westminster Hosp, London, England

来源：

RESPIRATION | 2017年 / 94卷 / 04期

关键词：

Chronic obstructive pulmonary disease; Emphysema; Bronchoscopy; Lung volume reduction; Hyperinflation; Expert statement; ENDOBRONCHIAL VALVE THERAPY; SEVERE EMPHYSEMA; IDENTIFICATION; PREDICTORS; FISSURES; DENSITY; DISEASE;

D O I：

10.1159/000479379

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Interest in endoscopic lung volume reduction (ELVR) technologies for emphysema is consistently growing. In the last couple of months, several endoscopic options (e.g., endo-or intrabronchial valves, coil implants, and thermal vapor ablation) that have been evaluated in randomized controlled trials have been reported with the ultimate goal of improving respiratory mechanics and alleviating chronic dyspnea. Patients presenting with severe air trapping and thoracic hyperinflation have the greatest potential to derive benefit from ELVR procedures. Baseline assessment should ideally include cardiological evaluation, high-resolution computed tomography scan and perfusion scintigraphy, full pulmonary function tests, and cardiopulmonary exercise testing. This expert statement updates best practice recommendations regarding patient selection and utilization of these various techniques for the treatment of patients with advanced emphysema. (C) 2017 S. Karger AG, Basel

引用

页码：380 / 388

页数：9

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